STEPHEN GARY LALKA


Address: 1000 Blythe Blvd, 4th Floor, Charlotte, NC 28203-5812
Phone: 7043558188

STEPHEN GARY LALKA (NPI# 1194737478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194737478
Entity Type Individual
Full Name STEPHEN GARY LALKA
Credential M.D.
Practice Address 1000 Blythe Blvd
4th Floor
Charlotte
NC 28203-5812
Mailing Address Po Box 601067
Charlotte
NC 28260-1067
Practice Telephone 7043558188
Practice Fax Number 7043558192
Mailing Telephone 7043558188
Mailing Fax Number 7043558192
Enumeration Date 2006-08-13
Last Update Date 2014-08-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208600000X Surgery 01035930A IN Allopathic & Osteopathic Physicians
N 208600000X Surgery 2005-01060 NC Allopathic & Osteopathic Physicians
N 2086S0129X Surgery
Specialization: Vascular Surgery
01035930A IN Allopathic & Osteopathic Physicians
Y 2086S0129X Surgery
Specialization: Vascular Surgery
2005-01060 NC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NC BCBS 1396N 01
NC 1194737478 05
NC 5901224 05
RAILROAD MEDICARE P00245249 01
SC N0106A 05

Office Location

Street Address 1000 BLYTHE BLVD
4TH FLOOR
City CHARLOTTE
State NC
Zip Code 28203-5812

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740282946 Shoaib Lateef Hospitalist 1000 Blythe Blvd, Cmc Annex 1st Floor, Charlotte, NC 28203-5812 2005-06-01
1588264527 Elizabeth Lopez Registered Nurse 1000 Blythe Blvd, Charlotte, NC 28203-5812 2020-10-29
1164021648 Daniel Alan Nichols Registered Nurse 1000 Blythe Blvd, Charlotte, NC 28203-5812 2020-10-26
1487267878 Anna Molengraft Physician Assistant 1000 Blythe Blvd, Charlotte, NC 28203-5812 2020-08-26
1699388116 Cassandra L. Barnes Nurse Practitioner 1000 Blythe Blvd, Charlotte, NC 28203-5812 2020-08-25
1407469927 Lesley Rummage Nurse Practitioner 1000 Blythe Blvd, Charlotte, NC 28203-5812 2020-08-25
1104437326 Nicole Clarke Registered Nurse 1000 Blythe Blvd, Charlotte, NC 28203-5812 2020-08-11
1942819594 Nigella Siegl Nurse Practitioner 1000 Blythe Blvd, Charlotte, NC 28203-5812 2020-07-29
1316556319 Carly E Janusek Physician Assistant 1000 Blythe Blvd, Charlotte, NC 28203-5812 2020-07-26
1932717212 Lauren May Vanderlip Registered Nurse 1000 Blythe Blvd, Charlotte, NC 28203-5812 2020-07-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982225983 William Bedard Michel Emergency Medicine Carolina Medical Center, 1000 Blythe Blvd, Charlotte, NC 28203 2020-04-30
1922636927 Paulina M Kriska Dentist Cmc Dental Clinic, 1000 Blythe Blvd, Charlotte, NC 28203 2020-03-27
1386271930 Irina Maria Geiculescu Pediatrics 1000 Blythe Blvd Fl 4 Meb, Charlotte, NC 28203 2020-03-24
1205499316 James C Winnek Counselor 1713 East Blvd., Charlotte, NC 28203 2019-04-16
1487114492 Laurie Fford Counseling and Consulting Pllc Counselor 125 Remount Rd, Suite C-#391, Charlotte, NC 28203 2019-03-25
1184188815 Sunday Money Home Health 2151 Hawkins St., Suite 201, Charlotte, NC 28203 2019-01-28
1164902706 Lindsay Koonce Helton Dietitian, Registered 1218 East Blvd Ste G, Charlotte, NC 28203 2018-08-14
1376057406 Veritas Collaborative Charlotte, LLC Clinic/Center 1900 Scott Avenue, Suite 101, Charlotte, NC 28203 2017-11-28
1043733306 Kimberly Stripp Pharmacist 1300-b East Blvd, Charlotte, NC 28203 2017-07-19
1427570639 Caroline Kaleel Fogleman Optometrist 1710 Kenilworth Ave Ste 210, Charlotte, NC 28203 2017-07-10
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Taxonomy Information

Taxonomy Code 2086S0129X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Vascular Surgery

Taxonomy Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871791301 Kathryn Lorann Davis Surgery 2001 Vail Ave Ste 320, Charlotte, NC 28207-1222 2007-07-05
1033141817 Charlotte Minimally Invasive Surgical Associates Pllc Surgery 330 Billingsley Road, Suite 210, Charlotte, NC 28211 2006-07-06
1164770913 Surgical Specialists of Charlotte, Pa-mercy Surgery 2001 Vail Ave, Suite 320, Charlotte, NC 28207-1100 2012-08-28
1790033728 Surgical Specialists of Charlotte, Pa-pineville Surgery 10512 Park Rd, Suite 101, Charlotte, NC 28210-8475 2012-08-23
1003164096 Surgical Specialists of Charlotte-university Surgery 101 E Wt Harris Blvd, Suite 5103, Charlotte, NC 28262-3485 2012-08-22
1285929539 Halim Yammine Surgery 1001 Blythe Blvd, Ste 300 - Cardiac Surgery, Charlotte, NC 28203-5866 2011-06-15
1750528758 Hector Crespo Soto Surgery 10650 Park Rd, Ste 220, Charlotte, NC 28210-8538 2009-01-13
1356507230 Charles Briggs Surgery 1001 Blythe Blvd, Ste 300- Adult Cardiology, Charlotte, NC 28203-5866 2008-07-31
1447454210 Erin Murphy Surgery 10650 Park Rd, Ste 220, Charlotte, NC 28210-8538 2007-06-13
1891917431 Peter Ford Surgery 7800 Providence Rd, Suite 209, Charlotte, NC 28226-2952 2007-05-03
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Competitor

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City CHARLOTTE
Zip Code 28203

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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