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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | BCBS | 1396N | 01 |
NC | 1194737478 | 05 | |
NC | 5901224 | 05 | |
RAILROAD MEDICARE | P00245249 | 01 | |
SC | N0106A | 05 |
Street Address |
1000 BLYTHE BLVD 4TH FLOOR |
City | CHARLOTTE |
State | NC |
Zip Code | 28203-5812 |
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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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 |
Find all providers in zip 28203 |
Taxonomy Code | 2086S0129X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Vascular Surgery |
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. |
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 |
Find all providers in CHARLOTTE |
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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.