HEALTHSTAT- QUEENS UNIVERSITY (NPI# 1205189008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205189008 |
| Entity Type | Organization |
| Organization Name | HEALTHSTAT- QUEENS UNIVERSITY |
| Practice Address |
1900 Selwyn Ave Charlotte NC 28274-0001 |
| Mailing Address |
4651 Charlotte Park Dr Suite 300 Charlotte NC 28217-1956 |
| Practice Telephone | 7043372385 |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2012-10-18 |
| Authorized Official Name | WARREN HUTTON (COO) |
| Authorized Official Telephone | 7045296161 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
1900 SELWYN AVE |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28274-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942404124 | Varvara Pasiali | Music Therapist | 1900 Selwyn Ave, Charlotte, NC 28274-1120 | 2007-06-12 |
| 1457986515 | Queens University of Charlotte | Family Medicine | 1900 Selwyn Ave, Charlotte, NC 28274-0001 | 2020-03-10 |
| 1962994574 | Rachel Lea Taylor | Specialist/Technologist | 1900 Selwyn Ave, Charlotte, NC 28274-0001 | 2018-05-31 |
| 1174015788 | Jordan Heinlein | Specialist/Technologist | 1900 Selwyn Ave, Charlotte, NC 28207-2450 | 2018-05-31 |
| 1154813756 | Willie Phillips II | Physical Medicine & Rehabilitation | 1900 Selwyn Ave, Charlotte, NC 28274-0001 | 2018-05-31 |
| 1003297367 | Meg Johnson | Music Therapist | 1900 Selwyn Ave, Queens University of Charlotte, Charlotte, NC 28274-0001 | 2015-06-12 |
| 1518389808 | Michael Haber | Community Health Worker | 1900 Selwyn Ave, Charlotte, NC 28274-0001 | 2014-01-06 |
| 1013195031 | Rebecca Hope Rich | Specialist/Technologist | 1900 Selwyn Ave, #421, Charlotte, NC 28274-0001 | 2008-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376035972 | Nashea Kiehl | Specialist/Technologist | Queens University of Charlotte 1900 Selwyn Ave, Charlotte, NC 28274-0001 | 2018-05-31 |
| 1356583496 | Sandra Lynn Rogelberg | Counselor | Queens University of Charlotte, 1900 Selwyn Ave, Charlotte, NC 28274-0001 | 2009-04-06 |
| 1154522019 | Sue M. Setzer | Specialist | Union Theological Seminary-psce At Charlotte, 1900 Selwyn Avenue, Charlotte, NC 28274-0001 | 2007-05-29 |
| 1962037127 | A Square Transportation Services Incorporated | Transportation Broker | 13634 Royalwood Ln, Charlotte, NC 28274-4716 | 2020-03-09 |
| Taxonomy Code | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
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|---|---|---|---|---|
| 1568073161 | Healthstat Inc National Gypsum Charlotte | Preventive Medicine | 2001 Rexford Rd, Charlotte, NC 28211-3415 | 2020-08-17 |
| 1518578111 | Healthstat Inc Coca Cola Corporate | Preventive Medicine | 4115 Coca Cola Plz, Charlotte, NC 28211-3400 | 2020-08-17 |
| 1073124673 | Healthstat Inc Coca Cola Charlotte | Preventive Medicine | 4901 Chesapeake Dr, Charlotte, NC 28216-2905 | 2020-08-17 |
| 1164033767 | Healthstat Inc Ccbcc Charlotte Mini | Preventive Medicine | 801 Black Satchel Rd, Charlotte, NC 28216-3453 | 2020-08-17 |
| 1275173510 | Healthstat-truist | Preventive Medicine | 214 N Tryon St Ste 200, Charlotte, NC 28202-3027 | 2020-01-15 |
| 1720446370 | Healthstat Onsite Clinic Coca Cola Harris Blvd | Preventive Medicine | 5020 West Wt Harris Blvd, Charlotte, NC 28269 | 2016-02-10 |
| 1972943447 | Healthstat On-site Clinic/truist Charlotte | Preventive Medicine | 5130 Parkway Plaza Blvd, Charlotte, NC 28217-1964 | 2013-06-28 |
| 1396189478 | Healthstat On-site Clinic/pgi Charlotte | Preventive Medicine | 9335 Harris Corners Pkwy, Suite 300, Charlotte, NC 28269-3818 | 2013-04-19 |
| 1851303168 | Carolinas Integrative Health | Preventive Medicine | 1408 East Blvd Ste B, Charlotte, NC 28203-5875 | 2006-08-13 |
| 1548279458 | Sushil K Mankani | Preventive Medicine | 13830 Balntyn Corp Pl, Suite 100, Charlotte, NC 28277-3803 | 2006-08-07 |
| 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.