CAROMONT MEDICAL GROUP INC (NPI# 1245419845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245419845 |
| Entity Type | Organization |
| Organization Name | CAROMONT MEDICAL GROUP INC |
| Other Organization Name | CAROMONT FAMILY MEDICINE |
| Practice Address |
700 N Main St Stanley NC 28164-1438 |
| Practice Telephone | 7042638945 |
| Practice Fax Number | 7042632591 |
| Mailing Telephone | 7042638945 |
| Mailing Fax Number | 7042632591 |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2010-06-09 |
| Authorized Official Name | VALINDA L RUTLEDGE (PRESIDENT, CEO) |
| Authorized Official Telephone | 7048342133 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8902746 | 05 |
| Other Name | Type Code |
|---|---|
| CaroMont Family Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457913006 | Caromont Medical Group Inc | Podiatrist | 2555 Court Dr Ste 250, Gastonia, NC 28054-2185 | 2019-07-03 |
| 1710359757 | Caromont Medical Group Inc | Anesthesiology | 1212 Spruce Street, Suite 305a, Belmont, NC 28012-3386 | 2015-10-29 |
| 1285940445 | Caromont Medical Group Inc | Family Medicine | 3845 S. New Hope Rd, Gastonia, NC 28056-8439 | 2010-08-26 |
| 1205079290 | Caromont Medical Group Inc | Family Medicine | 305 W. College Ave, Boiling Springs, NC 28017-0815 | 2009-04-07 |
| 1124207725 | Caromont Medical Group Inc | Family Medicine | 120 S Mountain St, Cherryville, NC 28021-3421 | 2007-10-31 |
| 1982883583 | Caromont Medical Group Inc | Family Medicine | 1895 Hoffman Road, Suite A, Gastonia, NC 28054-6557 | 2007-10-31 |
| 1952580557 | Caromont Medical Group Inc | Family Medicine | 4235 S. New Hope Road, Suite A, Gastonia, NC 28056-8453 | 2007-10-31 |
| 1407035025 | Caromont Medical Group Inc | Family Medicine | 14035 Grandiflora Drive, Ste B, Charlotte, NC 28278-8456 | 2007-10-31 |
| 1437338050 | Caromont Medical Group Inc | Obstetrics & Gynecology | 620 Summit Crossing Pl Ste 108c, Gastonia, NC 28054-2189 | 2007-10-31 |
| 1083069017 | Caromont Medical Group Inc | Internal Medicine | 2544 Court Dr, Suite D, Gastonia, NC 28054-3450 | 2016-04-27 |
| Street Address |
700 N MAIN ST |
| City | STANLEY |
| State | NC |
| Zip Code | 28164-1438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073878252 | Sunny Bakalli Severance | Nurse Practitioner | 700 N Main St, Stanley, NC 28164-1438 | 2012-07-12 |
| 1871678110 | Fatima A Brens | Family Medicine | 700 N Main St, Stanley, NC 28164 | 2006-10-26 |
| 1588687982 | Patrice Dale Rodgers-morales | Family Medicine | 700 N Main St, Stanley, NC 28164-1438 | 2006-07-26 |
| 1649267956 | Russell Ian Emerson | Family Medicine | 700 N Main St, Stanley, NC 28164-1438 | 2005-10-03 |
| 1033106711 | Per Lykke Larsen | Family Medicine | 700 N Main St, Stanley, NC 28164-1438 | 2005-09-29 |
| 1790772325 | Michael Randolph Sikes | Physician Assistant | 700 N Main St, Stanley, NC 28164-1438 | 2005-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992059430 | Stress Free Home Care | In Home Supportive Care | 717 South Main St., Stanley, NC 28164 | 2012-11-06 |
| 1235499559 | Comfort and Care Dentistry of Stanley | Dentist | 510 Highway 27 South, Stanley, NC 28164 | 2012-05-21 |
| 1912273863 | Cathleen Elizabeth Fisher | Pharmacist | 6050 South 16 North Carolina Highway, Denver, NC 28164 | 2012-03-26 |
| 1871779033 | Ronald M Cox Dds Pa | Dentist | 115 E College Street, Stanley, NC 28164 | 2008-01-17 |
| 1992996946 | Katherine R. Petersen | Dentist | 400 S Highway 27, Stanley, NC 28164 | 2007-08-06 |
| 1154482230 | Frederick Mathew Hornack Jr. | Optometrist | 204 South Main Street, Stanley, NC 28164 | 2006-12-13 |
| 1518422633 | Amber Randall | Behavior Technician | 107 Devine St, Stanley, NC 28164-1151 | 2019-02-02 |
| 1558780874 | Lisa Bailey Wilbanks | Nurse Practitioner | 121 Golden St, Stanley, NC 28164-1187 | 2014-04-15 |
| 1508166125 | Stress Free Home Care | In Home Supportive Care | 1320 Steepleview Ct, Stanley, NC 28164-1574 | 2010-10-29 |
| 1821431255 | Shannon Helton Baker | Lactation Consultant, Non-RN | 2113 Virgina Ellen Ct, Stanley, NC 28164-1678 | 2013-04-16 |
| Find all providers in zip 28164 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306896147 | Derek Michael Reed | Family Medicine | 159 E Dallas Rd, Stanley, NC 28164-2052 | 2006-05-11 |
| 1598722886 | James S Forrester Md Pa | Family Medicine | 510 S Highway 27, Stanley, NC 28164-2056 | 2006-04-28 |
| 1881666899 | R. David Lee | Family Medicine | 235 Medical Dr, Stanley, VA 22851-4112 | 2006-02-03 |
| 1770577629 | Mitzi M Groves | Family Medicine | 15101 Glenwood Ave, Stanley, KS 66223-3154 | 2005-09-07 |
| 1871956045 | Lacmbouh Ade | Family Medicine | 1120 Pine St, Stanley, WI 54768-1297 | 2016-04-04 |
| 1891175527 | Jenna Beth Kawase Eshcol | Family Medicine | 15101 Glenwood Ave, Stanley, KS 66223-3154 | 2015-06-08 |
| 1326278912 | Mark Kenneth Longmuir | Family Medicine | 615 6th St Se, Stanley, ND 58784-4444 | 2009-07-17 |
| 1871729210 | Achal Gupta | Family Medicine | 1120 Pine St, Stanley, WI 54768-1297 | 2009-05-29 |
| 1437300274 | Myrna Casing | Family Medicine | 36887 156th Ave, Stanley, WI 54768-6417 | 2008-10-09 |
| 1437314838 | Overland Park Surgical Specialties, LLC | Family Medicine | 15101 Glenwood Ave, Stanley, KS 66223-3154 | 2008-07-24 |
| Find all providers in STANLEY | ||||
Please comment or provide details below to improve the information on CAROMONT MEDICAL GROUP INC.
| 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.