CATAWBA VALLEY MEDICAL GROUP, INC (NPI# 1245507516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245507516 |
| Entity Type | Organization |
| Organization Name | CATAWBA VALLEY MEDICAL GROUP, INC |
| Other Organization Name | CATAWBA VALLEY FAMILY CARE |
| Practice Address |
105 S Main Ave Ste B Newton NC 28658-3359 |
| Practice Telephone | 8284647770 |
| Practice Fax Number | 8284647775 |
| Mailing Telephone | 8284647770 |
| Mailing Fax Number | 8284647775 |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2013-07-09 |
| Authorized Official Name | DAVID J BOONE (SR VP OF FINANCE/CFO) |
| Authorized Official Telephone | 8283263809 |
| Is Organization Subpart | Y |
| Parent Organization Name | CATAWBA VALLEY MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | NC BCBS | 026CT | 01 |
| NC | 1245507516 | 05 |
| Other Name | Type Code |
|---|---|
| CATAWBA VALLEY FAMILY CARE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205209996 | Catawba Valley Medical Group, Inc | General Practice | 2425 Highland Ave Ne, Hickory, NC 28601-8164 | 2015-11-04 |
| 1790062362 | Catawba Valley Medical Group, Inc | Family Medicine | 200 Rosenwald School St Sw, Catawba, NC 28609-8896 | 2011-11-10 |
| 1346715067 | Catawba Valley Medical Group, Inc | Family Medicine | 5045 Hickory Blvd, Hickory, NC 28601-8920 | 2018-10-09 |
| 1386093482 | Catawba Valley Medical Group, Inc | Family Medicine | 3511 Graystone Pl Se, Conover, NC 28613-8201 | 2016-06-09 |
| 1730552399 | Catawba Valley Medical Group, Inc | Family Medicine | 24 2nd Ave Ne, Hickory, NC 28601-5045 | 2015-11-04 |
| 1386057529 | Catawba Valley Medical Group, Inc | Internal Medicine | 200 Rosenwald School St Sw, Catawba, NC 28609-8896 | 2014-06-05 |
| 1184037327 | Catawba Valley Medical Group, Inc | Internal Medicine | 50 Macedonia Church Rd, Suite A, Taylorsville, NC 28681-8414 | 2014-06-05 |
| 1659784890 | Catawba Valley Medical Group, Inc | Internal Medicine | 6127 Highway 16 S, Denver, NC 28037-9220 | 2014-06-05 |
| 1194138339 | Catawba Valley Medical Group, Inc | Internal Medicine | 2890 S Lookout St, Claremont, NC 28610-9528 | 2014-06-05 |
| 1760895908 | Catawba Valley Medical Group, Inc | Internal Medicine | 137 Island Ford Rd, Maiden, NC 28650-8735 | 2014-06-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CATAWBA VALLEY MEDICAL GROUP, INC. | 810 Fairgrove Church Rd, Hickory, NC 28602-9617 |
| Street Address |
105 S MAIN AVE STE B |
| City | NEWTON |
| State | NC |
| Zip Code | 28658-3359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417985698 | Shital S Patel | Family Medicine | 105 S Main Ave Ste B, Newton, NC 28658-3359 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902427024 | Healthstat Onsite Clinic Mccreary Modern Plant 4 | Preventive Medicine | 3483 Saint James Church Road, Newton, NC 28658 | 2020-04-29 |
| 1578977179 | Endeavors Pediatric Therapy Services, LLC | Occupational Therapist | Mt Olive Church Rd, Newton, NC 28658 | 2014-06-12 |
| 1033428289 | Homefirst Healthcare Services, LLC | Home Infusion | 805 W. 25th Street, Newton, NC 28658 | 2010-10-05 |
| 1184959330 | The Mental Health Fund Inc | Community Based Residential Treatment Facility, Mental Illness | 120b West D Street, Newton, NC 28658 | 2009-10-06 |
| 1003957531 | Lynn Isenhower Mullinax | Counselor | 22 South Main Avenue, Newton, NC 28658 | 2007-02-09 |
| 1588723852 | Frank Alan Younce | Occupational Therapist | 1897 Wellington Ave, Newton, NC 28658 | 2006-12-06 |
| 1164435798 | Janet Greer | Nurse Practitioner | 2564 Highway 321s, Newton, NC 28658 | 2006-08-14 |
| 1174566376 | Clifton Wade Pernell | Dentist | 430 West 20th Street, Newton, NC 28658 | 2006-06-14 |
| 1093777120 | Pendleton Glass Waldron | Dentist | 430 West 20th St, Newton, NC 28658 | 2006-04-04 |
| 1336144377 | Elizabeth M Owens | Physician Assistant | 3975 Robinson Rd, Newton, NC 28658 | 2005-06-16 |
| Find all providers in zip 28658 | ||||
| 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 |
|---|---|---|---|---|
| 1477876167 | Mission Medical LLC | Family Medicine | 105a N Main Ave, Newton, NC 28658-3213 | 2010-03-09 |
| 1912134693 | Andrew Lloyd Cope | Family Medicine | 300 N 4th Ave E Ste 200, Newton, IA 50208-3122 | 2009-06-19 |
| 1548496185 | Caleb M May | Family Medicine | 715 Medical Center Dr Ste 200, Newton, KS 67114-9056 | 2009-06-10 |
| 1477753770 | Ronald Peter King | Family Medicine | 893 Doe Run Dr, Newton, AL 36352-7329 | 2007-07-24 |
| 1700942620 | Jeanne T Hubbuch | Family Medicine | 288 Walnut St, Suite 420, Newton, MA 02460-1948 | 2006-12-28 |
| 1740357458 | Edwin Gordy | Family Medicine | 17 Otis St, Newton, MA 02460 | 2006-11-29 |
| 1659443760 | Jimmie D Bussey | Family Medicine | 802 Rusk St, Newton, TX 75966-3222 | 2006-11-14 |
| 1740393222 | Edward Levitan | Family Medicine | 181 Wells Ave, Suite 202, Newton, MA 02459-3344 | 2006-08-17 |
| 1538192307 | Deborah Louise London | Family Medicine | 2180 Northwest Blvd, Newton, NC 28658-3724 | 2006-07-07 |
| 1417985698 | Shital S Patel | Family Medicine | 105 S Main Ave Ste B, Newton, NC 28658-3359 | 2006-06-28 |
| Find all providers in NEWTON | ||||
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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.