VITAE HEALTH MEDICAL NORTH CAROLINA, PLLC (NPI# 1265064414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265064414 |
| Entity Type | Organization |
| Organization Name | VITAE HEALTH MEDICAL NORTH CAROLINA, PLLC |
| Practice Address |
550 Glenwood Dr Mooresville NC 28115-2876 |
| Mailing Address |
3450 Oakton St Ste 300 Skokie IL 60076-2951 |
| Practice Telephone | 7046647494 |
| Practice Fax Number | 7046648454 |
| Mailing Telephone | 8338482347 |
| Mailing Fax Number | 2242364900 |
| Enumeration Date | 2020-02-06 |
| Last Update Date | 2020-02-06 |
| Authorized Official Name | AMISH M PATEL (PRESIDENT) |
| Authorized Official Telephone | 8338482347 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
550 GLENWOOD DR |
| City | MOORESVILLE |
| State | NC |
| Zip Code | 28115-2876 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881639979 | Mooresville Center, LLC | Assisted Living Facility | 550 Glenwood Dr, Mooresville, NC 28115-2876 | 2006-06-20 |
| 1699313544 | The Citadel Mooresville LLC | Respite Care | 550 Glenwood Dr, Mooresville, NC 28115-2876 | 2019-12-11 |
| 1750877858 | Sydney Wilson Wike | Occupational Therapy Assistant | 550 Glenwood Dr, Mooresville, NC 28115-2876 | 2018-07-02 |
| 1366807869 | Cassandra Leazer | Physical Therapy Assistant | 550 Glenwood Dr, Mooresville, NC 28115-2876 | 2015-12-28 |
| 1336520923 | Kathryn Archer | Speech-Language Pathologist | 550 Glenwood Dr, Mooresville, NC 28115-2876 | 2015-06-09 |
| 1164826632 | Valerie Biele | Physical Therapist | 550 Glenwood Dr, Mooresville, NC 28115-2876 | 2014-10-13 |
| 1821402223 | Kaitlyn Kimrey | Speech-Language Pathologist | 550 Glenwood Dr, Mooresville, NC 28115-2876 | 2014-06-13 |
| 1932533387 | Amy Carolyn Bullard | Occupational Therapy Assistant | 550 Glenwood Dr, Mooresville, NC 28115-2876 | 2013-08-21 |
| 1699115568 | Allison Lindsey Ruff | Speech-Language Pathologist | 550 Glenwood Dr, Mooresville, NC 28115-2876 | 2013-06-25 |
| 1083954689 | Kathy Faye Mills | Nurse Practitioner | 550 Glenwood Dr, Mooresville, NC 28115-2876 | 2013-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376172338 | Shawn Booth | Counselor | 111 Laporte Lane, Mooresville, NC 28115 | 2020-04-02 |
| 1407418262 | Carlyn Jean Malenfant | Dentist | Loveland Dental Group of Mooresville, 134 N. Magnolia Street, Mooresville, NC 28115 | 2019-07-02 |
| 1619435906 | Loveland Dental Group of Mooresville | Dentist | 134 N. Magnolia Street, Mooresville, NC 28115 | 2019-03-06 |
| 1801317383 | Jessie Watts Gogg | Social Worker | 138 Shepherd Rd, Mooresville, NC 28115 | 2017-07-05 |
| 1063869469 | Amber Hicks-thibodeau | Family Medicine | 798 Oak Ridge Farm Hwy. Suite A, Mooresville, NC 28115 | 2016-05-16 |
| 1003286774 | Lauren Holscher | Speech-Language Pathologist | 3369 Deal Rd, Mooresville, NC 28115 | 2015-10-06 |
| 1629460217 | Jenny S Ryerson | Social Worker | 919 N Main St Ste B, Mooresville, NC 28115 | 2015-02-19 |
| 1720495435 | Lindsey Gardner | Pharmacist | 966 E Iredell Ave., Mooresville, NC 28115 | 2014-07-14 |
| 1568899169 | Saloni Mehta | Physical Therapist | 550 Glenwood Drive, Genesis Rehab, Charlotte, NC 28115 | 2013-09-27 |
| 1528312600 | Ronnie G. Davidson II Dmd Pa | Dentist | 134 N. Magnolia St., Mooresville, NC 28115 | 2012-10-29 |
| Find all providers in zip 28115 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750854303 | Piedmont Healthcare, Pa | Internal Medicine | 548 Williamson Rd Ste 6, Mooresville, NC 28117-9111 | 2019-01-07 |
| 1457853079 | Hospitalist Solution, Pllc | Internal Medicine | 112a Argus Ln # 210, Mooresville, NC 28117-6977 | 2018-02-28 |
| 1477891810 | Carolinas Physicians Network Inc | Internal Medicine | 119 Market Place Ave, Ste D, Mooresville, NC 28117-8189 | 2013-01-18 |
| 1457675241 | William Farnham Taylor | Internal Medicine | 175 Carriage Club Dr, 6-301, Mooresville, NC 28117-9003 | 2010-03-23 |
| 1376703330 | Peter Jay Enyeart | Internal Medicine | 400 E Statesville Ave Ste 300, Mooresville, NC 28115-2588 | 2008-06-12 |
| 1174729214 | Stephen Robert Giordano | Internal Medicine | 171 Fairview Road, Mooresville, NC 28117 | 2007-06-25 |
| 1073527339 | Khawaja A. Rehman | Internal Medicine | 107 Assembly Dr, Unit 112, Mooresville, NC 28117-5419 | 2006-07-29 |
| 1760408348 | Community Hospitals of Indiana Inc | Internal Medicine | 461 Town Center St N, Mooresville, IN 46158-2316 | 2006-07-15 |
| 1851332100 | Michael A. Rawlings | Internal Medicine | 820 N. Samuel Moore Pkwy., Ste A, Mooresville, IN 46158-1467 | 2006-06-09 |
| 1487694113 | Katharina M. Weber | Internal Medicine | 820 N Samuel Moore Pkwy, Suite A, Mooresville, IN 46158-1467 | 2006-06-08 |
| Find all providers in MOORESVILLE | ||||
| City | MOORESVILLE |
| Zip Code | 28115 |
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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.