PRESTON PEMBERTON PURDUM III (NPI# 1275566283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275566283 |
| Entity Type | Individual |
| Full Name | PRESTON PEMBERTON PURDUM III |
| Practice Address |
300 Billingsley Rd Ste 200 Charlotte NC 28211-1084 |
| Mailing Address |
11301 Carmel Commons Blvd Ste 302 Charlotte NC 28226-5305 |
| Practice Telephone | 7043727974 |
| Practice Fax Number | 7043725166 |
| Mailing Telephone | 7043727974 |
| Mailing Fax Number | 7043728201 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2017-05-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
9500190 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8969467 | 05 |
| Street Address |
300 BILLINGSLEY RD STE 200 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28211-1084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316365067 | Victoria Maldonado Rothwell | Internal Medicine | 300 Billingsley Rd Ste 200, Charlotte, NC 28211-1180 | 2014-03-31 |
| 1053671586 | Olanrewaju Yusuf Jimoh | Internal Medicine | 300 Billingsley Rd Ste 200, Charlotte, NC 28211 | 2012-05-17 |
| 1548288921 | Michael Marion Gaspari | Internal Medicine | 300 Billingsley Rd Ste 200, Charlotte, NC 28211-1084 | 2006-07-17 |
| 1649298159 | Erin Eileen Cox | Internal Medicine | 300 Billingsley Rd Ste 200, Charlotte, NC 28211-1084 | 2006-07-17 |
| 1598783961 | Stephen Edgar Deal | Internal Medicine | 300 Billingsley Rd Ste 200, Charlotte, NC 28211-1084 | 2006-07-17 |
| 1972521219 | Eric Bennett Thompson | Internal Medicine | 300 Billingsley Rd Ste 200, Charlotte, NC 28211-1084 | 2006-07-17 |
| 1497773634 | Jennifer Warren Swearingen | Physician Assistant | 300 Billingsley Rd Ste 200, Charlotte, NC 28211-1084 | 2006-07-17 |
| 1780602904 | Patricia Covington Harris | Physician Assistant | 300 Billingsley Rd Ste 200, Charlotte, NC 28211-1084 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184277832 | I and J Wheelchair Transportation | Non-emergency Medical Transport (VAN) | 1512 Delane Avenue, Charlotte, NC 28211 | 2019-07-22 |
| 1922563923 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 447 Billingsley Rd, Cottage A, Charlotte, NC 28211 | 2019-02-04 |
| 1649798273 | Ally Home Care Charlotte LLC | In Home Supportive Care | 3711 Latrobe Drive Suite 520, Charlotte, NC 28211 | 2017-09-04 |
| 1154866770 | Vaibhav Bajaj | Dentist | 2809 Coltsgate Rd Ste 200, Charlotte, NC 28211 | 2017-01-05 |
| 1508254939 | Lindsay Marie Smits | Speech-Language Pathologist | 427 N. Wendover Rd., Charlotte, NC 28211 | 2015-01-08 |
| 1457755480 | Kristen Hammer | Physical Therapy Assistant | 4120 Providence Rd Apt D, Charlotte, NC 28211 | 2014-10-20 |
| 1669805610 | Carla Elizabeth Scott | Physical Therapist | 3500 Ellington Street, Dr. Carlton Watkins Center, Charlotte, NC 28211 | 2013-08-14 |
| 1760726368 | Jill Hensdale Shipp | Social Worker | 307 Hunter Lane, Charlotte, NC 28211 | 2012-11-20 |
| 1346592722 | Danielle Marie Benoit | Occupational Therapist | 3541 Randolph Road Suite 100 W, Charlotte, NC 28211 | 2012-10-09 |
| 1487910832 | John Joseph Marcel Jr. | Orthopaedic Surgery | 449 North Wendover Rd Ste A, Charlotte, NC 28211 | 2012-04-10 |
| Find all providers in zip 28211 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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 |
|---|---|---|---|---|
| 1356778567 | The Charlotte-mecklenburg Hospital Authority | Internal Medicine | 101 E W T Harris Blvd Bldg 3000, Ste 3301e, Charlotte, NC 28262-3485 | 2013-10-02 |
| 1528086980 | Ronnie Cyzner | Internal Medicine | 10370 Park Rd Ste 102, Charlotte, NC 28210-8509 | 2006-07-17 |
| 1326066705 | Fred Charles Fowler | Internal Medicine | 101 E Wt Harris Blvd Ste 3111, Charlotte, NC 28262-7002 | 2006-07-17 |
| 1124052444 | Carolina Digestive Health Associates, Pa | Internal Medicine | 300 Billingsley Road, Suite 200, Charlotte, NC 28211 | 2006-07-11 |
| 1407814999 | Dennis D Kokenes | Internal Medicine | 15830 John J Delaney Dr, Suite 175, Charlotte, NC 28277-3294 | 2006-05-03 |
| 1881007540 | Nicolas Labarre | Internal Medicine | 1025 Morehead Medical Dr, Ste 300, Charlotte, NC 28204-2963 | 2014-06-10 |
| 1316365067 | Victoria Maldonado Rothwell | Internal Medicine | 300 Billingsley Rd Ste 200, Charlotte, NC 28211-1180 | 2014-03-31 |
| 1053671586 | Olanrewaju Yusuf Jimoh | Internal Medicine | 300 Billingsley Rd Ste 200, Charlotte, NC 28211 | 2012-05-17 |
| 1407144744 | David Olson | Internal Medicine | 10502 Park Rd, Ste 150, Charlotte, NC 28210-8479 | 2011-07-20 |
| 1750682431 | Queen City Gastroenterology & Hepatology, PC | Internal Medicine | 320 Lillington Ave, Suite 101, Charlotte, NC 28204-3189 | 2010-11-10 |
| 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.