DR. MAUSUMI LIDOGOSTER (NPI# 1306042650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306042650 |
| Entity Type | Individual |
| Full Name | DR. MAUSUMI LIDOGOSTER |
| Credential | M.D. |
| Practice Address |
1401 Matthews Township Pkwy Ste 212 Matthews NC 28105-5402 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 7043169001 |
| Practice Fax Number | 7043169008 |
| Mailing Telephone | 7043169001 |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2020-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
2013-00634 | NC | Allopathic & Osteopathic Physicians |
| N | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
2013-00634 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
1401 MATTHEWS TOWNSHIP PKWY STE 212 |
| City | MATTHEWS |
| State | NC |
| Zip Code | 28105-5402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760471221 | Irving David Wight | Physician Assistant | 1401 Matthews Township Pkwy, Suite 101, Matthews, NC 28105-5402 | 2005-10-18 |
| 1023574191 | Tarah Faust | Physical Therapy Assistant | 1401 Matthews Township Pkwy, Matthews, NC 28105-5402 | 2019-02-14 |
| 1952842833 | Novant Medical Group, Inc | Psychiatry & Neurology | 1401 Matthews Township Pkwy, Suite 320, Matthews, NC 28105-5402 | 2017-03-13 |
| 1427596329 | Claudiu Samuel Mioc | Physician Assistant | 1401 Matthews Township Pkwy, Suite 380, Matthews, NC 28105-5402 | 2017-02-10 |
| 1942748538 | Chelsea Hopkins | Physician Assistant | 1401 Matthews Township Pkwy, Matthews, NC 28105-5402 | 2017-02-03 |
| 1326597493 | Novant Medical Group, Inc | Social Worker | 1401 Matthews Township Pkwy, Suite 320, Matthews, NC 28105-5402 | 2016-09-29 |
| 1174071229 | Donna C Knowlton Dds Pllc | Dentist | 1401 Matthews Township Pkwy, Ste 210, Matthews, NC 28105-5402 | 2016-09-19 |
| 1740645886 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 1401 Matthews Township Pkwy, Suite 100, Matthews, NC 28105-5402 | 2015-12-16 |
| 1861861346 | Carolina Neurosurgery & Spine Associates, Pa | Neurological Surgery | 1401 Matthews Township Pkwy, Suite 300, Matthews, NC 28105-5402 | 2015-09-15 |
| 1194152512 | Novant Medical Group, Inc. | Pediatrics | 1401 Matthews Township Pkwy, Suite 100, Matthews, NC 28105-5403 | 2013-09-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750917407 | Lauren Deasy Blackshaw | Counselor | 1163 Sam Newell Rd, Matthews, NC 28105 | 2020-03-13 |
| 1912549643 | Monarch | Community/Behavioral Health | 10545 Paces Avenue 634, Matthews, NC 28105 | 2019-10-15 |
| 1326515768 | Holly Harvey Heddleson | Nurse Practitioner | 1450 Matthews Township Pkwy Ste 280, Matthews, NC 28105 | 2018-10-24 |
| 1396241030 | Erickson Health Medical Group of North Carolina, PC | Internal Medicine | 2030 Windsor Run Lane, Matthews, NC 28105 | 2018-04-02 |
| 1811406994 | Lice Clinics of America of The Carolinas | Technician, Other | 3042 Suite C Senna Dr, Matthews, NC 28105 | 2017-09-21 |
| 1376065003 | Carillon Assisted Living of Mint Hill, LLC | Custodial Care Facility | 5601 Margaret Wallace Road, Matthews, NC 28105 | 2017-07-14 |
| 1568906055 | London Young | Physical Therapy Assistant | 11100- 11189 Berkley Square Ln, Charlotte, NC 28105 | 2016-12-19 |
| 1003363128 | New Beginnings Community Counseling Center | Community/Behavioral Health | 5232 Maragaret Wallace Road, Matthews, NC 28105 | 2016-09-07 |
| 1275993149 | Kristi Dougan | Nurse Practitioner | 434 N Trade St Ste 104, Matthews, NC 28105 | 2016-03-04 |
| 1205219896 | Kalyani Vellanki Starr | Dentist | 1819 Matthews Township Pkwy Ste 200, Matthews, NC 28105 | 2015-07-01 |
| Find all providers in zip 28105 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689679714 | Tsz-ming Chow | Psychiatry & Neurology | 332 N Trade St, Suite 1200, Matthews, NC 28105-1728 | 2005-06-15 |
| 1013335629 | Jason Bethea | Psychiatry & Neurology | 1401 Matthews Township Pkwy Ste 312, Matthews, NC 28105-5403 | 2014-04-01 |
| 1457580284 | Ebinehita Arhebamen | Psychiatry & Neurology | 1401 Matthews Township Pkwy, Ste 312, Matthews, NC 28105-5402 | 2009-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574706 | Nandigam Neurology, LLC | Psychiatry & Neurology | 10 Doctors Cir Ste 1, Supply, NC 28462-4218 | 2020-09-30 |
| 1033738299 | Catawba Valley Medical Group Inc | Psychiatry & Neurology | 3246 6th Ave Se Ste 101, Hickory, NC 28602-8335 | 2020-04-08 |
| 1700433711 | Novant Medical Group Inc | Psychiatry & Neurology | 933 Rockford St Ste 2, Mount Airy, NC 27030-5323 | 2019-08-23 |
| 1952886582 | John Messenheimer | Psychiatry & Neurology | 55 Hermitage Ln, Moncure, NC 27559-9670 | 2018-09-28 |
| 1578056057 | Novant Medical Group, Inc. | Psychiatry & Neurology | 15033 Ballancroft Pkwy Ste 200, Charlotte, NC 28277-4944 | 2018-06-11 |
| 1619474012 | Jamie Hannah Rose Aldridge | Psychiatry & Neurology | 1121 N Church Street, Greensboro, NC 27401 | 2018-04-11 |
| 1811417835 | Arvind Muralimohan Gomadam | Psychiatry & Neurology | 1492 Rymco Dr, Winston Salem, NC 27103 | 2017-06-21 |
| 1932637568 | Irena Dujmovic Basuroski | Psychiatry & Neurology | 194 Finley Golf Course Road, Suite 200, Chapel Hill, NC 27517 | 2017-05-26 |
| 1750838702 | Zuleyma Enid Toledo-nieves | Psychiatry & Neurology | Unc Hospitals Department of Neurology, 170 Manning Drive, Cb#7025, Chapel Hill, NC 27599-7025 | 2016-09-07 |
| 1659722593 | Arfeen Geriatric Care Pllc | Psychiatry & Neurology | 2961 Crouse Ln Ste D, Burlington, NC 27215-8833 | 2016-06-22 |
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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.