SOUTHERN ONCOLOGY SPECIALISTS, PLLC (NPI# 1336455674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336455674 |
| Entity Type | Organization |
| Organization Name | SOUTHERN ONCOLOGY SPECIALISTS, PLLC |
| Practice Address |
10030 Gilead Rd Suite 290 Huntersville NC 28078 |
| Mailing Address |
10030 Gilead Rd Suite 290 Huntersville NC 28078-7545 |
| Practice Telephone | 7049475005 |
| Practice Fax Number | 8778818455 |
| Mailing Telephone | 7049475005 |
| Mailing Fax Number | 8778818455 |
| Enumeration Date | 2010-08-24 |
| Last Update Date | 2018-08-29 |
| Authorized Official Name | DR. WILLIAM R MITCHELL (OWNER/MD) |
| Authorized Official Telephone | 7049456843 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 34407 | NC | Other Service Providers |
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
13089 | NC | Suppliers |
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
34407 | NC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558879965 | Southern Oncology Specialists, Pllc | Durable Medical Equipment & Medical Supplies | 10030 Gilead Rd Ste 290, Huntersville, NC 28078 | 2018-01-19 |
| Street Address |
10030 GILEAD RD SUITE 290 |
| City | HUNTERSVILLE |
| State | NC |
| Zip Code | 28078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891795399 | George V Irons Jr. | Internal Medicine | 10030 Gilead Rd, Ste 310, Huntersville, NC 28078-7545 | 2005-07-26 |
| 1750904322 | Amy Elizabeth Price | Nurse Practitioner | 10030 Gilead Rd, Huntersville, NC 28078-7545 | 2020-05-18 |
| 1013565878 | Nathan Jarvis | Occupational Therapist | 10030 Gilead Rd, Huntersville, NC 28078-7545 | 2019-08-26 |
| 1326694365 | The Presbyterian Hospital | General Acute Care Hospital | 10030 Gilead Rd, Huntersville, NC 28078-7545 | 2019-08-15 |
| 1205493251 | Novant Medical Group, Inc | Surgery | 10030 Gilead Rd, Huntersville, NC 28078-7545 | 2019-05-24 |
| 1699332114 | Steven Andronovich | Physician Assistant | 10030 Gilead Rd, Huntersville, NC 28078 | 2019-05-20 |
| 1407419765 | Novant Medical Group, Inc. | Internal Medicine | 10030 Gilead Rd, Huntersville, NC 28078-7545 | 2019-04-22 |
| 1477029486 | Dustin Carpenter | Nurse Anesthetist, Certified Registered | 10030 Gilead Rd, Huntersville, NC 28078-7545 | 2018-10-17 |
| 1861976417 | Katelyn Elizabeth Milam | Physician Assistant | 10030 Gilead Rd, Huntersville, NC 28078 | 2018-09-19 |
| 1265929400 | Novant Medical Group, Inc | Obstetrics & Gynecology | 10030 Gilead Rd, Huntersville, NC 28078-7545 | 2018-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538787718 | John M. Bakarich, Dds, Pllc | Dentist | 15810 Northcross Drive, Suite A, Huntersville, NC 28078 | 2020-07-14 |
| 1316587082 | Blake Allen Klessig | Chiropractor | 8936 Northpointe Executive Park Dr, Suite 195, Huntersville, NC 28078 | 2020-01-10 |
| 1922644830 | Steven James Underwood | Physical Therapist | Aldersgate Ccrc, 3800 Shamrock Drive, Charlotte, NC 28078 | 2019-11-26 |
| 1851856306 | Jessica Runnion | Behavior Technician | 14625 Reese Blvd, Apartment 208, Huntersville, NC 28078 | 2019-02-08 |
| 1568935401 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 111 Commerce Centre Drive, Suite 305, Huntersville, NC 28078 | 2019-01-03 |
| 1932691763 | Shakira Grier | Massage Therapist | 15905 Brookway Drive, Ste 4202, Huntersville, NC 28078 | 2018-06-06 |
| 1457850596 | Chudney Drew | Counselor | 10224 Hickorywood Hill Ave Ste 201, Huntersville, NC 28078 | 2018-02-05 |
| 1215457122 | Amy Nicole Castongia | Counselor | 10511 Drake Hill Dr, Huntersville, NC 28078 | 2017-06-21 |
| 1457714057 | Robin D Disbro | Registered Nurse | 6216 Colonial Garden Drive, Huntersville, NC 28078 | 2016-03-31 |
| 1144695545 | Huntersville H&r Ops Limited Partnership | Skilled Nursing Facility | 13835 Boren Street, Huntersville, NC 28078 | 2015-12-10 |
| Find all providers in zip 28078 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649297417 | Carolina Biooncology Institute, Pllc | Internal Medicine | 9801 Kincey Ave, Suite 145, Huntersville, NC 28078-3110 | 2006-07-16 |
| 1306894829 | Timothy Kuo | Internal Medicine | 10030 Gilead Rd Ste 350, Huntersville, NC 28078-7545 | 2006-05-05 |
| 1972090512 | The Presbyterian Hospital | Internal Medicine | 10030 Gilead Rd Ste 350, Huntersville, NC 28078-7545 | 2018-04-19 |
| 1821203977 | Alberto Mizrachi | Internal Medicine | 16455 Statesville Rd, Ste 280, Huntersville, NC 28078-7135 | 2007-05-11 |
| 1700897121 | Jack Burton | Internal Medicine | 10030 Gilead Rd Ste 290, Huntersville, NC 28078-7545 | 2006-08-10 |
| 1336171453 | Piedmont Oncology Specialists | Internal Medicine | 10030 Gilead Rd, Suite 290, Huntersville, NC 28078-7545 | 2006-07-07 |
| 1699705285 | William Charles | Internal Medicine | 10030 Gilead Rd Ste 350, Huntersville, NC 28078 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851909816 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 660, Charlotte, NC 28204-3215 | 2020-07-16 |
| 1346858487 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 560, Charlotte, NC 28204-3215 | 2020-07-15 |
| 1295343341 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 640, Charlotte, NC 28204-3215 | 2020-07-15 |
| 1881212215 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 520, Charlotte, NC 28204-3215 | 2020-07-13 |
| 1720606486 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 400, Charlotte, NC 28204-3215 | 2020-07-09 |
| 1720606445 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 430, Charlotte, NC 28204-3215 | 2020-07-09 |
| 1235757352 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 420, Charlotte, NC 28204-3215 | 2020-07-07 |
| 1811517311 | Rowan Regional Medical Center, Inc. | Internal Medicine | 631 Mocksville Ave, Ste 1020, Salisbury, NC 28144-2731 | 2020-04-24 |
| 1154955995 | Mohamed Sobhy Elhusseini Yassin | Internal Medicine | 2400 Pratt St Ste 5000, Durham, NC 27705-3976 | 2020-03-02 |
| 1164944377 | David Michael Ashley | Internal Medicine | Department of Neurosurgery Duke University Ctr, Durham, NC 27710-0001 | 2017-07-10 |
| Find all providers with the same taxonomy | ||||
| City | HUNTERSVILLE |
| Zip Code | 28078 |
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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.