DR. MARTIE L. JEWELL (NPI# 1376561324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376561324 |
| Entity Type | Individual |
| Full Name | DR. MARTIE L. JEWELL |
| Credential | M.D. |
| Practice Address |
16817 Marvin Road Charlotte NC 28277 |
| Mailing Address |
5950 Fairview Rd Ste 330 Charlotte NC 28210-2108 |
| Practice Telephone | 7044956036 |
| Mailing Telephone | 7044956334 |
| Mailing Fax Number | 7048177219 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2018-09-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 200001172 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1376561324 | 05 | |
| SC | N0117A | 05 | |
| NC | BLUE CROSS BLUE SHIELD | 137CA | 01 |
| NC | 89137CA | 05 |
| Street Address |
16817 MARVIN ROAD |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28277 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083697908 | Allen P Tauro | Internal Medicine | 16817 Marvin Road, Charlotte, NC 28277 | 2005-11-23 |
| 1700359403 | Tryon Endoscopy Center, LLC | Clinic/Center | 16817 Marvin Road, Charlotte, NC 28277-2196 | 2019-01-04 |
| 1588955439 | Maya Dagher Fetter | Internal Medicine | 16817 Marvin Road, Charlotte, NC 28277 | 2011-04-27 |
| 1497052377 | Natasha Dumra | Internal Medicine | 16817 Marvin Road, Charlotte, NC 28277 | 2011-02-11 |
| 1760708853 | Adam Ligler | Internal Medicine | 16817 Marvin Road, Charlotte, NC 28277 | 2010-04-14 |
| 1245491083 | Walid Eltaraboulsi | Internal Medicine | 16817 Marvin Road, Charlotte, NC 28277 | 2008-06-24 |
| 1992927305 | April Atkins Boswell | Dermatology | 16817 Marvin Road, Charlotte, NC 28277 | 2007-05-03 |
| 1710064985 | Kerry Patterson Briones | Internal Medicine | 16817 Marvin Road, Charlotte, NC 28277 | 2006-11-01 |
| 1043314461 | Maureen Rafferty | Internal Medicine | 16817 Marvin Road, Charlotte, NC 28277 | 2006-09-08 |
| 1679682181 | Richard F. Miller | Internal Medicine | 16817 Marvin Road, Charlotte, NC 28277 | 2006-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949731 | New Life Peer Support and Coaching LLC | Clinic/Center | 3450 Toringdon Way, Suite 200, Charlotte, NC 28277 | 2020-07-21 |
| 1083256762 | Speak Life Counseling Services, Pllc | Counselor | 16147 Lacaster Hwy, Suite 110, Charlotte, NC 28277 | 2019-10-14 |
| 1275010019 | Jigneshkumar R Mistry | Pharmacist | 11805 Allforth Ln Apt 2105, Charlotte, NC 28277 | 2018-07-24 |
| 1255825410 | Novant Medical Group Inc. | Family Medicine | 15033 Balloncroft Parkway, Suite 200, Charlotte, NC 28277 | 2018-06-20 |
| 1447752316 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 11135 Golf Links Dr, Charlotte, NC 28277 | 2018-03-06 |
| 1932607595 | Charlotte Proactive Md PC | Clinic/Center | 11220 Golf Links Drive North, Charlotte, NC 28277 | 2018-01-30 |
| 1003331521 | Accela Spine and Pain, Pllc | Anesthesiology | 10120 Ivey Chase Lane, Apt 617, Charlotte, NC 28277 | 2017-08-04 |
| 1265961619 | Dominicka Whitaker | Counselor | 12365 Bluestem Ln., Charlotte, NC 28277 | 2017-06-08 |
| 1083143408 | Monika D Hayes | Counselor | 11330 Snapfinger Drive, Charlotte, NC 28277 | 2017-06-08 |
| 1225582984 | Danielle Mcdaniel | Occupational Therapist | 5113 Piper Station Dr Ste 103, Charlotte, NC 28277 | 2016-08-11 |
| Find all providers in zip 28277 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841837507 | Southeast Vulvar Clinic, Pllc | Dermatology | 6406 Carmel Road, Suite 309, Charlotte, NC 28226 | 2019-12-02 |
| 1205481009 | Novant Medical Group Inc | Dermatology | 6324 Fairview Rd # 200, Charlotte, NC 28210-3271 | 2019-08-08 |
| 1669945259 | Claire Engel Holmquist | Dermatology | 11301 Golf Links Dr N Ste 203, Charlotte, NC 28277-8014 | 2019-01-07 |
| 1497227144 | Integrated Dermatology of North Carolina, Pllc | Dermatology | 10512 Park Rd Ste 113, Charlotte, NC 28210-8469 | 2018-12-19 |
| 1770004376 | Laurel Castano | Dermatology | 10370 Park Rd Ste 201, Charlotte, NC 28210-8509 | 2017-07-05 |
| 1154732386 | Eileen Larkin Axibal | Dermatology | 15830 Ballantyne Medical Pl Ste 225, Charlotte, NC 28277-0760 | 2014-05-09 |
| 1013233352 | Alyssa Searles Daniel | Dermatology | 6324 Fairview Rd Ste 200, Charlotte, NC 28210-3361 | 2010-04-12 |
| 1538483078 | Scott Paviol | Dermatology | 2620 E 7th St Ste 200, Charlotte, NC 28204-4314 | 2010-03-25 |
| 1215050646 | Todd Helfman Md, Pa | Dermatology | 9335 Blakeney Centre Drive, Suite 130, Charlotte, NC 28277 | 2007-04-09 |
| 1346398435 | Novant Medical Group, Inc | Dermatology | 108 Providence Rd, Charlotte, NC 28207-1218 | 2007-01-08 |
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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.