MR. MICHAEL ANTON FACKLMANN


Address: 1001 Blythe Blvd, Suite 300, Charlotte, NC 28203-5866
Phone: 7043730212

MR. MICHAEL ANTON FACKLMANN (NPI# 1386970515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386970515
Entity Type Individual
Full Name MR. MICHAEL ANTON FACKLMANN
Credential CRNFA
Practice Address 1001 Blythe Blvd
Suite 300
Charlotte
NC 28203-5866
Practice Telephone 7043730212
Practice Fax Number 7043732626
Mailing Telephone 7043730212
Mailing Fax Number 7043732626
Enumeration Date 2009-10-22
Last Update Date 2009-10-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WR0006X Registered Nurse
Specialization: Registered Nurse First Assistant
0001206848 VA Nursing Service Providers

Office Location

Street Address 1001 BLYTHE BLVD
SUITE 300
City CHARLOTTE
State NC
Zip Code 28203-5866

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699771790 Markus Scherer Internal Medicine 1001 Blythe Blvd, Ste 300- Adult Cardiology, Charlotte, NC 28203-5866 2005-06-23
1194334417 Sarah Hargett Nurse Practitioner 1001 Blythe Blvd, Medical Center Plaza Suite 200, Charlotte, NC 28203-5866 2020-07-23
1457985129 Laura Abramo Nurse Practitioner 1001 Blythe Blvd, Ste 200d, Charlotte, NC 28203-5866 2020-03-02
1497388490 Jessica Gallimore Nurse Practitioner 1001 Blythe Blvd, Ste 300 - Cardiac Surgery, Charlotte, NC 28203-5866 2020-02-18
1821620451 Kevin Wagner Nurse Practitioner 1001 Blythe Blvd, Ste 300- Adult Cardiology, Charlotte, NC 28203-5866 2020-02-11
1336771666 Jahaziel Rendon Physician Assistant 1001 Blythe Blvd, Ste 300 - Thoracic Surgery, Charlotte, NC 28203-5866 2020-02-05
1619508629 Yolanda Cousen Nurse Practitioner 1001 Blythe Blvd, Ste 300 - Thoracic Surgery, Charlotte, NC 28203-5866 2020-01-29
1316597115 Devan Herring Dietitian, Registered 1001 Blythe Blvd, Ste 200d, Charlotte, NC 28203-5866 2019-09-13
1194374793 Catherine Shah Nurse Practitioner 1001 Blythe Blvd, Ste 300- Adult Cardiology, Charlotte, NC 28203-5866 2019-09-05
1710535786 Cynthia Ann Klotz Pharmacist 1001 Blythe Blvd, Medical Center Plaza, Suite 601, Charlotte, NC 28203 2019-09-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982225983 William Bedard Michel Emergency Medicine Carolina Medical Center, 1000 Blythe Blvd, Charlotte, NC 28203 2020-04-30
1922636927 Paulina M Kriska Dentist Cmc Dental Clinic, 1000 Blythe Blvd, Charlotte, NC 28203 2020-03-27
1386271930 Irina Maria Geiculescu Pediatrics 1000 Blythe Blvd Fl 4 Meb, Charlotte, NC 28203 2020-03-24
1205499316 James C Winnek Counselor 1713 East Blvd., Charlotte, NC 28203 2019-04-16
1487114492 Laurie Fford Counseling and Consulting Pllc Counselor 125 Remount Rd, Suite C-#391, Charlotte, NC 28203 2019-03-25
1184188815 Sunday Money Home Health 2151 Hawkins St., Suite 201, Charlotte, NC 28203 2019-01-28
1164902706 Lindsay Koonce Helton Dietitian, Registered 1218 East Blvd Ste G, Charlotte, NC 28203 2018-08-14
1376057406 Veritas Collaborative Charlotte, LLC Clinic/Center 1900 Scott Avenue, Suite 101, Charlotte, NC 28203 2017-11-28
1043733306 Kimberly Stripp Pharmacist 1300-b East Blvd, Charlotte, NC 28203 2017-07-19
1427570639 Caroline Kaleel Fogleman Optometrist 1710 Kenilworth Ave Ste 210, Charlotte, NC 28203 2017-07-10
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Taxonomy Information

Taxonomy Code 163WR0006X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Registered Nurse First Assistant

Taxonomy Definition

A perioperative registered nurse who works in collaboration with the surgeon and other health care team members to achieve optimal outcomes. The RNFA has acquired the necessary knowledge, judgment, and skills specific to the expanded role of RNFA clinical practice. Intraoperatively, the RNFA assists the surgeon.
Notes: Source: AORN Official Statement on RNFAs ratified by the AORN House of Delegates in 2004. [7/1/2006: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1669086153 Diane Hayes Registered Nurse 1506 Futrelle Dr, High Point, NC 27262-2236 2020-09-02
1356994586 Linda Marie Thompson Registered Nurse 5242 Yanceyville Rd, Browns Summit, NC 27214-9637 2019-07-17
1659515328 Virginia B Crowder Registered Nurse 1604 Physicians Dr Ste 103, Wilmington, NC 28401-7349 2009-04-27
1093926867 Southeast First Assistants Inc Registered Nurse 102 Burnside Trl, Hendersonville, NC 28792-8639 2007-05-24
1508169194 Intralign Nc Pllc Registered Nurse 4420 Lake Boone Trl, Raleigh, NC 27607-7505 2010-12-21
1346497112 Cindy W Darr Registered Nurse 218 Gatewood Ave, High Point, NC 27262-4877 2008-08-25
1548307507 Vee Suzanne Stonikinis Registered Nurse 1144 N Road St, Elizabeth City, NC 27909-3353 2007-01-31
1871639187 Margaret B Deanes Registered Nurse 1144 N Road St, Elizabeth City, NC 27909-3353 2007-01-30
1134216419 Lori Starnes Duckworth Registered Nurse 1899 Tate Blvd Se, Suite 2108, Hickory, NC 28602-4200 2006-10-06

Competitor

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City CHARLOTTE
Zip Code 28203

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Dataset Information

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.

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