CLEVELAND HEALTH VENTURES LLC (NPI# 1396070652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396070652 |
| Entity Type | Organization |
| Organization Name | CLEVELAND HEALTH VENTURES LLC |
| Other Organization Name | KINGS MOUNTAIN INFECTIOUS DISEASE |
| Practice Address |
502 W King St Suite B Kings Mountain NC 28086-3362 |
| Mailing Address |
Po Box 602341 Charlotte NC 28260-2341 |
| Practice Telephone | 9804872299 |
| Practice Fax Number | 7047308262 |
| Enumeration Date | 2009-10-05 |
| Last Update Date | 2010-06-28 |
| Authorized Official Name | MR. DANIEL WIENS (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 7043550648 |
| Is Organization Subpart | Y |
| Parent Organization Name | CLEVELAND HEALTH VENTURES LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5914028 | 05 | |
| SC | NPB363 | 05 |
| Other Name | Type Code |
|---|---|
| Kings Mountain Infectious Disease | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235414830 | Cleveland Health Ventures LLC | Internal Medicine | 823 E. King Street, Kings Mountain, NC 28086-3186 | 2011-10-14 |
| 1760760052 | Cleveland Health Ventures LLC | Psychiatry & Neurology | 825 E. King Street, Kings Mountain, NC 28086-3186 | 2011-08-03 |
| 1780987693 | Cleveland Health Ventures LLC | Internal Medicine | 111 W. Grover Street, Shelby, NC 28150-3824 | 2010-12-15 |
| 1861795916 | Cleveland Health Ventures LLC | Internal Medicine | 802 N Lafayette St, Shelby, NC 28150-3831 | 2010-12-13 |
| 1811227978 | Cleveland Health Ventures LLC | Plastic Surgery | 807 Schenck Street, Suite 3, Shelby, NC 28150-5123 | 2010-01-12 |
| 1407195431 | Cleveland Health Ventures LLC | Plastic Surgery | 823 E King St, Suite B, Kings Mountain, NC 28086-3186 | 2013-02-12 |
| 1891063277 | Cleveland Health Ventures LLC | Family Medicine | 1010 E Dixon Blvd, Shelby, NC 28152-6838 | 2011-12-13 |
| 1326323239 | Cleveland Health Ventures LLC | Psychiatry & Neurology | 823 E King St, Kings Mountain, NC 28086-3186 | 2011-10-12 |
| 1326358334 | Cleveland Health Ventures LLC | Internal Medicine | 222 N Lafayette St, Suite 23, Shelby, NC 28150-4444 | 2010-10-13 |
| 1982916714 | Cleveland Health Ventures LLC | Psychiatry & Neurology | 202 E Grover St, Shelby, NC 28150-3977 | 2010-07-09 |
| Street Address |
502 W KING ST SUITE B |
| City | KINGS MOUNTAIN |
| State | NC |
| Zip Code | 28086-3362 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962497537 | Temidayo A Adelekun | Internal Medicine | 502 W King St, Ll#20, Kings Mountain, NC 28086-3362 | 2005-09-20 |
| 1376158451 | Luisa Fernanda Morales | Social Worker | 502 W King St, Kings Mountain, NC 28086-3362 | 2020-09-15 |
| 1225649536 | Gaston Family Health Services, Inc. | Clinic/Center | 502 W King St, Kings Mountain, NC 28086-3362 | 2020-08-11 |
| 1235545658 | Hazel Freida Mitchell | Nurse Practitioner | 502 W King St, Kings Mountain, NC 28086-3362 | 2014-07-07 |
| 1447585542 | Cleveland Health Ventures LLC | Internal Medicine | 502 W King St, Suite A, Kings Mountain, NC 28086-3362 | 2009-10-07 |
| 1245426667 | Christian G Anderson Md Pa | Internal Medicine | 502 W King St, Suite 100, Kings Mountain, NC 28086-3362 | 2007-09-19 |
| 1528085313 | Orthocarolina | Orthopaedic Surgery | 502 W King St, Suite 100-c, Kings Mountain, NC 28086-3362 | 2006-07-16 |
| 1134108905 | Southern Clinics and Urgent Care Pa | Family Medicine | 502 W King St, Ll 20, Kings Mountain, NC 28086-3362 | 2006-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609252493 | Mary Elizabeth Mann | Speech-Language Pathologist | 1563 Lewis Farm Rd, Kings Mountain, NC 28086 | 2015-08-04 |
| 1831404847 | Sandra Shuford Satterfield | Nurse Practitioner | 500 Phifer Road, Kings Mountain, NC 28086 | 2010-08-13 |
| 1821317868 | Crawley Memorial Hospital Inc | Long Term Care Hospital | 706 West King Street, Kings Mountain, NC 28086 | 2010-05-28 |
| 1639408248 | Self-determination LLC | Clinic/Center | 103 Ebenezer Rd, Kings Mtn, NC 28086 | 2009-12-09 |
| 1770731515 | Ingles Markets Inc | Pharmacy | 2111 Shelby Rd, Kings Mountain, NC 28086 | 2008-09-05 |
| 1659553832 | Jerry Marvin Utt | Social Worker | 301 East Parker Street, Kings Mountain, NC 28086 | 2007-11-29 |
| 1518087766 | Educare Community Living Corporation - North Carolina | Community/Behavioral Health | 112 Wooding Pl, Kings Mountain, NC 28086 | 2007-03-30 |
| 1093831679 | Mark David Lovelace | Pharmacist | 1114 West Gold Street, Extension, Kings Mountain, NC 28086 | 2007-03-22 |
| 1417016023 | Acrolyst Physician Resources | Internal Medicine | 827 E King Street, Kings Mountain, NC 28086 | 2006-12-08 |
| 1730248865 | Kmeg Resource Corp Pa | Internal Medicine | 827 East King Street, Kings Mtn, NC 28086 | 2006-12-06 |
| Find all providers in zip 28086 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| 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 |
|---|---|---|---|---|
| 1013419316 | Novant Medical Group, Inc. | Internal Medicine | 1450 Matthews Township Parkway Ste 280, Matthews, NC 28105-5331 | 2018-03-02 |
| 1023518909 | Stephanie Nicole Dixon | Internal Medicine | 301 E Wendover Ave Ste 111, Greensboro, NC 27401-1209 | 2018-02-16 |
| 1003332016 | Novant Medical Group Inc | Internal Medicine | 10030 Gilead Rd Ste 344, Huntersville, NC 28078-7545 | 2017-08-22 |
| 1003202268 | Heather Root | Internal Medicine | 2118b Bioinformatics Building 130 Mason Farm Rd Cb 7030, Chapel Hill, NC 27599 | 2015-04-14 |
| 1689064396 | Michael Sciaudone | Internal Medicine | 130 Mason Farm Rd Cb 7030, 2115 Bioinformatics Building, Chapel Hill, NC 27599 | 2015-02-02 |
| 1790198596 | Robert C Pease | Internal Medicine | William B Aycock Bldg 590 Manning Drive Cb 7595, Chapel Hill, NC 27599 | 2014-06-09 |
| 1447698089 | Emily Jane Ciccone | Internal Medicine | 230 Macnider Hl, Cb#7593, Chapel Hill, NC 27599-0001 | 2013-06-05 |
| 1255694626 | Carlos A. Duchesne | Internal Medicine | 8505 Waterchase Ct, Raleigh, NC 27613-6273 | 2012-06-20 |
| 1619243037 | Nicholas Andrew Turner | Internal Medicine | 40 Duke Medicine Cir # 1k, Durham, NC 27710-6155 | 2012-03-29 |
| 1780977215 | Erin Whitney Barnes | Internal Medicine | Section of Infectious Disease, Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2011-05-17 |
| Find all providers with the same taxonomy | ||||
| City | KINGS MOUNTAIN |
| Zip Code | 28086 |
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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.