BOILING SPRINGS PEDIATRIC & FAMILY MEDICINE (NPI# 1407172091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407172091 |
| Entity Type | Organization |
| Organization Name | BOILING SPRINGS PEDIATRIC & FAMILY MEDICINE |
| Practice Address |
305 W College Ave A Shelby NC 28152-8111 |
| Practice Telephone | 7044349686 |
| Practice Fax Number | 7044349618 |
| Mailing Telephone | 7044349686 |
| Mailing Fax Number | 7044349618 |
| Enumeration Date | 2010-04-08 |
| Last Update Date | 2015-04-16 |
| Authorized Official Name | DR. MICHAEL JAMES GROSSELL (OWNER) |
| Authorized Official Telephone | 7044349686 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 9501262 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1407172091 | 05 |
| Street Address |
305 W COLLEGE AVE A |
| City | SHELBY |
| State | NC |
| Zip Code | 28152-8111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730167883 | Michael James Grossell | Pediatrics | 305 W College Ave, Suite A, Shelby, NC 28152-8111 | 2006-01-07 |
| 1568062883 | Abby Charles Waters | Social Worker | 305 W College Ave, Shelby, NC 28152-8111 | 2020-10-27 |
| 1649898966 | Kimberly Jane Sinclair | Nurse Practitioner | 305 W College Ave, Shelby, NC 28152-8111 | 2020-07-13 |
| 1366068397 | Gaston Family Health Services, Inc. | Clinic/Center | 305 W College Ave, Shelby, NC 28152-8111 | 2020-06-25 |
| 1336375872 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 305 W College Ave, Shelby, NC 28152 | 2009-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831720820 | The Kid Guru, LLC | Community/Behavioral Health | 6852 Landor Drive, Shelby, NC 28152 | 2020-01-29 |
| 1609370568 | Crossroads Treatment Center of Cleveland County, PC | Community/Behavioral Health | 1895 E Dixon Blvd, Shelby, NC 28152 | 2018-03-23 |
| 1184166944 | Collette Scruggs | Counselor | 200-2 South Post Road, Shelby, NC 28152 | 2016-11-10 |
| 1902277981 | Angela Hamilton Jones | Social Worker | 1243 East Dixon Blvd., Suite 4, Shelby, NC 28152 | 2015-10-15 |
| 1982002614 | Gillian Aloisia Squillacioti | Counselor | 1635 S Dekalb St, Apt 109, Shelby, NC 28152 | 2014-12-11 |
| 1578963765 | Lucy Mcdaniel | Nurse Practitioner | 200 South Post Road, Shelby, NC 28152 | 2014-08-26 |
| 1689086332 | Stanley Todd Bilin | Marriage & Family Therapist | 1243-4 East Dixon Blvd, Shelby, NC 28152 | 2014-05-29 |
| 1144512872 | Sydney M Phipps | Counselor | 1201 S Post Rd # 100, Shelby, NC 28152 | 2011-05-13 |
| 1659602928 | Katherine Ruthsatz Kjergaard | Physician Assistant | 105 East College Street, Shelby, NC 28152 | 2010-01-26 |
| 1407099229 | Cnc / Access, Inc. | Community/Behavioral Health | 1165 Country Home Road, Shelby, NC 28152 | 2009-04-09 |
| Find all providers in zip 28152 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871114470 | Kidzcare Pediatrics, PC | Pediatrics | 327 W College Ave, Shelby, NC 28152-8111 | 2020-05-05 |
| 1568580306 | Dorothy Vaughn Vincent | Pediatrics | 1429 E Marion St, Suite 5, Shelby, NC 28150-4986 | 2007-03-27 |
| 1174670137 | Richard Morgan Bowles | Pediatrics | 908 Elizabeth Rd, Shelby, NC 28150-4725 | 2007-01-04 |
| 1801962246 | Andrea Simmons Rice | Pediatrics | 305 West College Ave, Ste C, Shelby, NC 28152-0696 | 2006-11-28 |
| 1952337289 | Shelby Children's Clinic | Pediatrics | 709 N Dekalb St, Shelby, NC 28150-3911 | 2006-06-26 |
| 1730167883 | Michael James Grossell | Pediatrics | 305 W College Ave, Suite A, Shelby, NC 28152-8111 | 2006-01-07 |
| 1285973677 | Julissa Garrido De Joyce | Pediatrics | 709 N Dekalb St, Shelby, NC 28150-3911 | 2013-02-05 |
| 1376809608 | Morkor Newman | Pediatrics | 709 N Dekalb St, Shelby, NC 28150-3911 | 2012-04-11 |
| 1033409156 | Elaine Porter | Pediatrics | 709 N Dekalb St, Shelby, NC 28150-3911 | 2011-04-10 |
| 1578683611 | Shetul Patel | Pediatrics | 709 N Dekalb St, Shelby, NC 28150-3911 | 2007-03-30 |
| Find all providers in SHELBY | ||||
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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.