DR. KEITH ADAM MEETZE (NPI# 1407927759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407927759 |
| Entity Type | Individual |
| Full Name | DR. KEITH ADAM MEETZE |
| Credential | MD |
| Practice Address |
140 Gateway Blvd Mooresville NC 28117-5540 |
| Practice Telephone | 7046649638 |
| Practice Fax Number | 7046641859 |
| Mailing Telephone | 7046649638 |
| Mailing Fax Number | 7046641859 |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2013-06-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 200400386 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5912716 | 05 | |
| NC | 5913652 | 05 |
| Street Address |
140 GATEWAY BLVD |
| City | MOORESVILLE |
| State | NC |
| Zip Code | 28117-5540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306870902 | Lake Norman Ears Nose and Throat Pa | Otolaryngology | 140 Gateway Blvd, Mooresville, NC 28117 | 2006-07-10 |
| 1154742336 | Del Hawk | Audiologist | 140 Gateway Blvd, Mooresville, NC 28117-5540 | 2013-12-14 |
| 1558534149 | Kathryn R. Curtis | Audiologist | 140 Gateway Blvd, Mooresville, NC 28117-5540 | 2008-04-04 |
| 1710173018 | Fred R. New Jr. | Nurse Practitioner | 140 Gateway Blvd, Mooresville, NC 28117-5540 | 2007-09-20 |
| 1386715639 | Thomas B Warren | Otolaryngology | 140 Gateway Blvd, Mooresville, NC 28117-8522 | 2006-11-10 |
| 1215008545 | Herb L Wettreich | Otolaryngology | 140 Gateway Blvd, Mooresville, NC 28117-8522 | 2006-11-10 |
| 1275649865 | Megan Lane Mathis-webb | Audiologist | 140 Gateway Blvd, Mooresville, NC 28117-5540 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891356648 | Teleoptometric Service, P.C. | Optometrist | 392 Talbert Rd, Mooresville, NC 28117 | 2019-06-24 |
| 1992268544 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 392 Talbert Rd., Mooresville, NC 28117 | 2019-04-10 |
| 1982178042 | Langtree Endoscopy Center, LLC | Clinic/Center | 106 Alexander Bank Drive, Suite 101, Mooresville, NC 28117 | 2019-01-11 |
| 1679044416 | May and Associates Therapy Center | Psychologist | 862 Brawley School Road, Suite 202, Mooresville, NC 28117 | 2018-12-05 |
| 1700360153 | Sabrina Chabot Hutchinson | Physical Therapist | 508 Williamson Rd, Suite 200, Mooresville, NC 28117 | 2018-09-21 |
| 1992284327 | Presbyterian Imaging Centers LLC | Radiology | 106 Langtree Village Dr # 201, Mooresville, NC 28117 | 2018-08-07 |
| 1073091310 | Jenelle Donzelli Nemeth | Registered Nurse | 102 Sapphire Drive, Mooresville, NC 28117 | 2018-07-30 |
| 1912497496 | Patsharx LLC | Pharmacy | 480 River Hwy, Suite A, Mooresville, NC 28117 | 2018-05-10 |
| 1427502434 | Counseling Service At Lake Norman, Pllc | Community/Behavioral Health | 18117 W. Catawba Avenue, Cornelius, NC 28117 | 2016-08-08 |
| 1447605928 | Renewal Counseling, Pllc | Counselor | 125 Commerce Park Rd., Suite 102, Mooresville, NC 28117 | 2016-05-03 |
| Find all providers in zip 28117 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528423068 | Charlotte Eye Ear Nose & Throat Associates, Pa | Otolaryngology | 149 Plantation Ridge Drive, Suite 190, Mooresville, NC 28117-9178 | 2015-12-29 |
| 1306870902 | Lake Norman Ears Nose and Throat Pa | Otolaryngology | 140 Gateway Blvd, Mooresville, NC 28117 | 2006-07-10 |
| 1396728804 | Roy Sheldon Lewis | Otolaryngology | 149 Plantation Ridge Dr., Suite 190, Mooresville, NC 28117-9174 | 2005-11-29 |
| 1487920443 | Lake Breeze Ent & Allergy PC | Otolaryngology | 149 Plantation Ridge Dr, Suite 190, Mooresville, NC 28117-9174 | 2012-03-23 |
| 1013039593 | Otolaryngology Associates LLC | Otolaryngology | 1001 Hadley Rd, Mooresville, IN 46158-1794 | 2007-04-04 |
| 1215008545 | Herb L Wettreich | Otolaryngology | 140 Gateway Blvd, Mooresville, NC 28117-8522 | 2006-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528605888 | Inbal Hazkani Bendror | Otolaryngology | 1217 Mossy Glade Cir, Apex, NC 27502-4874 | 2019-12-05 |
| 1174183156 | Queen City Ear Nose and Throat Pllc | Otolaryngology | 8924 Blakeney Professional Dr, Charlotte, NC 28277-6660 | 2019-06-20 |
| 1194244012 | Ethan Staats | Otolaryngology | 391 Heaton Forest Rd, Cashiers, NC 28717 | 2017-09-12 |
| 1598151763 | Adam Richard Gigliotti | Otolaryngology | 400 E Stonewall St, Charlotte, NC 28202-3601 | 2015-04-14 |
| 1891112389 | Marshall Snow | Otolaryngology | 109 Piedmont Ave, Winston Salem, NC 27101-3607 | 2014-03-24 |
| 1073937942 | John Monroe | Otolaryngology | 525 Hardee Branch Rd, West End, NC 27376-8961 | 2014-02-12 |
| 1457794893 | Candace Mitchell Waters | Otolaryngology | 170 Manning Drive Campus Box #7070, Chapel Hill, NC 27599-4216 | 2013-04-16 |
| 1457794927 | Amanda Jo Lott Marcellino | Otolaryngology | 1132 N Church St Ste 200, Greensboro, NC 27401 | 2013-04-15 |
| 1710320510 | Nicolas-george Katsantonis | Otolaryngology | 4600 Lake Boone Trl Ste 100, Raleigh, NC 27607 | 2013-04-10 |
| 1245573120 | Janet Waimin Lee | Otolaryngology | Duke Hospital South 3rd Floor Blue Zone Room 3532, Durham, NC 27710-0001 | 2013-03-29 |
| Find all providers with the same taxonomy | ||||
| City | MOORESVILLE |
| Zip Code | 28117 |
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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.