FIFTH AVENUE INTERNAL MEDICINE AND GERIATRICS PA (NPI# 1417049867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417049867 |
| Entity Type | Organization |
| Organization Name | FIFTH AVENUE INTERNAL MEDICINE AND GERIATRICS PA |
| Practice Address |
724 Fifth Avenue West Hendersonville NC 28739 |
| Practice Telephone | 8286936566 |
| Practice Fax Number | 8286936765 |
| Mailing Telephone | 8286936566 |
| Mailing Fax Number | 8286936765 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. PHILLIP M KLEIN (OFFICE MANAGER) |
| Authorized Official Telephone | 8286936566 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
103068 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8941202 | 05 |
| Street Address |
724 FIFTH AVENUE WEST |
| City | HENDERSONVILLE |
| State | NC |
| Zip Code | 28739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891321972 | Christopher D. Planer, Dds, Pllc | Dentist | 120 Chadwick Square Ct. Ste. B, Hendersonville, NC 28739 | 2020-03-20 |
| 1205360401 | Lindsey Stalcup | Skilled Nursing Facility | 1510 Hebron Street, Hendersonville, NC 28739 | 2017-04-13 |
| 1710138458 | Beth Ellen Fink | Occupational Therapy Assistant | 1870 Pisqah Rd, Hendersonvill, NC 28739 | 2008-09-30 |
| 1164604468 | Susan B Anton | Social Worker | 128 Stoney Brook Road, Hendersonville, NC 28739 | 2007-11-29 |
| 1821280215 | America's Living Centers LLC | Custodial Care Facility | 1308 Hebron Street, Hendersonville, NC 28739 | 2007-08-10 |
| 1922216548 | Parris Shoe World Inc | Durable Medical Equipment & Medical Supplies | 141 Sugarloaf Road, Suite B, Hendersonville, NC 28739 | 2007-05-18 |
| 1912078569 | Carl Steven Edney | Dentist | 689 Blythe Street Court, Hendersonville, NC 28739 | 2006-11-13 |
| 1992804124 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 1707 Brevard Road, Hendersonville, NC 28739 | 2006-09-22 |
| 1194833301 | Deborah Lea Schusler | Dentist | 506 Park Hill Ct, Suite 3, Hendersonville, NC 28739 | 2006-08-28 |
| 1265475636 | Betsy Salsbury Merrell | Family Medicine | 611 5th Ave W Ste B, Hendersonville, NC 28739 | 2006-06-14 |
| Find all providers in zip 28739 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| 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 |
|---|---|---|---|---|
| 1558369462 | Albert Shederick Ford | Internal Medicine | 132 Homestead Farm Cir, Hendersonville, NC 28792-8208 | 2005-07-13 |
| 1144228800 | Donald Lee Culver | Internal Medicine | 113 Tanager Ln, Hendersonville, NC 28792-9260 | 2005-07-07 |
| 1588619308 | Joanne Elizabeth Helppie | Internal Medicine | 510 Balsam Rd, Hendersonville, NC 28792-5703 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205324449 | Innovative Healthcare Management Provider Group | Internal Medicine | 19401 Old Jetton Rd Ste 100, Cornelius, NC 28031-6575 | 2018-04-24 |
| 1396241030 | Erickson Health Medical Group of North Carolina, PC | Internal Medicine | 2030 Windsor Run Lane, Matthews, NC 28105 | 2018-04-02 |
| 1710480066 | Novant Medical Group, Inc. | Internal Medicine | 1450 Matthews Township Pkwy Ste 400, Matthews, NC 28105-5336 | 2018-03-13 |
| 1710306204 | Serena Wong | Internal Medicine | 40 Duke Medicine Cir Rm 2512, Durham, NC 27710-2527 | 2014-04-10 |
| 1033554811 | Ben Adam Blomberg | Internal Medicine | 6011 Farrington Rd, Suite 101, Chapel Hill, NC 27517-8168 | 2013-05-07 |
| 1881941706 | Robert Sullivan | Internal Medicine | 294 Highview Dr, Chapel Hill, NC 27517-7911 | 2012-08-09 |
| 1780974584 | Claire Kathryn Larson | Internal Medicine | 5003 Old Clinic Bldg Cb 7550, Chapel Hill, NC 27599-2204 | 2011-04-13 |
| 1316236649 | Mia Yang | Internal Medicine | Internal Medicine Section On Gerontology &, 1st Floor Sticht Center, Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2011-04-07 |
| 1659673838 | Moses Cone Affiliated Physicians, Inc. | Internal Medicine | 1200 N Elm Street, Moses Cone Health System, Administrativeservices,ste201, Greensboro, NC 27401-1020 | 2010-11-22 |
| 1871821728 | Pamela Estelle Gutman | Internal Medicine | 189 Country Club Rd, Asheville, NC 28804 | 2009-12-03 |
| Find all providers with the same taxonomy | ||||
| City | HENDERSONVILLE |
| Zip Code | 28739 |
Please comment or provide details below to improve the information on FIFTH AVENUE INTERNAL MEDICINE AND GERIATRICS PA.
| 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.