NOVANT MEDICAL GROUP, INC. (NPI# 1447434956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447434956 |
Entity Type | Organization |
Organization Name | NOVANT MEDICAL GROUP, INC. |
Other Organization Name | CASCADE PRIMARY CARE |
Practice Address |
509 Olde Waterford Way Suite 200 Leland NC 28451-4125 |
Practice Telephone | 9102831500 |
Practice Fax Number | 9102831504 |
Mailing Telephone | 9102831500 |
Mailing Fax Number | 9102831504 |
Enumeration Date | 2007-12-19 |
Last Update Date | 2008-08-15 |
Authorized Official Name | DINESH S. PAI (VP OF OPERATIONS) |
Authorized Official Telephone | 7043849113 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207R00000X | Internal Medicine | NC | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 5908896 | 05 |
Other Name | Type Code |
---|---|
Cascade Primary Care | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033723531 | Novant Medical Group, Inc. | Surgery | 1450 Matthews Township Pkwy Ste 320, Matthews, NC 28105-2389 | 2020-09-02 |
1346868155 | Novant Medical Group, Inc. | Family Medicine | 106 Corporate Park Dr Ste 200, Mooresville, NC 28117-7134 | 2020-07-08 |
1861019150 | Novant Medical Group, Inc. | Family Medicine | 2701 Statesville Ave., Charlotte, NC 28206 | 2020-07-02 |
1932725124 | Novant Medical Group, Inc. | Internal Medicine | 125 Queens Rd Ste 510, Charlotte, NC 28204-3215 | 2020-06-23 |
1922645571 | Novant Medical Group, Inc. | Surgery | 6324 Fairview Rd Ste 420, Charlotte, NC 28210-3372 | 2019-12-03 |
1437706256 | Novant Medical Group, Inc. | Physical Therapist | 11202 Harris Rd, Huntersville, NC 28078-7633 | 2019-08-26 |
1336795137 | Novant Medical Group, Inc. | Surgery | 3515 W Market St Ste 310, Greensboro, NC 27403-4438 | 2019-08-16 |
1104472125 | Novant Medical Group, Inc. | Neurological Surgery | 3515 W Market St Ste 210, Greensboro, NC 27403-4442 | 2019-08-15 |
1649824954 | Novant Medical Group, Inc. | Family Medicine | 6555 Kee Lane, Harrisburg, NC 28075-7463 | 2019-07-25 |
1285287185 | Novant Medical Group, Inc. | Lactation Consultant, Non-RN | 6324 Fairview Rd Ste 435, Charlotte, NC 28210-4278 | 2019-07-19 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | NOVANT MEDICAL GROUP, INC. | 200 Hawthorne Ln, Charlotte, NC 28204-2515 |
Street Address |
509 OLDE WATERFORD WAY SUITE 200 |
City | LELAND |
State | NC |
Zip Code | 28451-4125 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730129412 | Carolina Healthcare Products, Inc | Durable Medical Equipment & Medical Supplies | 509 Olde Waterford Way, Suite 107, Leland, NC 28451 | 2006-06-08 |
1851835003 | Novant Medical Group, Inc. | Surgery | 509 Olde Waterford Way, Suite 204, Leland, NC 28451-4125 | 2016-12-07 |
1083061576 | Emergeortho, Pa | Orthopaedic Surgery | 509 Olde Waterford Way, Suite 103, Leland, NC 28451-4125 | 2016-05-16 |
1366815318 | Rizzo Enterprises, Inc. | Chiropractor | 509 Olde Waterford Way, Suite 201, Leland, NC 28451-4125 | 2015-11-12 |
1255704292 | Pruitthealth Home Health, Inc. | Home Health | 509 Olde Waterford Way, Suite 205, Leland, NC 28451-4125 | 2015-11-12 |
1972990877 | The Carter Clinic, Pa | Psychiatry & Neurology | 509 Olde Waterford Way, Suite 305, Leland, NC 28451-4125 | 2015-04-20 |
1275926008 | Sea Hope Education & Wellness Centers Inc | Community/Behavioral Health | 509 Olde Waterford Way, Suite 305, Leland, NC 28451-4125 | 2015-03-18 |
1255724571 | Novant Medical Group Inc | Family Medicine | 509 Olde Waterford Way, Suite 200, Leland, NC 28451-4126 | 2015-03-11 |
1003237322 | Autumn Lynn Woods | Physical Therapist | 509 Olde Waterford Way, Suite 103, Leland, NC 28451-4125 | 2014-01-05 |
1215271119 | Orthowilmington, Pa | Durable Medical Equipment & Medical Supplies | 509 Olde Waterford Way, Suite 103, Leland, NC 28451-4125 | 2012-11-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811427156 | Town of Leland | Ambulance | 1004 Village Rd, Leland, NC 28451 | 2017-06-19 |
1205389517 | Total Renal Care of North Carolina LLC | Clinic/Center | 1220 Magnolia Village Way, Leland, NC 28451 | 2016-08-03 |
1043696800 | William Sanders Sr. | Respite Care | 3043 Ramble Dr, Leland, NC 28451 | 2015-08-04 |
1457730707 | Devinn L Geeson | Dentist | 1215 Westgate Drive, Suite 180, Leland, NC 28451 | 2015-05-20 |
1740611706 | Mark C. Austin Omfs, Pllc | Oral & Maxillofacial Surgery | 2001 South Baxter Drive, Leland, NC 28451 | 2013-12-02 |
1750711123 | Donna Rose Hodnicki | Nurse Practitioner | 1132 East Cutler Crossing, Leland, NC 28451 | 2013-11-20 |
1992137996 | Abbey Jones Mcclanahan | Physical Therapist | 1003 Olde Waterford Way # B, Leland, NC 28451 | 2013-08-01 |
1306010780 | Walter B. Futch, Jr. Dds Pa | Dentist | 1006 Northgate Drive, Leland, NC 28451 | 2008-04-17 |
1639357429 | Sbh- Wilmington, LLC | Psychiatric Hospital | 2050 Mercantile Drive, Leland, NC 28451 | 2008-02-05 |
1396930137 | F.a.c. Group Homes, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 9485 Huckabee Ct, Leland, NC 28451 | 2007-09-13 |
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Taxonomy Code | 207R00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
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 |
---|---|---|---|---|
1104431725 | Progress Medical, Pllc | Internal Medicine | 2104 Talmage Dr, Leland, NC 28451-9340 | 2020-09-10 |
1902135874 | Seamed Services Pllc | Internal Medicine | 796 Jackeys Creek Ln Se, Leland, NC 28451-9204 | 2009-12-23 |
1649263617 | Patrick W Tester | Internal Medicine | 1333 South Dickinson Drive, Suite 140, Leland, NC 28451-6434 | 2005-08-25 |
1285052639 | Darshan Dave | Internal Medicine | 1333 S Dickinson Dr, Leland, NC 28451-6430 | 2014-04-02 |
1952631491 | Carolina Healthcare Associates, Inc. | Internal Medicine | 1333 S Dickinson Dr, Suite 240, Leland, NC 28451-6430 | 2010-01-06 |
1871756122 | Andrew Kellermann | Internal Medicine | 1333 S Dickinson Dr, Leland, NC 28451-6430 | 2008-07-08 |
1205096948 | Lauren K. Horton | Internal Medicine | 1333 S Dickinson Dr, Suite 240, Leland, NC 28451-6430 | 2008-06-16 |
1154502920 | Morgan Internal Medicine, PC | Internal Medicine | 509 Olde Waterford Way, Suite 201, Leland, NC 28451-4125 | 2007-11-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609475474 | Fhpg, LLC | Internal Medicine | 1690 Us Highway 1 S Ste 300, Southern Pines, NC 28387-7037 | 2020-10-22 |
1568076222 | Raleigh Holistic Healthcare | Internal Medicine | 875 Walnut St Ste 275-9, Cary, NC 27511-4215 | 2020-09-01 |
1346852407 | Wake Specialty Physicians | Internal Medicine | 2001 S Main St Ste 200, Wake Forest, NC 27587-1652 | 2020-08-20 |
1811508591 | Guha Medical, Pa | Internal Medicine | 111 W Lewis St, Greensboro, NC 27406-1343 | 2020-08-14 |
1053921874 | Wake Specialty Phisicians, LLC | Internal Medicine | 601 Oberlin Rd, Raleigh, NC 27605-1126 | 2020-08-06 |
1417566779 | Old Town M.d. | Internal Medicine | 500 Westover Dr Ste 10417, Sanford, NC 27330-8941 | 2020-07-23 |
1174141683 | Telepartners for Integrated Health | Internal Medicine | 9413 Tillot Dr, Matthews, NC 28105-1567 | 2020-07-10 |
1821613480 | Carolinas Physicians Network Inc | Internal Medicine | 8815 Christenbury Pkwy Ste 30, Concord, NC 28027-0261 | 2020-06-10 |
1932722980 | Carolinas Physicians Network Inc | Internal Medicine | 2041 South Blvd, Ste 100, Charlotte, NC 28203-5062 | 2020-05-26 |
1477173482 | Infinite Allure Pllc | Internal Medicine | 802 Green Valley Rd Ste 108, Greensboro, NC 27408-7099 | 2020-04-20 |
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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.