SHERVON STOUTAMIRE ROBINSON


Address: 200 Providence Rd, Suite 101, Charlotte, NC 28207-1468
Phone: 7047495800

SHERVON STOUTAMIRE ROBINSON (NPI# 1467754978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467754978
Entity Type Individual
Full Name SHERVON STOUTAMIRE ROBINSON
Credential PA-C
Practice Address 200 Providence Rd
Suite 101
Charlotte
NC 28207-1468
Practice Telephone 7047495800
Practice Fax Number 7047495819
Mailing Telephone 7047495800
Mailing Fax Number 7047495819
Enumeration Date 2010-12-03
Last Update Date 2012-11-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
0010-02508 NC Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
SC 1194PA 05
NC BCBS NC 164W4 01
NC RR MEDICARE P00986388 01

Office Location

Street Address 200 PROVIDENCE RD
SUITE 101
City CHARLOTTE
State NC
Zip Code 28207-1468

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720072218 William F Askins Jr. Anesthesiology 200 Providence Rd, Suite 101, Charlotte, NC 28207-1468 2005-09-12
1154646586 Karen Slocum Anesthesiology 200 Providence Rd, Suite 101, Charlotte, NC 28207-1468 2010-03-29
1568798924 Anne Scharf Physician Assistant 200 Providence Rd, Suite 101, Charlotte, NC 28207-1468 2009-10-20
1740410448 Kevin A Crosby Anesthesiology 200 Providence Rd, Suite 101, Charlotte, NC 28207 2009-07-16
1730378134 Matthew C. Wang Student in an Organized Health Care Education/Training Program 200 Providence Rd, Suite 101, Charlotte, NC 28207-1468 2007-10-22
1396801668 Monica Nicole Blevins Physician Assistant 200 Providence Rd, Suite 101, Charlotte, NC 28207-1468 2006-12-29
1225191166 Jeffrey Eugene Inman Anesthesiology 200 Providence Rd, Ste 101, Charlotte, NC 28207-1468 2006-12-19
1629130836 Care Focus, Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 200 Providence Rd, Suite 204, Charlotte, NC 28207-1468 2006-12-14
1770644791 Christopher Gunn Anesthesiology 200 Providence Rd, Suite 101, Charlotte, NC 28207-1468 2006-12-13
1194898122 John Joseph Sandoval Anesthesiology 200 Providence Rd, Suite 101, Charlotte, NC 28207-1468 2006-11-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013560739 Louis Roncaglione Dentist 8815 Christenbury Pkway, Concord, NC 28207 2019-07-22
1619430014 Khrystyna Levytska Student in an Organized Health Care Education/Training Program Myers Park Clinic Ob/gyn, 1350 S. Kings Dr., Charlotte, NC 28207 2019-04-11
1649743584 Carolinas Hometown Respiratory LLC Durable Medical Equipment & Medical Supplies 1005 South Kings Drive, Charlotte, NC 28207 2019-01-03
1023584489 Herron and Smith Associates, Pllc Dentist 135 Perrin Place, Suite 100, Charlotte, NC 28207 2018-10-23
1588161640 Lauren Mogk Student in an Organized Health Care Education/Training Program Myers Park Clinical Internal Medicine, 1350 S. Kings Dr., 3rd Floor, Charlotte, NC 28207 2018-04-06
1518462241 Sarah Hollyn Carlock Student in an Organized Health Care Education/Training Program Myers Park Clinic Internal Medicine, 1350 S Kings Dr, 3rd Floor, Charlotte, NC 28207 2018-03-26
1083118178 Claire Milam Student in an Organized Health Care Education/Training Program Cmc/department of Emergency Medicine, 100 Blythe Blvd, Charlotte, NC 28207 2018-03-22
1811422256 Complete Care At Dartmouth LLC Skilled Nursing Facility 300 Province Road, Charlotte, NC 28207 2017-04-24
1063945467 Kaitlyn O'keefe Internal Medicine 1350 S. Kings Dr., 3rd Floor, Myers Park Clinic Internal Medicine, Charlotte, NC 28207 2017-04-04
1811432024 Advanced Prosthetics of Easley, Inc Durable Medical Equipment & Medical Supplies 2310 Randolph Rd Ste A, Charlotte, NC 28207 2016-12-23
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982213765 Michaela Lynne Mcbride Physician Assistant 9541 Kings Parade Blvd Unit 107, Charlotte, NC 28273-5819 2020-07-28
1982212072 Alexandria Bower-nelson Physician Assistant 1302 Porter Drive, Charlotte, MI 48813 2020-07-15
1417506791 Lauren Moir Physician Assistant 2700 Coltsgate Rd Ste 106, Charlotte, NC 28211-3573 2019-09-09
1609306778 Mackenzie Cashman Precht Physician Assistant 2225 E W T Harris Blvd Unit B, Charlotte, NC 28213 2017-06-12
1285172981 Melanie Reyer Physician Assistant 5005 Morrowick Rd, Charlotte, NC 28226-7366 2017-02-02
1255877627 Taylor King Physician Assistant 730 Hawthorne Ln Apt 443, Charlotte, NC 28204-2182 2017-01-10
1831579242 Lindsey Chaney Taylor Physician Assistant 1900 Randolph Road, Suite 900, Charlotte, NC 28207-1122 2015-06-02
1306232079 Rebecca Lee Strunk-lail Physician Assistant 1211 N. Community House Rd, Charlotte, NC 28277 2015-04-09
1194117432 Harlee Palmer Physician Assistant 10502 Park Rd Suite 100, Charlotte, NC 28210-8479 2015-02-24
1154669364 Laura A Justen Physician Assistant 1025 Morehead Medical Dr Ste 225, Charlotte, NC 28204-2974 2013-01-23
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Competitor

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City CHARLOTTE
Zip Code 28207

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Dataset Information

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.

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