MISS KELLI ANN MCLANE


Address: 2001 Vail Ave Ste 200, Charlotte, NC 28207-1222
Phone: 7043232564

MISS KELLI ANN MCLANE (NPI# 1467924514) 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) 1467924514
Entity Type Individual
Full Name MISS KELLI ANN MCLANE
Credential PA-C
Practice Address 2001 Vail Ave Ste 200
Charlotte
NC 28207-1222
Mailing Address 4601 Park Rd Ste 300
Charlotte
NC 28209-2290
Practice Telephone 7043232564
Mailing Telephone 7043232090
Enumeration Date 2018-12-28
Last Update Date 2020-07-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 0010-09920 NC Physician Assistants & Advanced Practice Nursing Providers
N 363AS0400X Physician Assistant
Specialization: Surgical Technologist
0110006493 VA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NC NSC# 0397730024 01

Office Location

Street Address 2001 VAIL AVE STE 200
City CHARLOTTE
State NC
Zip Code 28207-1222

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447229406 Marla Michele Walker Physician Assistant 2001 Vail Ave Ste 200, Charlotte, NC 28207-1222 2006-03-14
1861878027 Erin Brown Yablonski Physician Assistant 2001 Vail Ave Ste 200, Charlotte, NC 28207-1222 2015-08-10
1124409453 Murillo Adrados Orthopaedic Surgery 2001 Vail Ave Ste 200, Charlotte, NC 28207-1222 2015-06-11
1740660430 Cody Christopher Green Orthopaedic Surgery 2001 Vail Ave Ste 200, Charlotte, NC 28207-1222 2015-06-08
1215316484 Omar Atef Behery Orthopaedic Surgery 2001 Vail Ave Ste 200, Charlotte, NC 28207-1222 2015-05-21
1699153148 Mark James Hood Jr. Orthopaedic Surgery 2001 Vail Ave Ste 200, Charlotte, NC 28207-1222 2015-05-15
1477931707 David Daniels Vier Orthopaedic Surgery 2001 Vail Ave Ste 200, Charlotte, NC 28207-1222 2015-05-06
1841686995 Victor Jose Anciano Granadillo Orthopaedic Surgery 2001 Vail Ave Ste 200, Charlotte, NC 28207-1222 2015-04-15
1598151177 Allie Black Kelly Physician Assistant 2001 Vail Ave Ste 200, Charlotte, NC 28207-1222 2015-04-10
1225444045 Joseph Michael Statz Orthopaedic Surgery 2001 Vail Ave Ste 200, Charlotte, NC 28207-1222 2014-07-02
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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 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396351607 Michael James Blackwell Physician Assistant 501 Billingsley Rd Ste B, Charlotte, NC 28211-1009 2020-09-22
1598371320 Jonathan Byron Lively Physician Assistant 1000 Blythe Blvd Fl 3, Charlotte, NC 28203-5812 2020-09-17
1902415532 Jacqueline Ellen Leyrer Physician Assistant 2630 E 7th St Ste 200, Charlotte, NC 28204-4319 2020-07-29
1750908380 Whitney Debroy Physician Assistant 125 W Tremont Ave Unit 726, Charlotte, NC 28203-5551 2020-06-30
1972129302 Ashley Nicole Short Physician Assistant 1022 E Worthington Ave, Charlotte, NC 28203-5760 2020-06-22
1558985176 Courtney Claugus Physician Assistant 300 E Park Ave Unit 7, Charlotte, NC 28203-4774 2020-05-29
1467071738 Patrick James Quinn Physician Assistant 2036 Millerton Ave Apt 4311, Charlotte, NC 28208-5290 2020-04-15
1225660301 Sunil Ranchhod Ghodasara Physician Assistant 1001 Blythe Blvd Ste 403, Charlotte, NC 28203-5863 2020-02-06
1225668601 Emily Rebecca Markey Physician Assistant 355 W Mlk Blvd Apt 1112, Charlotte, NC 28202-0043 2020-01-24
1639719586 Abosede Elizabeth Adamson Physician Assistant 3101 Amesbury Hill Dr, Charlotte, NC 28269-8951 2020-01-08
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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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