MOORESVILLE PPM LLC (NPI# 1497032304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497032304 |
| Entity Type | Organization |
| Organization Name | MOORESVILLE PPM LLC |
| Other Organization Name | LAKE NORMAN ORTHOPEDIC SPINE CENTER |
| Practice Address |
170 Medical Park Rd Suite 102 Mooresville NC 28117-8540 |
| Mailing Address |
5811 Pelican Bay Blvd Suite 500 Naples FL 34108-2733 |
| Practice Telephone | 7046604756 |
| Practice Fax Number | 7046604751 |
| Mailing Telephone | 2395983131 |
| Mailing Fax Number | 2395920438 |
| Enumeration Date | 2011-11-05 |
| Last Update Date | 2012-11-28 |
| Authorized Official Name | MR. MICHAEL L GINGRAS (VICE PRESIDENT) |
| Authorized Official Telephone | 2395983131 |
| Is Organization Subpart | Y |
| Parent Organization Name | HEALTH MANAGEMENT ASSOCIATES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Lake Norman Orthopedic Spine Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851678767 | Mooresville Ppm LLC | Family Medicine | 128 Argus Ln, Suite G, Mooresville, NC 28117-6972 | 2011-11-05 |
| 1588941496 | Mooresville Ppm LLC | Family Medicine | 16630 Northcross Dr, Huntersville, NC 28078-5048 | 2011-11-05 |
| 1710384466 | Mooresville Ppm LLC | Internal Medicine | 134 Medical Park Rd, Suite 108, Mooresville, NC 28117-8526 | 2014-11-24 |
| 1518361914 | Mooresville Ppm LLC | Psychiatry & Neurology | 131 Medical Park Rd Ste 308, Mooresville, NC 28117-8525 | 2014-10-14 |
| 1790110146 | Mooresville Ppm LLC | Surgery | 123 Professional Park Dr Ste 101, Mooresville, NC 28117-5516 | 2013-09-04 |
| 1457621799 | Mooresville Ppm LLC | Surgery | 131 Medical Park Rd, Suite 303, Mooresville, NC 28117-8522 | 2012-01-04 |
| 1598032849 | Mooresville Ppm LLC | Surgery | 123 Professional Park Dr, Suite 200, Mooresville, NC 28117-5524 | 2011-11-30 |
| 1225305576 | Mooresville Ppm LLC | Family Medicine | 396 Williamson Rd, Mooresville, NC 28117-5935 | 2011-11-30 |
| 1740557008 | Mooresville Ppm LLC | Pediatrics | 171 Fairview Rd, Mooresville, NC 28117-9500 | 2011-11-30 |
| 1861769119 | Mooresville Ppm LLC | Family Medicine | 202 Williamson Rd, Suite 100, Mooresville, NC 28117-7610 | 2011-11-30 |
| Street Address |
170 MEDICAL PARK RD SUITE 102 |
| City | MOORESVILLE |
| State | NC |
| Zip Code | 28117-8540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942205521 | Carmella Gismondi-eagan | Internal Medicine | 170 Medical Park Rd, Ste 140a, Mooresville, NC 28117-8540 | 2005-06-20 |
| 1851803829 | Anusha Kapadia | Nurse Practitioner | 170 Medical Park Rd, Ste 140a, Mooresville, NC 28117-8540 | 2017-10-31 |
| 1942667027 | Emily Ventre | Nurse Practitioner | 170 Medical Park Rd, Mooresville, NC 28117 | 2016-01-21 |
| 1710313796 | Lynn Barrier Barringer | Nurse Practitioner | 170 Medical Park Rd, Mooresville, NC 28117-8540 | 2013-09-23 |
| 1992003339 | Interventional Pain Management of Lake Norman Pllc | Pain Medicine | 170 Medical Park Rd, Suite 301, Mooresville, NC 28117-8540 | 2011-03-09 |
| 1245486414 | Novant Medical Group, Inc. | Internal Medicine | 170 Medical Park Rd, Suite 140, Mooresville, NC 28117-8540 | 2008-08-07 |
| 1811151244 | Carolinas Physicians Network Inc | Internal Medicine | 170 Medical Park Rd, Ste 140a, Mooresville, NC 28117-8540 | 2008-07-15 |
| 1194914655 | Carolina Spine & Pain Center, Pllc | Pain Medicine | 170 Medical Park Rd, Suite 310, Mooresville, NC 28117-8540 | 2007-10-22 |
| 1932294717 | Maje D. Goodwin | Pediatrics | 170 Medical Park Rd, Suite 102a, Mooresville, NC 28117 | 2006-10-04 |
| 1053420190 | William John Edmiston Jr. | Pain Medicine | 170 Medical Park Rd, Suite 301, Mooresville, NC 28117-8540 | 2006-08-30 |
| Find all providers in the same location | ||||
| 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 | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780663583 | Kenneth E Wood | Orthopaedic Surgery | 170 Medical Park Rd, Ste 102, Mooresville, NC 28117-8540 | 2006-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144728429 | Select Care of Nc, LLC | Orthopaedic Surgery | 15720 Brixham Hill Ave Ste 300a, Charlotte, NC 28277-4784 | 2018-01-31 |
| 1326546607 | Joint Replacement Cin of Charlotte LLC | Orthopaedic Surgery | 15720 Brixham Hill Ave Ste 300b, Charlotte, NC 28277-4784 | 2018-01-31 |
| 1336647619 | Spine Cin of Raleigh LLC | Orthopaedic Surgery | 555 Fayetteville St Ste 201-277, Raleigh, NC 27601-3030 | 2018-01-31 |
| 1518465897 | Joint Replacement Cin of Raleigh LLC | Orthopaedic Surgery | 555 Fayetteville St Ste 201-278, Raleigh, NC 27601-3030 | 2018-01-31 |
| 1407159387 | Lee A Whitehurst | Orthopaedic Surgery | 1401 Landfall Dr, Wilmington, NC 28405-4251 | 2010-12-14 |
| 1447553870 | Orthopaedic Specialists of North Carolina, P.a. | Orthopaedic Surgery | 2605 Blue Ridge Rd Ste 320, Raleigh, NC 27607-6475 | 2010-12-07 |
| 1043421076 | Orthopaedic Specialists of North Carolina, P.a. | Orthopaedic Surgery | 200 W Parkview Dr Ste B, Henderson, NC 27536-5958 | 2007-05-24 |
| 1083651863 | James Edwin Rice | Orthopaedic Surgery | 4 Braemar Court, Turnberry Woods, Pinehurst, NC 28374 | 2006-06-01 |
| 1386107159 | Snc Care of Nc, LLC | Orthopaedic Surgery | 555 Fayetteville St Ste 201-277, Raleigh, NC 27601-3030 | 2019-04-09 |
| 1033672803 | Snc Care of Nc IIi, LLC | Orthopaedic Surgery | 555 Fayetteville St Ste 201-277, Raleigh, NC 27601-3030 | 2019-04-09 |
| 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.