IREDELL PHYSICIAN NETWORK, LLC (NPI# 1518215573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518215573 |
| Entity Type | Organization |
| Organization Name | IREDELL PHYSICIAN NETWORK, LLC |
| Other Organization Name | IREDELL FAMILY MEDICINE |
| Practice Address |
770 Hartness Rd Statesville NC 28677-3376 |
| Practice Telephone | 7044953162 |
| Enumeration Date | 2012-08-23 |
| Last Update Date | 2012-08-23 |
| Authorized Official Name | KEVIN DETER (VP BUSINESS DEVELOPMENT) |
| Authorized Official Telephone | 7048784500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Iredell Family Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467785923 | Iredell Physician Network, LLC | Orthopaedic Surgery | 143 Joe Knox Ave Ste 100, Mooresville, NC 28117-9244 | 2009-09-15 |
| 1477805166 | Iredell Physician Network, LLC | Internal Medicine | 738 Bryant St, Statesville, NC 28677-4189 | 2012-10-05 |
| Street Address |
770 HARTNESS RD |
| City | STATESVILLE |
| State | NC |
| Zip Code | 28677-3376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699767350 | Richard W Adams | Orthopaedic Surgery | 770 Hartness Rd, Statesville, NC 28677-3376 | 2005-08-18 |
| 1073958617 | Nasib Ayoubi | Internal Medicine | 770 Hartness Rd, Statesville, NC 28677-3376 | 2013-05-09 |
| 1871762708 | Piedmont Healthcare, P.a. | Durable Medical Equipment & Medical Supplies | 770 Hartness Rd, Statesville, NC 28677-3376 | 2008-02-25 |
| 1447238571 | Robert Ira Saltzman | Orthopaedic Surgery | 770 Hartness Rd, Statesville, NC 28677-4321 | 2006-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306472311 | Crystal Medley Hopkins | Nurse Practitioner | 105 Summer Breeze Court, Statesville, NC 28677 | 2020-03-21 |
| 1922634484 | Tracey Holton | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Easterseals Ucp, 913 Carolina Ave N, Statesville, NC 28677 | 2020-03-17 |
| 1962069286 | Leap Child & Family Services LLC | Developmental Therapist | 119 North Tradd Street, Statesville, NC 28677 | 2019-05-22 |
| 1831604891 | Ingles Markets Inc | Pharmacy | 722 Sullivan Rd, Statesville, NC 28677 | 2017-12-12 |
| 1235663162 | Sandra Lorraine Scalese | Physical Therapy Assistant | 520 Valley Street, Brian Center Health and Rehabilitation, Statesville, NC 28677 | 2017-04-18 |
| 1437698891 | Sherry Blevins Hager | Pharmacist | 722 Sullivan Road, Statesville, NC 28677 | 2017-02-17 |
| 1063828507 | Susan Marie S Sheffield | Dentist | 518 Brookdale Drive, Statesville, NC 28677 | 2014-07-04 |
| 1659782449 | Easter Seals Ucp | Community/Behavioral Health | 913 Carolina Ave, Statesville, NC 28677 | 2014-05-14 |
| 1306268016 | Randall Scott Perry | Dentist | 1132 Davie Avenue, Statesville, NC 28677 | 2014-01-15 |
| 1215215876 | Silhouette Enterprises | Prosthetic/Orthotic Supplier | 909 Carolina Ave, Statesville, NC 28677 | 2011-08-01 |
| Find all providers in zip 28677 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699300822 | Carolinas Regenerative Medicine, Pllc | Family Medicine | 1661 Davie Ave, Statesville, NC 28677-3519 | 2020-03-09 |
| 1639649510 | Piedmont Healthcare, Pa | Family Medicine | 276 Old Mocksville Rd Ste 400, Statesville, NC 28625-1950 | 2018-12-04 |
| 1407114176 | Urgent Cares of America North Carolina Inc. | Family Medicine | 242 Turnersburg Hwy, Statesville, NC 28625-2797 | 2012-05-01 |
| 1639407737 | Statesville Hma Medical Group, LLC | Family Medicine | 1412 Fern Creek Dr, Statesville, NC 28625-9376 | 2009-12-01 |
| 1629242490 | Samuel Ekro Inkumsah | Family Medicine | 555 Kitchings Dr Ste D, Statesville, NC 28677-3576 | 2008-04-14 |
| 1487840427 | Iredell Physician Network LLC | Family Medicine | 774 Hartness Rd, Statesville, NC 28677-3376 | 2007-09-24 |
| 1528164324 | Omodele Julie Masha | Family Medicine | 518 Brookdale Dr, Statesville, NC 28677-4108 | 2006-09-16 |
| 1225134166 | Miller Family Practice PC | Family Medicine | 513 Brookdale Drive, Statesville, NC 28677 | 2006-09-16 |
| 1376645549 | Teresa Romzick | Family Medicine | 2341 Simonton Rd, Statesville, NC 28625-8246 | 2006-09-01 |
| 1124046198 | Life Enhancement Medical Services Pllc | Family Medicine | 190 Commerce Blvd, Statesville, NC 28625-8526 | 2006-07-18 |
| Find all providers in STATESVILLE | ||||
| City | STATESVILLE |
| Zip Code | 28677 |
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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.