CHARLOTTE MEDICAL CLINIC (NPI# 1518217058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518217058 |
| Entity Type | Organization |
| Organization Name | CHARLOTTE MEDICAL CLINIC |
| Practice Address |
1021 Morehead Medical Dr Suite B Charlotte NC 28204-2839 |
| Mailing Address |
Po Box 601643 Charlotte NC 28260-1643 |
| Practice Telephone | 7043555375 |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2012-09-12 |
| Authorized Official Name | DANIEL WEINS (ADMINISTRATOR) |
| Authorized Official Telephone | 7043550648 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780913921 | Charlotte Medical Clinic | Internal Medicine | 10545 Blair Road, Suite 2100, Mint Hill, NC 28227-2804 | 2009-12-17 |
| 1255575072 | Charlotte Medical Clinic | Internal Medicine | 3025 Springbank Lane, Suite 100, Charlotte, NC 28226-3368 | 2009-04-23 |
| 1083649214 | Charlotte Medical Clinic | Physical Medicine & Rehabilitation | 1001 Blythe Blvd, Mcp Suite 500, Charlotte, NC 28203-5874 | 2006-07-12 |
| Street Address |
1021 MOREHEAD MEDICAL DR SUITE B |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28204-2839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518965607 | Asim Amin | Internal Medicine | 1021 Morehead Medical Dr, Ste A, Charlotte, NC 28204-2990 | 2005-07-12 |
| 1457973117 | Ekaterina Kachur | Pharmacist | 1021 Morehead Medical Dr, Charlotte, NC 28204-2990 | 2020-05-15 |
| 1346874302 | Raquel Brehun | Physician Assistant | 1021 Morehead Medical Dr, Ste A, Charlotte, NC 28204-2990 | 2020-02-28 |
| 1124665450 | Lisa Louise Gale | Occupational Therapy Assistant | 1021 Morehead Medical Dr, Charlotte, NC 28204-2990 | 2019-12-05 |
| 1205489291 | Camille Garcia | Nurse Practitioner | 1021 Morehead Medical Dr, Ste A, Charlotte, NC 28204-2990 | 2019-07-19 |
| 1093368052 | Shree Bathani | Nurse Practitioner | 1021 Morehead Medical Dr, Ste A, Charlotte, NC 28204-2990 | 2019-07-18 |
| 1730748955 | Jai Narendra Patel | Pharmacist | 1021 Morehead Medical Dr, Charlotte, NC 28204-2990 | 2019-06-11 |
| 1558820936 | Caroline Watt | Nurse Practitioner | 1021 Morehead Medical Dr, Ste A, Charlotte, NC 28204-2990 | 2019-03-15 |
| 1982161907 | Vina Sananikone | Nurse Practitioner | 1021 Morehead Medical Dr, Ste A, Charlotte, NC 28204-2990 | 2019-02-26 |
| 1588128102 | Maggie Corvaia | Nurse Practitioner | 1021 Morehead Medical Dr, Ste A, Charlotte, NC 28204-2990 | 2019-01-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285263582 | Precise Home Care Service LLC | In Home Supportive Care | 1935 Baxter Street, Unit 101, Charlotte, NC 28204 | 2020-04-07 |
| 1285276253 | Shannon Miller | Counselor | 1432 E Seventh Street, Charlotte, NC 28204 | 2019-10-11 |
| 1194282202 | Madison Joann Mcgarrigle | Behavior Technician | 1401 East 7th Street, Charlotte, NC 28204 | 2019-02-25 |
| 1255802674 | Stacey D. Alston, Dds, Pa | Dentist | 1020 E. 10th St., Suite 1, Charlotte, NC 28204 | 2018-12-11 |
| 1972082097 | Kim Webb Talbert | Nurse Practitioner | Novant Health Presbyterian Medical Center Charlotte, 200 Hawthorne Lane, Charlotte, NC 28204 | 2018-08-09 |
| 1164910535 | Jesse Elijah Roberts | Counselor | 1801 E 5th Street, #208, Charlotte, NC 28204 | 2018-05-01 |
| 1336696848 | Eight Healthcare | Exclusive Provider Organization | 2455 Weddington Ave, 2110, Charlotte, NC 28204 | 2016-09-01 |
| 1225480551 | Kathleen Quintana Bradley | Physician Assistant | 1523 Elizabeth Ave., Suite 200, Charlotte, NC 28204 | 2016-07-11 |
| 1184049777 | Della Franklin | Speech-Language Pathologist | 1021 Morehead Medical Dr Ste 3300, Charlotte, NC 28204 | 2014-02-19 |
| 1225459845 | Healing Arts Medical, Pa | Family Medicine | 335 N. Caswell Rd., Charlotte, NC 28204 | 2013-12-27 |
| Find all providers in zip 28204 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 |
|---|---|---|---|---|
| 1962953877 | Novant Medical Group, Inc | Internal Medicine | 9550 Rocky River Rd Ste 100, Charlotte, NC 28215 | 2016-10-17 |
| 1740200047 | James B Jones | Internal Medicine | 6060 Piedmont Row Dr S Fl 10, Charlotte, NC 28287 | 2006-07-20 |
| 1962470666 | Estrelita Nancy Clavio-ziechmann | Internal Medicine | 10036 Park Cedar Dr, Suite A, Charlotte, NC 28210-8914 | 2006-03-09 |
| 1780974816 | Sailaja Allamneni | Internal Medicine | 1001 Blythe Blvd, Charlotte, NC 28203-5866 | 2011-04-11 |
| 1669779583 | Anil Jotwani | Internal Medicine | 1350 S Kings Dr, Charlotte, NC 28207-2134 | 2011-02-14 |
| 1649590324 | Joshua Davis | Internal Medicine | 1350 S Kings Dr, Charlotte, NC 28207-2134 | 2010-06-04 |
| 1619293701 | John Wynne | Internal Medicine | 1001 Blythe Blvd, Charlotte, NC 28203-5866 | 2010-04-14 |
| 1083843304 | Muhammad Rashad | Internal Medicine | 1001 Blythe Blvd, Charlotte, NC 28203-5866 | 2009-07-08 |
| 1962658856 | Alfred Papali | Internal Medicine | 10650 Park Rd, Ste 300, Charlotte, NC 28210-8538 | 2008-08-12 |
| 1235390691 | Joshua Smith | Internal Medicine | 1001 Blythe Blvd, Charlotte, NC 28203-5866 | 2008-06-18 |
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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.