MOORESVILLE PPM LLC (NPI# 1518361914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518361914 |
| Entity Type | Organization |
| Organization Name | MOORESVILLE PPM LLC |
| Other Organization Name | FIRST IN FLIGHT NEUROLOGY |
| Practice Address |
131 Medical Park Rd Ste 308 Mooresville NC 28117-8525 |
| Mailing Address |
131 Medical Park Rd Suite 308 Mooresville NC 28117-8522 |
| Practice Telephone | 7046602640 |
| Practice Fax Number | 7046602646 |
| Mailing Telephone | 7046602640 |
| Mailing Fax Number | 7046602646 |
| Enumeration Date | 2014-10-14 |
| Last Update Date | 2014-10-14 |
| Authorized Official Name | JAMES PATRICK WRIGHT (DIRECTOR) |
| Authorized Official Telephone | 6154657633 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| First In Flight Neurology | 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 |
| 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 |
| 1679850580 | Mooresville Ppm LLC | Family Medicine | 5732 Highway 150 E, Denver, NC 28037-6770 | 2011-11-05 |
| Street Address |
131 MEDICAL PARK RD STE 308 |
| City | MOORESVILLE |
| State | NC |
| Zip Code | 28117-8525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497713093 | Allyson Yanni | Nurse Practitioner | 131 Medical Park Rd Ste 308, Mooresville, NC 28117-8525 | 2006-05-03 |
| 1114109048 | Ryan C Sims | Nurse Anesthetist, Certified Registered | 131 Medical Park Rd Ste 308, Mooresville, NC 28117-8525 | 2007-12-03 |
| 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 | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235431818 | Lake Norman Neurology | Psychiatry & Neurology | 139 Gateway Blvd, Suite 127, Mooresville, NC 28117-5540 | 2010-12-02 |
| 1669569729 | Josephson Wallack Munshower Neurology | Psychiatry & Neurology | 1203 Hadley Rd, Ste 202, Mooresville, IN 46158-1885 | 2006-10-09 |
| 1457343337 | Andrew Joseph Braunstein | Psychiatry & Neurology | 124 Professional Park Dr, Suite A, Mooresville, NC 28117-5537 | 2005-08-17 |
| 1730322843 | Andrew Francis Leigh Gross | Psychiatry & Neurology | 131 Medical Park Rd, Suite 308, Mooresville, NC 28117-8522 | 2009-04-20 |
| 1356399554 | Lake Norman Neurology Pa | Psychiatry & Neurology | 124 Professional Park Dr, Suite A, Mooresville, NC 28117-5537 | 2006-05-04 |
| 1043296130 | Douglas Jeffery | Psychiatry & Neurology | 124 Professional Park Dr, Suite A, Mooresville, NC 28117-5609 | 2005-12-20 |
| 1164414819 | Craig Daniel Dubois | Psychiatry & Neurology | 124 Professional Park Dr, Suite A, Mooresville, NC 28117-5537 | 2005-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574706 | Nandigam Neurology, LLC | Psychiatry & Neurology | 10 Doctors Cir Ste 1, Supply, NC 28462-4218 | 2020-09-30 |
| 1033738299 | Catawba Valley Medical Group Inc | Psychiatry & Neurology | 3246 6th Ave Se Ste 101, Hickory, NC 28602-8335 | 2020-04-08 |
| 1700433711 | Novant Medical Group Inc | Psychiatry & Neurology | 933 Rockford St Ste 2, Mount Airy, NC 27030-5323 | 2019-08-23 |
| 1952886582 | John Messenheimer | Psychiatry & Neurology | 55 Hermitage Ln, Moncure, NC 27559-9670 | 2018-09-28 |
| 1578056057 | Novant Medical Group, Inc. | Psychiatry & Neurology | 15033 Ballancroft Pkwy Ste 200, Charlotte, NC 28277-4944 | 2018-06-11 |
| 1619474012 | Jamie Hannah Rose Aldridge | Psychiatry & Neurology | 1121 N Church Street, Greensboro, NC 27401 | 2018-04-11 |
| 1811417835 | Arvind Muralimohan Gomadam | Psychiatry & Neurology | 1492 Rymco Dr, Winston Salem, NC 27103 | 2017-06-21 |
| 1932637568 | Irena Dujmovic Basuroski | Psychiatry & Neurology | 194 Finley Golf Course Road, Suite 200, Chapel Hill, NC 27517 | 2017-05-26 |
| 1750838702 | Zuleyma Enid Toledo-nieves | Psychiatry & Neurology | Unc Hospitals Department of Neurology, 170 Manning Drive, Cb#7025, Chapel Hill, NC 27599-7025 | 2016-09-07 |
| 1659722593 | Arfeen Geriatric Care Pllc | Psychiatry & Neurology | 2961 Crouse Ln Ste D, Burlington, NC 27215-8833 | 2016-06-22 |
| 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.