NOVANT MEDICAL GROUP INC (NPI# 1518448679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518448679 |
| Entity Type | Organization |
| Organization Name | NOVANT MEDICAL GROUP INC |
| Other Organization Name | NOVANT HEALTH CHILD & ADOLESCENT MEDICAL GROUP |
| Practice Address |
6488 Weddington-monroe Road Wesley Chapel NC 28104 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 7043841015 |
| Practice Fax Number | 7043841018 |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2018-08-27 |
| Authorized Official Name | GEOFFREY K GARDNER (VP OF FINANCE) |
| Authorized Official Telephone | 7043847840 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Novant Health Child & Adolescent Medical Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700433711 | Novant Medical Group Inc | Psychiatry & Neurology | 933 Rockford St Ste 2, Mount Airy, NC 27030-5323 | 2019-08-23 |
| 1205481009 | Novant Medical Group Inc | Dermatology | 6324 Fairview Rd # 200, Charlotte, NC 28210-3271 | 2019-08-08 |
| 1033675079 | Novant Medical Group Inc | Psychiatry & Neurology | 1918 Randolph Rd Ste 320, Charlotte, NC 28207-1109 | 2019-02-14 |
| 1205355799 | Novant Medical Group Inc | Family Medicine | 16525 Holly Crest Ln Ste 250, Huntersville, NC 28078-4912 | 2017-09-15 |
| 1679090468 | Novant Medical Group Inc | Internal Medicine | 12311 Copper Way Ste 100, Charlotte, NC 28277-3643 | 2017-08-23 |
| 1003332016 | Novant Medical Group Inc | Internal Medicine | 10030 Gilead Rd Ste 344, Huntersville, NC 28078-7545 | 2017-08-22 |
| 1255709432 | Novant Medical Group Inc | Family Medicine | 19485 Old Jetton Road, Suite 100, Cornelius, NC 28031-6583 | 2015-09-04 |
| 1215326665 | Novant Medical Group Inc | Surgery | 819 N Atlantic Ave, Southport, NC 28461-3531 | 2015-01-22 |
| 1194113662 | Novant Medical Group Inc | Obstetrics & Gynecology | 1730 Kernersville Medical Parkway, Suite 104, Kernersville, NC 27284-7198 | 2015-01-06 |
| 1437556594 | Novant Medical Group Inc | Internal Medicine | 13 Medical Campus, Suite 102, Supply, NC 28462-4093 | 2014-12-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | Novant Medical Group Inc. | 2626 Glenwood Ave Ste 550, Raleigh, NC 27608 |
| Virginia Business Entities | Novant Medical Group Inc. | 2085 Frontis Plaza Blvd, Winston Salem, North Carolina 27103 |
| Street Address |
6488 WEDDINGTON-MONROE ROAD |
| City | WESLEY CHAPEL |
| State | NC |
| Zip Code | 28104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639252026 | Jennifer Ann Mock | Obstetrics & Gynecology | 6488 Weddington-monroe Road, Wesley Chapel, NC 28104 | 2006-10-23 |
| 1336667146 | Marie Watson | Advanced Practice Midwife | 6488 Weddington-monroe Road, Wesley Chapel, NC 28104 | 2017-08-31 |
| 1275656506 | Roshni P Patel | Family Medicine | 6488 Weddington-monroe Road, Wesley Chapel, NC 28104 | 2007-04-10 |
| 1811061021 | Andrew Justin Kritzer | Chiropractor | 6488 Weddington-monroe Road, Wesley Chapel, NC 28104 | 2006-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962038133 | Robert Anthony Baldinell | Behavior Technician | 4224 Weddington Matthews Rd, Wedding, NC 28104 | 2020-03-19 |
| 1740841972 | Jennifer Louise Lowder | Occupational Therapist | 3653 Huntington Drive, Matthews, NC 28104 | 2019-06-27 |
| 1669954608 | Novant Medical Group, Inc. | Family Medicine | 6488 Weddington-monroe, Wesley Chapel, NC 28104 | 2018-09-06 |
| 1427565704 | Hiren Patel D.m.d. II, Pa | Clinic/Center | 2925 Matthews Weddington Road, Suite 200, Matthews, NC 28104 | 2018-01-08 |
| 1073069274 | Amie Freeman | Pharmacist | 6300 Weddington-monroe Rd, Matthews, NC 28104 | 2016-08-28 |
| 1568819928 | Katelyn Koch | Behavioral Analyst | 4225 Weddington Matthews Road, Weddington, NC 28104 | 2016-05-16 |
| 1396103958 | Kristen Smith | Advanced Practice Midwife | 6488 Weddington Monroe Rd, Wesley Chapel, NC 28104 | 2016-02-10 |
| 1407226137 | Ulla Svane Chiropractic Pllc | Clinic/Center | 13635 Providence Road, Weddington, NC 28104 | 2015-10-07 |
| 1699159392 | Anait Balasanyan | Dentist | 5922 Weddington-monroe Rd., Ste A-2, Wesley Chapel, NC 28104 | 2015-07-13 |
| 1780082461 | Balasanyan & Associates Pllc | Dentist | 5922 Weddington-monroe Rd, Suite A2, Wesley Chapel, NC 28104 | 2014-12-12 |
| Find all providers in zip 28104 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760823918 | Tendercare Pediatrics | Pediatrics | 27432 Cashford Cir, Ste 102, Wesley Chapel, FL 33544-6916 | 2013-07-16 |
| 1558648451 | My Tampa Bay Pediatrics, P.a. | Pediatrics | 26907 Foggy Creek Rd, Ste 102, Wesley Chapel, FL 33544-6778 | 2011-11-07 |
| 1447447313 | Wesley Chapel Internal Medicine and Pediatrics, Pa | Pediatrics | 2038 Ashley Oaks Cir, Suite 102, Wesley Chapel, FL 33544-6413 | 2007-09-25 |
| 1407048028 | Kousalya Sara | Pediatrics | 2700 Healing Way Ste 303, Wesley Chapel, FL 33543-5471 | 2007-08-16 |
| 1851303689 | Hiroo Kapur | Pediatrics | 2230 Ashley Oaks Cir, Suite 102, Wesley Chapel, FL 33543-7029 | 2006-08-12 |
| 1518988823 | Siva Prasanna Tadisetti | Pediatrics | 2615 Windguard Cir, Ste 102, Wesley Chapel, FL 33544-7353 | 2006-07-21 |
| 1679528111 | Radhika Ranganathan | Pediatrics | 2529 Cypress Ridge Blvd, Wesley Chapel, FL 33544-6335 | 2006-05-23 |
| 1750344610 | Jaydeep Jashbhai Patel | Pediatrics | 5259 Village Market, Wesley Chapel, FL 33544-8401 | 2006-04-10 |
| 1780656868 | Esther Tatoy | Pediatrics | 27532 Cashford Cir, Ste. 102, Wesley Chapel, FL 33544-6948 | 2006-02-03 |
| 1568451144 | Kristin K Strange | Pediatrics | 6488 Weddington-monroe Rd, Wesley Chapel, NC 28104-6277 | 2005-10-17 |
| Find all providers in WESLEY CHAPEL | ||||
| City | WESLEY CHAPEL |
| Zip Code | 28104 |
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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.