DR. DONALD PHILIP RENALDO (NPI# 1528021359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528021359 |
| Entity Type | Individual |
| Full Name | DR. DONALD PHILIP RENALDO |
| Credential | M.D. |
| Practice Address |
1718 E 4th St Ste. 908 Charlotte NC 28204-3260 |
| Practice Telephone | 7043765424 |
| Practice Fax Number | 7043765354 |
| Mailing Telephone | 7043765424 |
| Mailing Fax Number | 7043765354 |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2012-12-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1100X |
Technician/Technologist Specialization: Ophthalmic |
23322 | NC | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8971240 | 05 |
| Street Address |
1718 E 4TH ST STE. 908 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28204-3260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841298239 | Kevin Hsu | Internal Medicine | 1718 E 4th St, Ste 501, Charlotte, NC 28204-3260 | 2005-07-11 |
| 1205373081 | Miranda L Williams | Physician Assistant | 1718 E 4th St, Suite 501, Charlotte, NC 28204-3261 | 2017-01-31 |
| 1881138873 | Shannon Scandone | Nurse Practitioner | 1718 E 4th St, Suite 501, Charlotte, NC 28204-3261 | 2016-12-09 |
| 1063963866 | Jessica Puskarich | Nurse Practitioner | 1718 E 4th St, Suite 307, Charlotte, NC 28204-3261 | 2016-10-18 |
| 1801343793 | Novant Medical Group, Inc | Pediatrics | 1718 E 4th St, Suite 601, Charlotte, NC 28204-3261 | 2016-09-08 |
| 1497107536 | Kelly J Coleman | Nurse Practitioner | 1718 E 4th St, Suite 501, Charlotte, NC 28204-3261 | 2016-07-12 |
| 1447616602 | Lindsay Spears Taylor | Physician Assistant | 1718 E 4th St, Suite 501, Charlotte, NC 28204-3261 | 2016-01-04 |
| 1982089322 | Melanie Moshier | Genetic Counselor, MS | 1718 E 4th St, Suite 608, Charlotte, NC 28204-3261 | 2015-07-28 |
| 1962886218 | Novant Medical Group, Inc | Pediatrics | 1718 E 4th St, Suite 401, Charlotte, NC 28204-3261 | 2015-07-16 |
| 1780071373 | Shannon Deluca | Nurse Practitioner | 1718 E 4th St, Suite 501, Charlotte, NC 28204-3261 | 2015-04-21 |
| Find all providers in the same location | ||||
| 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 | 156FX1100X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Ophthalmic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750573945 | Wesley D Clement Md PC | Technician/Technologist | 230 E Wt Harris Blvd, Suite C13, Charlotte, NC 28262-3539 | 2007-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033645809 | Animal Eye Care Veterinary Ophthalmology Practice, PC | Technician/Technologist | 6405 Tryon Rd, Suite 300, Cary, NC 27518-7095 | 2017-05-11 |
| 1952461840 | The Laser Eye Institute | Technician/Technologist | 1603 Medical Dr Ste D, Laurinburg, NC 28352-5541 | 2006-12-11 |
| 1871652875 | Coastal Eye Center Pllc | Technician/Technologist | 1855 West City Drive, Elizabeth City, NC 27909-4568 | 2006-12-06 |
| 1497852917 | Marshall Simms Redding | Technician/Technologist | Coastal Eye Center, 1855 West City Drive, Elizabeth City, NC 27909 | 2006-09-19 |
| 1215049291 | Eye Consultants of Greensboro | Technician/Technologist | 1305 W Wendover Ave, Suite B, Greensboro, NC 27408-8124 | 2006-08-31 |
| 1063453488 | Hennis Ophthalmology | Technician/Technologist | 1008 Old Rockford St, Mount Airy, NC 27030-5361 | 2006-06-09 |
| 1760605034 | Mark Steven Baker | Technician/Technologist | 3521 Graystone Pl, Conover, NC 28613-8201 | 2007-04-11 |
| 1255454468 | David Watkins Burke | Technician/Technologist | 3521 Graystone Pl, Conover, NC 28613-8201 | 2007-04-10 |
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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.