ROSTISLAV MARKOVICH BEYDER (NPI# 1528341864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528341864 |
| Entity Type | Individual |
| Full Name | ROSTISLAV MARKOVICH BEYDER |
| Credential | PA-C |
| Practice Address |
1112 Yancey St Shelby NC 28150-3672 |
| Practice Telephone | 7044817713 |
| Practice Fax Number | 7042351971 |
| Mailing Telephone | 7044817713 |
| Mailing Fax Number | 7042351971 |
| Enumeration Date | 2011-09-22 |
| Last Update Date | 2019-04-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0010-03655 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | STATE OF NC LICENSE NUMBER | 0010-03655 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 141 Laurel Hill Dr Ste 3, Rutherfordton, NC 281393320 | 8282862603 | 7042351971 |
| 2728 W Mallard Creek Church Rd, Charlotte, NC 282622308 | 9802181860 | 7049104489 |
| Street Address |
1112 YANCEY ST |
| City | SHELBY |
| State | NC |
| Zip Code | 28150-3672 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326033879 | Steven K Brockman | Pain Medicine | 1112 Yancey St, Shelby, NC 28150-3672 | 2005-09-12 |
| 1982129136 | Carolina Pain Care PC | Pain Medicine | 1112 Yancey St, Shelby, NC 28150-3672 | 2017-08-09 |
| 1639135387 | Pain Clinic of Shelby, PC | Anesthesiology | 1112 Yancey St, Shelby, NC 28150-3672 | 2006-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154981652 | Benjamin Caple | Dentist | 139 W Ross Grove Rd, Shelby, NC 28150 | 2019-06-17 |
| 1003471103 | Anne Marie Lackey | Physician Assistant | 215 Stacey Street, Lawndale, NC 28150 | 2019-05-03 |
| 1174001937 | Allstate Medical Equipment & Supplies | Durable Medical Equipment & Medical Supplies | 607 W Grover St, Shelby, NC 28150 | 2018-08-03 |
| 1013494970 | Shannon Bumgardner Standish | Nurse Practitioner | 1019 N Lafayette Street, Suite 1, Shelby, NC 28150 | 2018-07-24 |
| 1205323078 | Focused Care, Inc | Community/Behavioral Health | 834 Churchill Dr, Shelby, NC 28150 | 2018-04-17 |
| 1508373507 | Janelle Marie Velasco | Acupuncturist | 115 E Sumter St, Shelby, NC 28150 | 2017-12-29 |
| 1902344666 | Georgette Johnson | Durable Medical Equipment & Medical Supplies | 607 West Grover Street, Shelby, NC 28150 | 2017-02-02 |
| 1457703126 | Sweet Caroline Assisted Living LLC | Assisted Living Facility | 110 Greene Drive, Shelby, NC 28150 | 2016-07-06 |
| 1972954113 | Self Determination, LLC | Community Based Residential Treatment Facility, Mental Illness | 423 Millsap Rd, Shelby, NC 28150 | 2016-06-29 |
| 1306217666 | Living Family Supportive Services | Clinic/Center | 2538 West Dixon Blvd., Shelby, NC 28150 | 2015-10-13 |
| Find all providers in zip 28150 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659995710 | Kristopher Neal Priddy | Physician Assistant | 405 Forest Hill Dr, Shelby, NC 28150-5520 | 2020-06-04 |
| 1366065500 | Lisa Lynn Carder | Physician Assistant | 904 Foxcroft Cir Apt D, Shelby, NC 28152-6868 | 2020-05-22 |
| 1801122304 | Amber Harden Brown | Physician Assistant | 1010 E Dixon Blvd, Suite B, Shelby, NC 28152-6838 | 2009-10-19 |
| 1407033491 | Jennifer Lynn Flanery | Physician Assistant | 71 Bevier St, Shelby, MI 49455 | 2008-01-22 |
| 1053513721 | Phillip R. Talbert | Physician Assistant | 935 Wyke Rd, Shelby, NC 28150-3552 | 2007-06-04 |
| 1104941897 | Paul A Claroni | Physician Assistant | 808 Schenck St, Shelby, NC 28150-3934 | 2007-03-20 |
| 1194860791 | Margie Dianne Sanders | Physician Assistant | 315 E Grover St, Shelby, NC 28150-3919 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902403884 | Billy Scott II | Physician Assistant | 3000 Rogers Rd Ste 100, Wake Forest, NC 27587-5745 | 2020-10-05 |
| 1982213765 | Michaela Lynne Mcbride | Physician Assistant | 9541 Kings Parade Blvd Unit 107, Charlotte, NC 28273-5819 | 2020-07-28 |
| 1386260347 | Elizabeth Warrington Maiche | Physician Assistant | 113 Montgomery Dr, Saluda, NC 28773-7787 | 2020-06-24 |
| 1831715663 | John Wheary | Physician Assistant | 3233 Austin Ave, New Bern, NC 28562-7084 | 2020-06-17 |
| 1629692439 | Julie Anne Augustine | Physician Assistant | 718 S Green St, Winston Salem, NC 27101-5112 | 2020-06-08 |
| 1710500558 | Christian Wright Fulenwider | Physician Assistant | 104 Linden St, Morganton, NC 28655-3788 | 2020-05-27 |
| 1982234282 | Brandon Sorkin | Physician Assistant | 280 Executive Park Drive, Suite 100, Concord, NC 28025-2802 | 2020-01-25 |
| 1245860618 | Robert Maughan | Physician Assistant | 129 Bryce Creek Ln, Fayetteville, NC 28303-4981 | 2020-01-24 |
| 1881224996 | Mary Elizabeth Ellis | Physician Assistant | 1 Hospital Dr # 3400, Asheville, NC 28801-4550 | 2020-01-17 |
| 1982244471 | Caroline Gooch Reynolds | Physician Assistant | 340 Sabra Dr, Wilmington, NC 28405-3833 | 2020-01-13 |
| Find all providers with the same taxonomy | ||||
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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.