CATAWBA VALLEY MEDICAL GROUP INC (NPI# 1528461670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528461670 |
| Entity Type | Organization |
| Organization Name | CATAWBA VALLEY MEDICAL GROUP INC |
| Other Organization Name | CATAWBA VALLEY FAMILY MEDICINE-SOUTH HICKORY |
| Practice Address |
1985 Startown Rd Suite 102 Hickory NC 28602-8307 |
| Practice Telephone | 8283274745 |
| Practice Fax Number | 8283223569 |
| Mailing Telephone | 8283274745 |
| Mailing Fax Number | 8283223569 |
| Enumeration Date | 2014-10-03 |
| Last Update Date | 2014-10-03 |
| Authorized Official Name | DAVID JON BOONE (SR VP OF FINANCE/CFO) |
| Authorized Official Telephone | 8283263809 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| CATAWBA VALLEY FAMILY MEDICINE-SOUTH HICKORY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033738299 | Catawba Valley Medical Group Inc | Psychiatry & Neurology | 3246 6th Ave Se Ste 101, Hickory, NC 28602-8335 | 2020-04-08 |
| 1083258115 | Catawba Valley Medical Group Inc | Clinic/Center | 1985 Startown Rd Ste 101, Hickory, NC 28602-8307 | 2019-11-01 |
| 1518439546 | Catawba Valley Medical Group Inc | Family Medicine | 174 Bolick Ln Ste 202, Taylorsville, NC 28681-4362 | 2019-01-02 |
| 1588017081 | Catawba Valley Medical Group Inc | Non-Pharmacy Dispensing Site | 2425 Highland Ave Ne, Hickory, NC 28601-8164 | 2016-07-20 |
| 1568821932 | Catawba Valley Medical Group Inc | Non-Pharmacy Dispensing Site | 6127 Highway 16 S, Denver, NC 28037-9220 | 2016-02-15 |
| 1467811885 | Catawba Valley Medical Group Inc | Non-Pharmacy Dispensing Site | 2712 S Nc 127 Hwy, Hickory, NC 28602-9130 | 2016-02-12 |
| 1003216292 | Catawba Valley Medical Group Inc | Non-Pharmacy Dispensing Site | 50 Macedonia Church Rd, Suite A, Taylorsville, NC 28681-8414 | 2014-08-26 |
| 1003228321 | Catawba Valley Medical Group Inc | Non-Pharmacy Dispensing Site | 2386 Springs Rd Ne, Hickory, NC 28601-3066 | 2014-05-21 |
| 1457782872 | Catawba Valley Medical Group Inc | Non-Pharmacy Dispensing Site | 137 Island Ford Rd, Maiden, NC 28650-8735 | 2013-12-11 |
| Street Address |
1985 STARTOWN RD SUITE 102 |
| City | HICKORY |
| State | NC |
| Zip Code | 28602-8307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093778557 | Fairbrook Medical Clinic Pa | Family Medicine | 1985 Startown Rd, Hickory, NC 28602-8307 | 2006-04-07 |
| 1356791339 | Caitlin B Heredia | Physician Assistant | 1985 Startown Rd, Suite 102, Hickory, NC 28602-8307 | 2016-06-21 |
| 1629428149 | Adam Tyler Benfield | Physician Assistant | 1985 Startown Rd, Suite 102, Hickory, NC 28602-8307 | 2016-06-15 |
| 1063800365 | Health Smart Pharmacy Lld Dba Health Smart Pharmacy of Startown | Pharmacy | 1985 Startown Rd, Suite 1, Hickory, NC 28602-8307 | 2015-01-08 |
| 1043557069 | Penny James Matlock | Nurse Practitioner | 1985 Startown Rd, Suite 102, Hickory, NC 28602-8307 | 2013-01-10 |
| 1588704001 | David Emmett Cody IIi | Pharmacist | 1985 Startown Rd, Hickory, NC 28602-8307 | 2007-02-07 |
| 1962418616 | L | Pharmacy | 1985 Startown Rd, Hickory, NC 28602-8307 | 2006-08-01 |
| 1710908439 | John W Kessel | Family Medicine | 1985 Startown Rd, Hickory, NC 28602-8307 | 2006-07-21 |
| 1508886698 | Cammy Renae Benton | Family Medicine | 1985 Startown Rd, Suite 102, Hickory, NC 28602-8307 | 2006-07-20 |
| 1598782922 | Paul Wilson Sykes | Family Medicine | 1985 Startown Rd, Suite 102, Hickory, NC 28602-8307 | 2006-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063983286 | Ivan Ortega | Health Educator | 810 Fairgrove Church Road Se, Hickory, NC 28602 | 2018-12-16 |
| 1578078895 | Zachary Chad Greer | Physician Assistant | 1927 3rd Ave Ln Se, Hickory, NC 28602 | 2017-12-08 |
| 1952842015 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 2264 Us Highway 70 Se, Hickory, NC 28602 | 2017-03-09 |
| 1013456318 | Juanita Brown | Counselor | 306 4th St Sw, Hickory, NC 28602 | 2017-02-20 |
| 1639616725 | Francisca Blanco | Clinic/Center | 5276 0lde School Dr, Hickory, NC 28602 | 2017-01-26 |
| 1982155263 | Livanta Medical Center | Physician Assistant | 2105 Catawba Valley Blvd Se, Hickory, NC 28602 | 2016-10-20 |
| 1225588817 | Melike Demirozu | Social Worker | 738 4th St. Sw, Hickory, NC 28602 | 2016-10-07 |
| 1528411592 | April Prout | Social Worker | 1053 13th St Se, Hickory, NC 28602 | 2016-07-14 |
| 1457706921 | Maitry Parikh | Dentist | 2535 Us Highway 70 Se Ste 112, Hickory, NC 28602 | 2016-05-03 |
| 1245614510 | Doran Stilwell | Physical Therapy Assistant | 4161 South Fork Avenue, Hickory, NC 28602 | 2015-07-16 |
| Find all providers in zip 28602 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598383564 | Kayla Bridges Dills | Family Medicine | 2537 Us Highway 70 Se, Hickory, NC 28602-8302 | 2020-07-07 |
| 1568704831 | Catawba Valley Medical Group, Ing | Family Medicine | 2712 S Nc 127 Hwy, Hickory, NC 28602-9130 | 2013-03-25 |
| 1598030983 | Cornerstone Health Care, LLC | Family Medicine | 212 29th Avenue Ne, Suite 2, Hickory, NC 28601-1130 | 2012-03-19 |
| 1417242017 | Sharmeen Hossain | Family Medicine | 52 12th Ave Ne Ste 101, Hickory, NC 28601-2799 | 2011-06-13 |
| 1316113160 | Aimee L Cavendish | Family Medicine | 221 13th Avenue Pl Nw Ste 101, Hickory, NC 28601-2596 | 2008-05-01 |
| 1780702712 | Patrick J. Morgante, Md | Family Medicine | 907 38th Ave Ne, Hickory, NC 28601-8419 | 2007-03-27 |
| 1801986872 | Benjamin Warren Goodman Jr. | Family Medicine | 2820 16th St Ne, Hickory, NC 28601-9600 | 2006-10-13 |
| 1336251271 | Cherry Gay Clark | Family Medicine | 18199 Highway 80, Hickory, MS 39332-0220 | 2006-08-31 |
| 1932217551 | John Keith Earl | Family Medicine | 1650 5th St Nw, Hickory, NC 28601-5208 | 2006-08-25 |
| 1235247743 | William C. Thompson IIi, Md | Family Medicine | 1803 5th St Nw, Hickory, NC 28601-5213 | 2006-08-25 |
| Find all providers in HICKORY | ||||
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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.