KELLOGG MEDICAL PLLC (NPI# 1528699089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528699089 |
| Entity Type | Organization |
| Organization Name | KELLOGG MEDICAL PLLC |
| Practice Address |
10352 Park Rd Charlotte NC 28210-8401 |
| Practice Telephone | 7042881097 |
| Mailing Telephone | 7042881097 |
| Enumeration Date | 2020-02-03 |
| Last Update Date | 2020-02-26 |
| Authorized Official Name | ALAN GOODSTAT (COO) |
| Authorized Official Telephone | 7042881097 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | Kellogg Medical PLLC | 10352 Park Road, Charlotte, NC 28210 |
| Street Address |
10352 PARK RD |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28210-8401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952920860 | Rx Care 14 LLC | Pharmacy | 7701 Sharon Lakes Road, Suite H, Charlotte, NC 28210 | 2020-04-10 |
| 1427697622 | David Durant Dinsmore | Nurse Anesthetist, Certified Registered | Atrium Health Pineville, 10628 Park Road, Charlotte, NC 28210 | 2020-01-06 |
| 1790256964 | Tele Phys Inc | Internal Medicine | 10035 Park Center Dr., Ste 100, Charlotte, NC 28210 | 2018-12-16 |
| 1104395896 | Bridgett Williams | Behavior Technician | 7806 Andover Woods Drive, Charlotte, NC 28210 | 2018-11-26 |
| 1053880518 | Low-t Physicians Professional Association | Internal Medicine | 10430 Park Road Suite 100a, Charlotte, NC 28210 | 2018-11-14 |
| 1053895102 | Carolinas Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 7701 Sharon Lakes Blvd, Ste A., Charlotte, NC 28210 | 2018-09-24 |
| 1679066658 | Afc Urgent Care and Family Care of Wnc, Pllc | Clinic/Center | 10102 Johnston Rd, Charlotte, NC 28210 | 2018-06-13 |
| 1346777018 | Hopeway Foundation | Clinic/Center | 1717 Sharon Road West, Charlotte, NC 28210 | 2017-05-12 |
| 1891154688 | Jessie Lee Ogienko | Social Worker | 5960 Fairview Rd Ste 328, Charlotte, NC 28210 | 2016-02-22 |
| 1699151985 | Carolina Complete Psychiatry, Pllc | Physician Assistant | 5950 Fairview Road, Suite 708, Charlotte, NC 28210 | 2015-08-10 |
| Find all providers in zip 28210 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316490733 | Stephanie N Irons | Family Medicine | 4100 Carmel Rd, Charlotte, NC 28226-6150 | 2016-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902441041 | High Country Recovery | Family Medicine | 838 State Farm Rd Ste B, Boone, NC 28607-5307 | 2019-11-13 |
| 1811421381 | Victoria Ingram Windley | Family Medicine | 44 Wendy Ct, Kernersville, NC 27284-9095 | 2017-04-12 |
| 1437325446 | Cauveh Erami | Family Medicine | 2200 Clyborn Church Rd, Lumberton, NC 28360-9356 | 2008-04-30 |
| 1992847412 | James Walter Finch | Family Medicine | 910 Broad St, Durham, NC 27705-4142 | 2007-02-12 |
| 1578616470 | Celia Lauren Spillmann | Family Medicine | 417 N Main St Ste B, Salisbury, NC 28144-4358 | 2007-01-22 |
| 1184707325 | Leslie Bronner | Family Medicine | 1012 Oberlin Road, Suite 300, Raleigh, NC 27605-1135 | 2006-10-23 |
| 1902856065 | Wendell Lewis Randall | Family Medicine | 651 S Main St, Dobson, NC 27017-8432 | 2006-05-11 |
| 1407481732 | Rapha Healthcare Services - Lab | Family Medicine | 4411 Ben Franklin Blvd, Durham, NC 27704-2147 | 2020-03-06 |
| 1194361923 | Wilmington Family Practice Pllc | Family Medicine | 201 N Front St Ste 102, Wilmington, NC 28401-4055 | 2019-11-27 |
| 1194382945 | Mobile Fnp Jrjohnson | Family Medicine | 236 N Mebane St Ste 123, Burlington, NC 27217-3900 | 2019-05-28 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KELLOGG MEDICAL PLLC.
| 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.