NOVANT MEDICAL GROUP, INC (NPI# 1538683891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538683891 |
| Entity Type | Organization |
| Organization Name | NOVANT MEDICAL GROUP, INC |
| Other Organization Name | NOVANT HEALTH ORTHOPEDICS & SPORTS MEDICINE |
| Practice Address |
269 Gillman Rd Ste 200b Denver NC 28037-7919 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 7043161830 |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2017-10-03 |
| Authorized Official Name | GEOFFREY K GARDNER (VP OF FINANCE) |
| Authorized Official Telephone | 7043847834 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Novant Health Orthopedics & Sports Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962048512 | Novant Medical Group, Inc | Family Medicine | 1400 Westgate Ctr Dr Ste 110, Winston Salem, NC 27103-3104 | 2019-11-19 |
| 1710444294 | Novant Medical Group, Inc | Orthopaedic Surgery | 167 Moore Rd Ste 202, King, NC 27021-8770 | 2019-02-21 |
| 1033698527 | Novant Medical Group, Inc | Internal Medicine | 8201 Healthcare Loop Ste 304, Charlotte, NC 28215 | 2018-08-07 |
| 1114411139 | Novant Medical Group, Inc | Internal Medicine | 8201 Healthcare Loop Ste 202, Charlotte, NC 28215-7072 | 2018-06-22 |
| 1649786575 | Novant Medical Group, Inc | Physical Therapist | 8045 Providence Rd Ste 100, Charlotte, NC 28277-8916 | 2017-12-14 |
| 1962953877 | Novant Medical Group, Inc | Internal Medicine | 9550 Rocky River Rd Ste 100, Charlotte, NC 28215 | 2016-10-17 |
| 1063963080 | Novant Medical Group, Inc | Urology | 1730 Kernersville Medical Pkwy Ste 303, Kernersville, NC 27284-7198 | 2016-10-14 |
| 1265807937 | Novant Medical Group, Inc | Orthopaedic Surgery | 1420 Us Highway 52, Suite B, Albemarle, NC 28001 | 2015-12-07 |
| 1881096907 | Novant Medical Group, Inc | Internal Medicine | 17810 Statesville Rd Ste 311, Cornelius, NC 28031-8149 | 2014-09-19 |
| 1548661606 | Novant Medical Group, Inc | Orthopaedic Surgery | 7138 Village Medical Circle, Clemmons, NC 27012 | 2014-09-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NOVANT MEDICAL GROUP, INC. | 200 Hawthorne Ln, Charlotte, NC 28204-2515 |
| Street Address |
269 GILLMAN RD STE 200B |
| City | DENVER |
| State | NC |
| Zip Code | 28037-7919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265660120 | Timothy James Ewald | Orthopaedic Surgery | 269 Gillman Rd Ste 200b, Denver, NC 28037-7922 | 2009-06-30 |
| 1669978938 | Taylor Gwaltney Rose | Physical Therapist | 269 Gillman Rd Ste 200b, Denver, NC 28037-7922 | 2018-04-04 |
| 1174047427 | Novant Medical Group, Inc | Occupational Therapist | 269 Gillman Rd Ste 200b, Denver, NC 28037-7919 | 2017-07-28 |
| 1235652751 | Brianna Leigh Mcshea | Physician Assistant | 269 Gillman Rd Ste 200b, Denver, NC 28037 | 2017-07-18 |
| 1033509765 | Jessica M Sloop | Physical Therapist | 269 Gillman Rd Ste 200b, Denver, NC 28037-7919 | 2015-02-03 |
| 1174858054 | Amy Murray Ferrick | Physical Therapist | 269 Gillman Rd Ste 200b, Denver, NC 28037-7922 | 2009-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922619253 | Patricia Marie Froneberger | Massage Therapist | 751 N Nc 16, Suite C, Denver, NC 28037 | 2020-08-11 |
| 1326682907 | Wild Hearts Counseling and Wellness, Pllc | Counselor | 7472 Waterside Loop Dr., #114, Denver, NC 28037 | 2019-11-06 |
| 1316581408 | Laura O Wesson | Counselor | 7472 Waterside Loop Road, Denver, NC 28037 | 2019-10-31 |
| 1043712854 | Bryan T. Persinger Dds Pa II | Dentist | 175 Cross Center Road, Denver, NC 28037 | 2018-03-07 |
| 1962901934 | Laura Howard Burgess | Nurse Practitioner | 6127 Highway 16 South, Denver, NC 28037 | 2018-02-06 |
| 1649786716 | Vip Healthcare, Pllc | Internal Medicine | 294 Highway 16 N, Suite C, Denver, NC 28037 | 2017-12-27 |
| 1265944599 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 513 Brentwood Rd, Denver, NC 28037 | 2017-10-26 |
| 1831548106 | Christina Gliwa | Dentist | 175 Cross Center Rd, Denver, NC 28037 | 2016-06-08 |
| 1629340666 | Andrea E Garmon | Pharmacist | 6050 South North Carolina Highway 16, Denver, NC 28037 | 2012-02-07 |
| 1376830729 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7385 Nc 73 Hwy, Denver, NC 28037 | 2011-07-06 |
| Find all providers in zip 28037 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659985075 | Healthone Clinic Services-surgical Specialties LLC | Orthopaedic Surgery | 1601 E 19th Ave Ste 6100, Denver, CO 80218-1255 | 2020-09-02 |
| 1275045049 | University Physicians, Incorporated | Orthopaedic Surgery | 2000 S Colorado Blvd Ste 4500, Denver, CO 80222-7900 | 2017-11-01 |
| 1942575139 | Alexander Lauder | Orthopaedic Surgery | 777 Bannock St Dept of Orthopedics, Mc 0188, Denver, CO 80204-4597 | 2012-03-20 |
| 1699086512 | Sean Baran | Orthopaedic Surgery | 1830 N Franklin St Ste 450, Denver, CO 80218-1128 | 2010-06-25 |
| 1477884302 | The Charlotte-mecklenburg Hospital Authority | Orthopaedic Surgery | 275 Highway 16 N, Suite 202, Denver, NC 28037-3002 | 2010-01-15 |
| 1265660120 | Timothy James Ewald | Orthopaedic Surgery | 269 Gillman Rd Ste 200b, Denver, NC 28037-7922 | 2009-06-30 |
| 1033399894 | Robert J Bess, Md Facs | Orthopaedic Surgery | Dept 2078, Denver, CO 80291-0001 | 2007-11-09 |
| 1639299373 | Richard Garrett May | Orthopaedic Surgery | 35 S Glencoe St, Denver, CO 80246-1150 | 2007-03-29 |
| 1063543759 | Ira Stephen Davis | Orthopaedic Surgery | 1401 Wewatta St Unit 1104, Denver, CO 80202-1348 | 2007-03-07 |
| 1649297219 | Dennis Hsu-cheng Chang | Orthopaedic Surgery | 4700 Hale Pkwy Ste 360, Denver, CO 80220-4041 | 2006-07-17 |
| Find all providers in DENVER | ||||
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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.