CATAWBA VALLEY MEDICAL GROUP, INC (NPI# 1588003032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588003032 |
| Entity Type | Organization |
| Organization Name | CATAWBA VALLEY MEDICAL GROUP, INC |
| Other Organization Name | CATAWBA VALLEY VASCULAR SURGERY |
| Practice Address |
1771 Tate Blvd Se Suite 204 Hickory NC 28602-4249 |
| Practice Telephone | 8283229105 |
| Practice Fax Number | 8283284999 |
| Mailing Telephone | 8283229105 |
| Mailing Fax Number | 8283284999 |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2017-01-31 |
| Authorized Official Name | DAVID J BOONE (SR VP OF FINANCE/CFO) |
| Authorized Official Telephone | 8283263809 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| CATAWBA VALLEY VASCULAR SURGERY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205209996 | Catawba Valley Medical Group, Inc | General Practice | 2425 Highland Ave Ne, Hickory, NC 28601-8164 | 2015-11-04 |
| 1790062362 | Catawba Valley Medical Group, Inc | Family Medicine | 200 Rosenwald School St Sw, Catawba, NC 28609-8896 | 2011-11-10 |
| 1346715067 | Catawba Valley Medical Group, Inc | Family Medicine | 5045 Hickory Blvd, Hickory, NC 28601-8920 | 2018-10-09 |
| 1386093482 | Catawba Valley Medical Group, Inc | Family Medicine | 3511 Graystone Pl Se, Conover, NC 28613-8201 | 2016-06-09 |
| 1730552399 | Catawba Valley Medical Group, Inc | Family Medicine | 24 2nd Ave Ne, Hickory, NC 28601-5045 | 2015-11-04 |
| 1386057529 | Catawba Valley Medical Group, Inc | Internal Medicine | 200 Rosenwald School St Sw, Catawba, NC 28609-8896 | 2014-06-05 |
| 1184037327 | Catawba Valley Medical Group, Inc | Internal Medicine | 50 Macedonia Church Rd, Suite A, Taylorsville, NC 28681-8414 | 2014-06-05 |
| 1659784890 | Catawba Valley Medical Group, Inc | Internal Medicine | 6127 Highway 16 S, Denver, NC 28037-9220 | 2014-06-05 |
| 1194138339 | Catawba Valley Medical Group, Inc | Internal Medicine | 2890 S Lookout St, Claremont, NC 28610-9528 | 2014-06-05 |
| 1760895908 | Catawba Valley Medical Group, Inc | Internal Medicine | 137 Island Ford Rd, Maiden, NC 28650-8735 | 2014-06-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CATAWBA VALLEY MEDICAL GROUP, INC. | 810 Fairgrove Church Rd, Hickory, NC 28602-9617 |
| Street Address |
1771 TATE BLVD SE SUITE 204 |
| City | HICKORY |
| State | NC |
| Zip Code | 28602-4249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083676928 | Hickory Cardiology Associates Pllc | Internal Medicine | 1771 Tate Blvd Se, Suite 201, Hickory, NC 28602-4249 | 2006-04-05 |
| 1316302896 | Dlp Cardiology Physicians LLC | Internal Medicine | 1771 Tate Blvd Se, Ste 201, Hickory, NC 28602-4249 | 2015-12-28 |
| 1891097473 | Cardiology Physicians Corporation, LLC | Internal Medicine | 1771 Tate Blvd Se, Suite 201, Hickory, NC 28602-4250 | 2010-12-02 |
| 1952629172 | Catawba Valley Medical Center | Internal Medicine | 1771 Tate Blvd Se, Suite 103, Hickory, NC 28602-4249 | 2010-05-12 |
| 1265764997 | Professional Sleep Diagnostics | Clinic/Center | 1771 Tate Blvd Se, Suite #102, Hickory, NC 28602-4249 | 2010-02-05 |
| 1588842793 | Mindy R. Watson | Nurse Practitioner | 1771 Tate Blvd Se, C/o Hickory Cardiology, Hickory, NC 28602-4249 | 2008-02-11 |
| 1437332608 | Catawba Valley Medical Center | Internal Medicine | 1771 Tate Blvd Se, Suite 103, Hickory, NC 28602-4249 | 2007-12-11 |
| 1093914996 | Catawba Valley Internal Medicine | Psychiatry & Neurology | 1771 Tate Blvd Se, Ste 103, Hickory, NC 28602-4250 | 2007-07-12 |
| 1043257157 | Catawba Valley Internal Medicine Pa | Internal Medicine | 1771 Tate Blvd Se, Suite 103, Hickory, NC 28602-4249 | 2006-05-31 |
| 1083667364 | Unifour Surgical Assoicates, Pa | Surgery | 1771 Tate Blvd Se, Suite 101, Hickory, NC 28602-4250 | 2006-05-18 |
| 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 | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851830541 | Dlp Frye Medical Group LLC | Surgery | 415 N Center St, Suite 204, Hickory, NC 28601-5057 | 2017-02-15 |
| 1174935860 | Fryecare Specialty Center LLC | Surgery | 415 N Center St, Suite 203, Hickory, NC 28601-5057 | 2014-05-29 |
| 1528258357 | Christopher Allen Griggs | Surgery | 1899 Tate Blvd Se, Suite 2106, Hickory, NC 28602-4200 | 2007-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831717693 | Mcleod Physician Associates II | Surgery | 690 Sunset Blvd N Ste 208, Sunset Beach, NC 28468-5332 | 2020-07-08 |
| 1053785220 | Novant Medical Group, Inc. | Surgery | 1420 Us Highway North 52, Suite B, Albermarle, NC 28001 | 2015-11-25 |
| 1962756148 | Vein Essentials, PC | Surgery | 580 Mccarthy Blvd, New Bern, NC 28562-5217 | 2012-11-09 |
| 1548544984 | Statesville Hma Medical Group, LLC | Surgery | 1703 Davie Ave, Statesville, NC 28677-3521 | 2011-10-04 |
| 1639310642 | Vcp Raleigh, LLC | Surgery | 6905 Knightdale Blvd Ste 105, Knightdale, NC 27545-6504 | 2009-03-20 |
| 1104001742 | Raleigh Vein & Laser Center Pa | Surgery | 10000 Falls of Neuse Rd., Suite 303, Raleigh, NC 27614 | 2008-01-02 |
| 1265613624 | Pinehurst Surgical Clinic Pa | Surgery | 1705b Berwick Dr, Laurinburg, NC 28352-5523 | 2007-11-14 |
| 1871791301 | Kathryn Lorann Davis | Surgery | 2001 Vail Ave Ste 320, Charlotte, NC 28207-1222 | 2007-07-05 |
| 1578656773 | Coastal Carolina Surgical Associates, P.a. | Surgery | 1411 Physicians Drive, Wilmington, NC 28401-7338 | 2006-10-02 |
| 1750499851 | Michael David Lininger | Surgery | 149 Macarthur St, Asheboro, NC 27203-5410 | 2006-08-28 |
| 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.