PROVIDENCE HEALTH CENTER (NPI# 1609153345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609153345 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE HEALTH CENTER |
| Practice Address |
6911 Shannon Willow Rd Suite 500 Charlotte NC 28226-1351 |
| Practice Telephone | 7048007414 |
| Practice Fax Number | 7048173390 |
| Mailing Telephone | 7048007414 |
| Mailing Fax Number | 7048173390 |
| Enumeration Date | 2011-11-09 |
| Last Update Date | 2011-11-09 |
| Authorized Official Name | DR. ANTHONY D HYSER (PRESIDENT) |
| Authorized Official Telephone | 7046208856 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 3825 | NC | Chiropractic Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PROVIDENCE HEALTH CENTER | 6901 Medical Pkwy, Waco, TX 76712-7910 |
| Street Address |
6911 SHANNON WILLOW RD SUITE 500 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28226-1351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972686251 | Angela Ellen Mackert | Speech-Language Pathologist | 6911 Shannon Willow Rd, Suite 700, Charlotte, NC 28226-1346 | 2006-10-23 |
| 1629575089 | Jennifer O'brien Adorno | Counselor | 6911 Shannon Willow Rd, Charlotte, NC 28226-1346 | 2018-04-11 |
| 1619413820 | Carolina Physical Medicine PC | Psychiatry & Neurology | 6911 Shannon Willow Rd, Suite 500, Charlotte, NC 28226-1346 | 2017-01-11 |
| 1003365362 | Kidspeak Management, LLC | Clinic/Center | 6911 Shannon Willow Rd, Suite 700, Charlotte, NC 28226-1346 | 2016-09-28 |
| 1891147237 | Providence Physical Medicine PC | Physical Medicine & Rehabilitation | 6911 Shannon Willow Rd, Ste 500, Charlotte, NC 28226-1346 | 2016-07-11 |
| 1598056970 | Laine Anne Gutierrez | Speech-Language Pathologist | 6911 Shannon Willow Rd, Suite 700, Charlotte, NC 28226-1346 | 2011-04-20 |
| 1811204217 | North Carolina Neuropsychiatry | Clinical Neuropsychologist | 6911 Shannon Willow Rd, Suite 100, Charlotte, NC 28226-1346 | 2010-09-07 |
| 1801113717 | Timothy A Lesondak | Physical Therapist | 6911 Shannon Willow Rd, Suite 700, Charlotte, NC 28226-1346 | 2010-05-01 |
| 1770818643 | Julie Rabon | Speech-Language Pathologist | 6911 Shannon Willow Rd, Suite 700, Charlotte, NC 28226-1346 | 2009-10-12 |
| 1245563683 | Douglas Wayne Morris | Chiropractor | 6911 Shannon Willow Rd, Charlotte, NC 28226-1346 | 2009-09-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841837507 | Southeast Vulvar Clinic, Pllc | Dermatology | 6406 Carmel Road, Suite 309, Charlotte, NC 28226 | 2019-12-02 |
| 1427540012 | Kenneth William Riley Jr. | Behavioral Analyst | 10953 Park Rd., Charlotte, NC 28226 | 2018-05-31 |
| 1780103838 | Tamara Andres | Specialist/Technologist | 2518 Lawton Bluff Rd., Charlotte, NC 28226 | 2017-09-10 |
| 1083132609 | Xenon Anesthesia of North Carolina Pllc | Anesthesiology | 7006 Shannon Willow Road, Charlotte, NC 28226 | 2017-09-04 |
| 1104354117 | Lauren Nicole Brindisi | Chiropractor | 11230 Carmel Commons Blvd., Charlotte, NC 28226 | 2017-06-03 |
| 1346790821 | Carolinas Skin Center Pa | Plastic Surgery | 3315 Springbank Lane, Suite 202, Charlotte, NC 28226 | 2016-10-10 |
| 1871040469 | Julie R Jackson | Counselor | 7810 Prineville-mathews Road, Charlotte, NC 28226 | 2016-09-01 |
| 1518346105 | Christopher Abernathy | Dentist | 3111 Springbank Ln Ste A, Charlotte, NC 28226 | 2015-05-28 |
| 1285067504 | Amy N Bullock | Physical Therapist | 7207 Marcel Ln Apt 1138, Charlotte, NC 28226 | 2013-08-11 |
| 1528405297 | Elevate Counseling and Clinical Services, Pllc | Community/Behavioral Health | 107220 Carmel Commons Blvd., Ste. 320, Charlotte, NC 28226 | 2013-06-04 |
| Find all providers in zip 28226 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001776 | Abigail Plowcha | Chiropractor | 4818 Charlton Ln, Charlotte, NC 28210-2705 | 2020-10-22 |
| 1821602707 | Jose Cruz Troche | Chiropractor | 6253 South Blvd, Charlotte, NC 28217-4440 | 2020-09-08 |
| 1386268233 | Alison Day | Chiropractor | 1533 Pecan Ave, Charlotte, NC 28205-3415 | 2020-06-05 |
| 1881218808 | Evolve Health & Wellness, Pllc | Chiropractor | 3533 Providence Manor Rd, Charlotte, NC 28270-0794 | 2020-06-05 |
| 1306467196 | Lee Christopher Vang | Chiropractor | 6600 Touchwood Dr, Charlotte, NC 28227-8051 | 2020-05-03 |
| 1689200495 | Pannell Wellness Solutions Pllc | Chiropractor | 10716 Overlook Mountain Dr, Charlotte, NC 28216-7812 | 2020-03-13 |
| 1275168288 | Chirosagge, Pllc | Chiropractor | 5200 Park Rd Ste 102-b, Charlotte, NC 28209-3650 | 2020-03-10 |
| 1265064844 | Ka Bao Chang | Chiropractor | 6625 Pawnee Dr, Charlotte, NC 28214-2849 | 2020-02-11 |
| 1538703137 | Gg Chiropractic LLC | Chiropractor | 8811 Blakeney Professional Dr Ste 120, Charlotte, NC 28277-6599 | 2019-11-06 |
| 1205477502 | Family First Chiropractic and Acupuncture Pllc | Chiropractor | 6303 Carmel Rd Ste 101, Charlotte, NC 28226-8281 | 2019-10-08 |
| Find all providers in CHARLOTTE | ||||
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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.