DR. WILLIAM MITCHELL BLITSTEIN (NPI# 1619954005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619954005 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM MITCHELL BLITSTEIN |
| Credential | DC, FASA, CCSP |
| Practice Address |
2305 E Wt Harris Blvd Ste 102 Charlotte NC 28213 |
| Practice Telephone | 7049210505 |
| Practice Fax Number | 7049210508 |
| Mailing Telephone | 7049210505 |
| Mailing Fax Number | 7049210508 |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2013-01-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111NS0005X |
Chiropractor Specialization: Sports Physician |
SC2487 | SC | Chiropractic Providers |
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
NC2475 | NC | Chiropractic Providers |
| N | 171100000X | Acupuncturist | 3852 | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 0831X | 05 |
| Street Address |
2305 E WT HARRIS BLVD STE 102 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275727471 | Chad Randall Drilling | Chiropractor | 2305 E Wt Harris Blvd, Suite 102, Charlotte, NC 28213-5133 | 2007-08-30 |
| 1699805895 | Michele Annebelle Morrison | Chiropractor | 2305 E Wt Harris Blvd, University East Business Park, Suite 102, Charlotte, NC 28213-5133 | 2007-03-06 |
| 1801874359 | Michele Renee Blitstein | Chiropractor | 2305 E Wt Harris Blvd, Ste 102, Charlotte, NC 28213 | 2006-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194288241 | Tonya Denise Farmer | Nurse Practitioner | 620 Tom Hunter Road, Charlotte, NC 28213 | 2019-04-06 |
| 1447743331 | April Neville | Counselor | 2442 Ryerson Ct, Charlotte, NC 28213 | 2018-06-14 |
| 1194234328 | Specialized Health Care Services | Case Management | 2750 E. Wt Harris Blvd, Suite 128, Charlotte, NC 28213 | 2017-09-19 |
| 1871016816 | Monarch | Occupational Therapist | 1810 Back Creek Drive, Charlotte, NC 28213 | 2017-07-21 |
| 1609306778 | Mackenzie Cashman Precht | Physician Assistant | 2225 E W T Harris Blvd Unit B, Charlotte, NC 28213 | 2017-06-12 |
| 1861939118 | Nensi Pandya | Pharmacist | 10227 University City Blvd, Charlotte, NC 28213 | 2017-01-25 |
| 1952721458 | Morgan Washington | Specialist/Technologist | 2336 Comfrey Court, Charlotte, NC 28213 | 2014-04-23 |
| 1992132393 | Midway Healthcare | Home Health | 6003 Dovetree Lane Suite D, Charlotte, NC 28213 | 2013-09-30 |
| 1932445178 | Zachary Gachogu Kariuki | Counselor | 10417 Round Leaf Drive, Charlotte, NC 28213 | 2012-12-17 |
| 1962747675 | Crystal Cherie Simmons | Counselor | 13724 Riding Hill Ave, Charlotte, NC 28213 | 2012-12-06 |
| Find all providers in zip 28213 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710170808 | Eric David Bryant | Chiropractor | 8041 Corporate Center Drive, Suite 100, Charlotte, NC 28226-4553 | 2007-08-22 |
| 1184783367 | Arnie Wynn | Chiropractor | 610 E 7th St, Suite 2a, Charlotte, NC 28202-2923 | 2006-12-06 |
| 1821168725 | Timothy Patrick Clare | Chiropractor | 13209 Carowinds Blvd Ste G, Charlotte, NC 28273-6735 | 2006-11-08 |
| 1144303108 | Matthew James Hargreaves | Chiropractor | 525 N Tryon St, Suite 1615, Charlotte, NC 28202-0200 | 2006-10-23 |
| 1396840823 | Edward Joseph Steel | Chiropractor | 1409 Pierson Dr, Charlotte, NC 28205-6445 | 2006-09-13 |
| 1043226640 | Steven Craig Mcareavy | Chiropractor | 212 S Tryon St, Suite 11, Charlotte, NC 28281-0001 | 2006-08-01 |
| 1346291424 | Craig A Schulman | Chiropractor | 8316 Pineville Matthews Rd, 806, Charlotte, NC 28226-4754 | 2006-05-13 |
| 1316102130 | Carolina's Spine and Sports Treatment Center, Pllc | Chiropractor | 525 N Tryon St, Suite 1615, Charlotte, NC 28202-0200 | 2008-07-21 |
| 1487796157 | Steel Chiropractic Clinic P.a. | Chiropractor | 1409 Pierson Dr, Charlotte, NC 28205-6445 | 2007-02-12 |
| 1891875779 | Laurie Grovine | Chiropractor | 10701 Park Rd, Suite G, Charlotte, NC 28210-8492 | 2006-10-16 |
| Find all providers in CHARLOTTE | ||||
Please comment or provide details below to improve the information on DR. WILLIAM MITCHELL BLITSTEIN.
| 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.