STATESVILLE HMA MEDICAL GROUP, LLC (NPI# 1629352679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629352679 |
| Entity Type | Organization |
| Organization Name | STATESVILLE HMA MEDICAL GROUP, LLC |
| Other Organization Name | PINNACLE ORTHOPEDIC ASSOCIATES |
| Practice Address |
340 Signal Hill Dr Ste A Statesville NC 28625-4483 |
| Mailing Address |
5811 Pelican Bay Blvd Suite 500 Naples FL 34108-2733 |
| Practice Telephone | 7048736065 |
| Practice Fax Number | 7048736059 |
| Mailing Telephone | 2395983131 |
| Mailing Fax Number | 2395920438 |
| Enumeration Date | 2011-10-07 |
| Last Update Date | 2013-08-28 |
| Authorized Official Name | MR. MICHAEL L GINGRAS (VICE PRESIDENT) |
| Authorized Official Telephone | 2395983131 |
| Is Organization Subpart | Y |
| Parent Organization Name | HEALTH MANAGEMENT ASSOCIATES, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Pinnacle Orthopedic Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548544984 | Statesville Hma Medical Group, LLC | Surgery | 1703 Davie Ave, Statesville, NC 28677-3521 | 2011-10-04 |
| 1538443973 | Statesville Hma Medical Group, LLC | Psychiatry & Neurology | 1418 Fern Creek Dr, Statesville, NC 28625-9376 | 2011-10-04 |
| 1639407737 | Statesville Hma Medical Group, LLC | Family Medicine | 1412 Fern Creek Dr, Statesville, NC 28625-9376 | 2009-12-01 |
| 1548796584 | Statesville Hma Medical Group, LLC | Family Medicine | 35 Ruritan Park Rd, Stony Point, NC 28678-8928 | 2017-05-11 |
| 1932476298 | Statesville Hma Medical Group, LLC | Urology | 1410 Fern Creek Dr, Statesville, NC 28625-9376 | 2011-11-30 |
| 1801163167 | Statesville Hma Medical Group, LLC | Family Medicine | 1414 Fern Creek Dr, Statesville, NC 28625-9376 | 2011-11-30 |
| 1497031314 | Statesville Hma Medical Group, LLC | Internal Medicine | 349 Brookdale Dr, Statesville, NC 28677-4103 | 2011-10-24 |
| 1609150655 | Statesville Hma Medical Group, LLC | Orthopaedic Surgery | 223 Hospital St, Mocksville, NC 27028-2038 | 2011-10-07 |
| 1871877829 | Statesville Hma Medical Group, LLC | Physical Therapist | 375 Hospital St, Suite 200, Mocksville, NC 27028-2086 | 2011-10-07 |
| 1942584990 | Statesville Hma Medical Group, LLC | Orthopaedic Surgery | 305 E Lee Ave, Yadkinville, NC 27055-8132 | 2011-10-07 |
| Street Address |
340 SIGNAL HILL DR STE A |
| City | STATESVILLE |
| State | NC |
| Zip Code | 28625-4483 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124339890 | Vivek M Trivedi | Internal Medicine | 340 Signal Hill Dr Ste A, Statesville, NC 28625-4483 | 2010-06-28 |
| 1629603774 | Brittny L Mielke | Registered Nurse | 340 Signal Hill Dr Ste A, Statesville, NC 28625-4483 | 2020-03-10 |
| 1326503806 | Piedmont Healthcare Pa | Internal Medicine | 340 Signal Hill Dr Ste A, Statesville, NC 28625-4483 | 2019-02-08 |
| 1144679051 | Tiedre Palmer | Nurse Practitioner | 340 Signal Hill Dr Ste A, Statesville, NC 28625-4483 | 2016-06-10 |
| 1326319278 | Nikhiel Bhasker Rau | Internal Medicine | 340 Signal Hill Dr Ste A, Statesville, NC 28625-4483 | 2012-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730714163 | Sandra Lourdes Mayta | Counselor | 1450 Fern Creek Drive, Statesville, NC 28625 | 2020-03-05 |
| 1023643582 | Youngchi Chang Dds Pllc | Dentist | 964 Glenway Ave Ste A, Statesville, NC 28625 | 2020-03-05 |
| 1538799200 | Nicole-marie Blischak | Dentist | 964 Glenway Dr, Ste A, Statesville, NC 28625 | 2020-01-22 |
| 1013575257 | Sherry Neilson | Registered Nurse | 524 Signal Hill Rd, Statesville, NC 28625 | 2019-06-03 |
| 1770904328 | Elinor Kyle Tyner | Counselor | 1206 Museum Road, Statesville, NC 28625 | 2013-12-30 |
| 1982031001 | Tamiko Bradley | Counselor | 524 Signal Hill Dr Ext, Statesville, NC 28625 | 2013-10-03 |
| 1487932505 | Nicole Weisner Winecoff | Advanced Practice Midwife | 1420 Fern Creek Drive, Statesville, NC 28625 | 2011-07-22 |
| 1538461967 | Bethany J Sprague | Nurse Practitioner | 2632 Fines Creek Dr, Statesville, NC 28625 | 2010-11-17 |
| 1477789147 | Greenbriar Primary Care, Pa | Nurse Practitioner | 308-c Mocksville Highway, Statesville, NC 28625 | 2009-06-08 |
| 1619122538 | Phasebdevelopment | Substance Abuse Rehabilitation Facility | 113 Bethany Rd, Statesville, NC 28625 | 2008-11-19 |
| Find all providers in zip 28625 | ||||
| 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 |
|---|---|---|---|---|
| 1790873586 | Carolina Orthopedics and Sports Medicine Specialists, Pa | Orthopaedic Surgery | 702 Hartness Rd, Statesville, NC 28677-3425 | 2006-10-10 |
| 1699767350 | Richard W Adams | Orthopaedic Surgery | 770 Hartness Rd, Statesville, NC 28677-3376 | 2005-08-18 |
| 1477553691 | John Alex Seldomridge IIi | Orthopaedic Surgery | 633 Brookdale Dr, Suite 300, Statesville, NC 28677-3451 | 2005-07-29 |
| 1720220460 | Colby Fagin | Orthopaedic Surgery | 633 Brookdale Dr, Statesville, NC 28677-3451 | 2009-03-26 |
| 1720246341 | Iredell Physician Network LLC | Orthopaedic Surgery | 774 Hartness Rd, Statesville, NC 28677-3376 | 2008-05-30 |
| 1053500785 | Mark B Williamson, Md Pa | Orthopaedic Surgery | 218 Old Mocksville Rd, Statesville, NC 28625-1930 | 2007-10-18 |
| 1679685929 | Mark Bascom Williamson | Orthopaedic Surgery | 218 Old Mocksville Rd, Statesville, NC 28625-1930 | 2006-08-31 |
| 1396777066 | Scott C Brandon | Orthopaedic Surgery | 633 Brookdale Dr, Suite 300, Statesville, NC 28677-3403 | 2006-07-06 |
| 1639140643 | Brett L Feldman | Orthopaedic Surgery | 633 Brookdale Dr, Suite 300, Statesville, NC 28677-3451 | 2006-01-28 |
| 1447238571 | Robert Ira Saltzman | Orthopaedic Surgery | 770 Hartness Rd, Statesville, NC 28677-4321 | 2006-01-09 |
| Find all providers in STATESVILLE | ||||
| City | STATESVILLE |
| Zip Code | 28625 |
Please comment or provide details below to improve the information on STATESVILLE HMA MEDICAL GROUP, LLC.
| 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.