THE PRESBYTERIAN HOSPITAL (NPI# 1669535977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669535977 |
| Entity Type | Organization |
| Organization Name | THE PRESBYTERIAN HOSPITAL |
| Other Organization Name | PROFESSIONAL SERVICES OF PRESBYTERIAN ORTHOPEDIC |
| Practice Address |
1901 Randolph Rd. Charlotte NC 28207 |
| Mailing Address |
2085 Frontis Plaza Blvd 2nd Floor Bd&s Winston Salem NC 27103-5614 |
| Practice Telephone | 7043162000 |
| Mailing Telephone | 3362771149 |
| Mailing Fax Number | 3362777675 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2014-11-10 |
| Authorized Official Name | MR. FREDERICK MCDOWELL HARGETT JR. (EVP/CFO) |
| Authorized Official Telephone | 7043845184 |
| Is Organization Subpart | Y |
| Parent Organization Name | THE PRESBYTERIAN HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS | 07626 | 01 | |
| TRICARE | 562090263 | 01 |
| Other Name | Type Code |
|---|---|
| Professional Services of Presbyterian Orthopedic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851909816 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 660, Charlotte, NC 28204-3215 | 2020-07-16 |
| 1346858487 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 560, Charlotte, NC 28204-3215 | 2020-07-15 |
| 1295343341 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 640, Charlotte, NC 28204-3215 | 2020-07-15 |
| 1750909032 | The Presbyterian Hospital | Emergency Medicine | 125 Queens Rd Ste 500, Charlotte, NC 28204-3215 | 2020-07-13 |
| 1881212215 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 520, Charlotte, NC 28204-3215 | 2020-07-13 |
| 1720606486 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 400, Charlotte, NC 28204-3215 | 2020-07-09 |
| 1720606445 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 430, Charlotte, NC 28204-3215 | 2020-07-09 |
| 1235757352 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 420, Charlotte, NC 28204-3215 | 2020-07-07 |
| 1700385846 | The Presbyterian Hospital | Internal Medicine | 1918 Randolph Rd Ste 820, Charlotte, NC 28207-1119 | 2018-02-05 |
| 1174989479 | The Presbyterian Hospital | Internal Medicine | 14135 Ballantyne Corporate Pl Ste 200&160, Charlotte, NC 28277-3383 | 2016-01-04 |
| Street Address |
1901 RANDOLPH RD. |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013560739 | Louis Roncaglione | Dentist | 8815 Christenbury Pkway, Concord, NC 28207 | 2019-07-22 |
| 1619430014 | Khrystyna Levytska | Student in an Organized Health Care Education/Training Program | Myers Park Clinic Ob/gyn, 1350 S. Kings Dr., Charlotte, NC 28207 | 2019-04-11 |
| 1649743584 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 1005 South Kings Drive, Charlotte, NC 28207 | 2019-01-03 |
| 1023584489 | Herron and Smith Associates, Pllc | Dentist | 135 Perrin Place, Suite 100, Charlotte, NC 28207 | 2018-10-23 |
| 1588161640 | Lauren Mogk | Student in an Organized Health Care Education/Training Program | Myers Park Clinical Internal Medicine, 1350 S. Kings Dr., 3rd Floor, Charlotte, NC 28207 | 2018-04-06 |
| 1518462241 | Sarah Hollyn Carlock | Student in an Organized Health Care Education/Training Program | Myers Park Clinic Internal Medicine, 1350 S Kings Dr, 3rd Floor, Charlotte, NC 28207 | 2018-03-26 |
| 1083118178 | Claire Milam | Student in an Organized Health Care Education/Training Program | Cmc/department of Emergency Medicine, 100 Blythe Blvd, Charlotte, NC 28207 | 2018-03-22 |
| 1811422256 | Complete Care At Dartmouth LLC | Skilled Nursing Facility | 300 Province Road, Charlotte, NC 28207 | 2017-04-24 |
| 1063945467 | Kaitlyn O'keefe | Internal Medicine | 1350 S. Kings Dr., 3rd Floor, Myers Park Clinic Internal Medicine, Charlotte, NC 28207 | 2017-04-04 |
| 1811432024 | Advanced Prosthetics of Easley, Inc | Durable Medical Equipment & Medical Supplies | 2310 Randolph Rd Ste A, Charlotte, NC 28207 | 2016-12-23 |
| Find all providers in zip 28207 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598252207 | Kim Dudley | Specialist | 9208 Ardrey Kell Rd Ste 14, Charlotte, NC 28277-0786 | 2018-04-18 |
| 1568828994 | Darla Lilleberg | Specialist | 428 E 4th St, Suite 333, Charlotte, NC 28202-2434 | 2016-01-14 |
| 1508222175 | Candy Sue Benish | Specialist | 3349 Chilham Pl, Charlotte, NC 28226-3000 | 2016-01-12 |
| 1245614874 | Joseph Franklin Cline | Specialist | 8133 Ardrey Kell Rd Ste 203, Charlotte, NC 28277-5723 | 2015-07-14 |
| 1689055147 | James Salfia | Specialist | 9608 Rainbow Forest Dr, Charlotte, NC 28277-8773 | 2015-06-10 |
| 1811384720 | Diabetes and Metabolism Care Group Pllc | Specialist | 10344 Park Rd, Charlotte, NC 28210-8470 | 2015-04-17 |
| 1730579657 | Queen Charlotte Hair Replacement Center | Specialist | 5729 Cedars East Ct Apt 6, Charlotte, NC 28212-0192 | 2015-01-30 |
| 1285046573 | Said Yousef | Specialist | 8706 Holly Creek Ct, Charlotte, NC 28216-2666 | 2014-05-21 |
| 1235564758 | Barbara Jo Halton-bailey | Specialist | 231 Old Bell Rd, Charlotte, NC 28270-2792 | 2013-09-04 |
| 1508206061 | Amalia Cisneros | Specialist | 5800 N Sharon Amity Rd Ste B, Charlotte, NC 28215-5081 | 2013-06-28 |
| 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.