NOVANT MEDICAL GROUP, INC. (NPI# 1669954608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669954608 |
Entity Type | Organization |
Organization Name | NOVANT MEDICAL GROUP, INC. |
Other Organization Name | NOVANT HEALTH SOUTHERN PIEDMONT PRIMARY CARE |
Practice Address |
6488 Weddington-monroe Wesley Chapel NC 28104 |
Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
Practice Telephone | 7043165650 |
Mailing Telephone | 8442668268 |
Enumeration Date | 2018-09-06 |
Last Update Date | 2018-09-06 |
Authorized Official Name | SHALA DAVIS (MANAGER) |
Authorized Official Telephone | 7043167845 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Novant Health Southern Piedmont Primary Care | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033723531 | Novant Medical Group, Inc. | Surgery | 1450 Matthews Township Pkwy Ste 320, Matthews, NC 28105-2389 | 2020-09-02 |
1346868155 | Novant Medical Group, Inc. | Family Medicine | 106 Corporate Park Dr Ste 200, Mooresville, NC 28117-7134 | 2020-07-08 |
1861019150 | Novant Medical Group, Inc. | Family Medicine | 2701 Statesville Ave., Charlotte, NC 28206 | 2020-07-02 |
1932725124 | Novant Medical Group, Inc. | Internal Medicine | 125 Queens Rd Ste 510, Charlotte, NC 28204-3215 | 2020-06-23 |
1922645571 | Novant Medical Group, Inc. | Surgery | 6324 Fairview Rd Ste 420, Charlotte, NC 28210-3372 | 2019-12-03 |
1437706256 | Novant Medical Group, Inc. | Physical Therapist | 11202 Harris Rd, Huntersville, NC 28078-7633 | 2019-08-26 |
1336795137 | Novant Medical Group, Inc. | Surgery | 3515 W Market St Ste 310, Greensboro, NC 27403-4438 | 2019-08-16 |
1104472125 | Novant Medical Group, Inc. | Neurological Surgery | 3515 W Market St Ste 210, Greensboro, NC 27403-4442 | 2019-08-15 |
1649824954 | Novant Medical Group, Inc. | Family Medicine | 6555 Kee Lane, Harrisburg, NC 28075-7463 | 2019-07-25 |
1285287185 | Novant Medical Group, Inc. | Lactation Consultant, Non-RN | 6324 Fairview Rd Ste 435, Charlotte, NC 28210-4278 | 2019-07-19 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | NOVANT MEDICAL GROUP, INC. | 200 Hawthorne Ln, Charlotte, NC 28204-2515 |
Street Address |
6488 WEDDINGTON-MONROE |
City | WESLEY CHAPEL |
State | NC |
Zip Code | 28104 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962038133 | Robert Anthony Baldinell | Behavior Technician | 4224 Weddington Matthews Rd, Wedding, NC 28104 | 2020-03-19 |
1740841972 | Jennifer Louise Lowder | Occupational Therapist | 3653 Huntington Drive, Matthews, NC 28104 | 2019-06-27 |
1427565704 | Hiren Patel D.m.d. II, Pa | Clinic/Center | 2925 Matthews Weddington Road, Suite 200, Matthews, NC 28104 | 2018-01-08 |
1073069274 | Amie Freeman | Pharmacist | 6300 Weddington-monroe Rd, Matthews, NC 28104 | 2016-08-28 |
1568819928 | Katelyn Koch | Behavioral Analyst | 4225 Weddington Matthews Road, Weddington, NC 28104 | 2016-05-16 |
1396103958 | Kristen Smith | Advanced Practice Midwife | 6488 Weddington Monroe Rd, Wesley Chapel, NC 28104 | 2016-02-10 |
1407226137 | Ulla Svane Chiropractic Pllc | Clinic/Center | 13635 Providence Road, Weddington, NC 28104 | 2015-10-07 |
1699159392 | Anait Balasanyan | Dentist | 5922 Weddington-monroe Rd., Ste A-2, Wesley Chapel, NC 28104 | 2015-07-13 |
1780082461 | Balasanyan & Associates Pllc | Dentist | 5922 Weddington-monroe Rd, Suite A2, Wesley Chapel, NC 28104 | 2014-12-12 |
1629317987 | Laura Anne Theunisse | Physical Therapist | 13635 Providence Rd, Weddington, NC 28104 | 2013-02-06 |
Find all providers in zip 28104 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
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1598230740 | Medical Risk Solutions | Family Medicine | 30833 Wells Road, Wesley Chapel, FL 33545 | 2018-10-03 |
1245760602 | Molinares Medical Center, LLC | Family Medicine | 2312 Crestover Lane, Ste 101, Wesley Chapel, FL 33544 | 2017-06-18 |
1598151938 | Jennifer Pernas Boucher | Family Medicine | 30000 County Line Rd, Wesley Chapel, FL 33543 | 2015-04-13 |
1306273339 | Molinares Medical & Holistic Centre, Inc | Family Medicine | 2311 Cypress Cv Suite 101, Wesley Chapel, FL 33544 | 2013-10-04 |
1801042635 | Alexandra Maria Molinares-sosa | Family Medicine | 2311 Cypress Cove Suite 101, Wesley Chapel, FL 33544 | 2008-08-12 |
1477723807 | Lifetime Family Urgent Care LLC | Family Medicine | 5801 Argerian Drive, Suite 103, Wesley Chapel, FL 33544 | 2008-02-29 |
1982897732 | Tommy Cg Mcelroy | Family Medicine | 2405 Creel Ln, Suite 102, Wesley Chapel, FL 33544-4607 | 2007-08-24 |
1962693358 | Karina Azank Parilo | Family Medicine | 2615 Windguard Cir Ste 101, Wesley Chapel, FL 33544-7353 | 2007-08-09 |
1689873028 | Familycare of Wesley Chapel | Family Medicine | 5251 Village Market, Wesley Chapel, FL 33544 | 2007-07-16 |
1639373509 | Mashira Denisha Jackson-gallegos | Family Medicine | 2352 Bruce B Downs Blvd, Ste 101, Wesley Chapel, FL 33544-9203 | 2007-06-13 |
Find all providers in WESLEY CHAPEL |
City | WESLEY CHAPEL |
Zip Code | 28104 |
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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.