PINEVILLE PEDIATRICS,PLLC (NPI# 1679913651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679913651 |
| Entity Type | Organization |
| Organization Name | PINEVILLE PEDIATRICS,PLLC |
| Practice Address |
10700 Kettering Dr Suite D Charlotte NC 28226-3770 |
| Practice Telephone | 7045403036 |
| Enumeration Date | 2013-07-05 |
| Last Update Date | 2013-07-05 |
| Authorized Official Name | SATYA JAMMALAMADAKA (MD) |
| Authorized Official Telephone | 7045403036 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
201001747 | NC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5916594 | 05 |
| Street Address |
10700 KETTERING DR SUITE D |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28226-3770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770642803 | M Yaghi Dds Pa | Dentist | 10700 Kettering Dr, Suite A, Charlotte, NC 28226-3770 | 2006-12-06 |
| 1487105136 | Hugh Ogletree Jr Dmd Ms Pa | Dentist | 10700 Kettering Dr, Charlotte, NC 28226 | 2016-10-18 |
| 1598013021 | Henry Hien Vu | Dentist | 10700 Kettering Dr, Suite A, Charlotte, NC 28226-3770 | 2012-08-15 |
| 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 | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851907604 | Primary Care of North Carolina Inc | Clinic/Center | 3500 Stonehaven Dr, Charlotte, NC 28215-3232 | 2020-09-17 |
| 1528619293 | Careatc | Clinic/Center | 3615 Whitehall Park Dr Ste G, Charlotte, NC 28273-4199 | 2019-09-24 |
| 1932607595 | Charlotte Proactive Md PC | Clinic/Center | 11220 Golf Links Drive North, Charlotte, NC 28277 | 2018-01-30 |
| 1952826323 | Lms Medical Services Pllc | Clinic/Center | 416 Mccullough Dr Ste 205, Charlotte, NC 28262-4392 | 2017-08-07 |
| 1326579640 | Mountain Summit Medical LLC | Clinic/Center | 10523 Kempsford Dr, Charlotte, NC 28262-2720 | 2017-03-27 |
| 1609328210 | Careatc-whitehall | Clinic/Center | 3615 Whitehall Park Dr, Suite G, Charlotte, NC 28273-4138 | 2016-10-30 |
| 1558711572 | Happy Healthcare, LLC | Clinic/Center | 3379 Highway 48 N Ste A, Charlotte, TN 37036-4838 | 2016-06-21 |
| 1912363177 | Ourhealth Physicians Group, LLC | Clinic/Center | 9020 Albemarle Rd, Suite E, Charlotte, NC 28227-2603 | 2016-01-04 |
| 1932573037 | Ourhealth Physicians Group, LLC | Clinic/Center | 4000 Wilkinson Blvd, Suite A, Charlotte, NC 28208-5521 | 2015-11-30 |
| 1861866964 | Ourhealth Physicians Group, LLC | Clinic/Center | 10216 Perimeter Pkwy, Unit C, Charlotte, NC 28216-2461 | 2015-11-30 |
| 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.