NOVANT MEDICAL GROUP, INC. (NPI# 1689185910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689185910 |
| Entity Type | Organization |
| Organization Name | NOVANT MEDICAL GROUP, INC. |
| Other Organization Name | NOVANT HEALTH ORTHOPEDICS & SPORTS MEDICINE |
| Practice Address |
1910 Jake Alexander Blvd W Ste 202 Salisbury NC 28147-1165 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 7042165633 |
| Enumeration Date | 2017-10-13 |
| Last Update Date | 2017-10-13 |
| Authorized Official Name | GEOFFREY K GARDNER (VP OF FINANCE) |
| Authorized Official Telephone | 7043847840 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Novant Health Orthopedics & Sports Medicine | 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 |
1910 JAKE ALEXANDER BLVD W STE 202 |
| City | SALISBURY |
| State | NC |
| Zip Code | 28147-1165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336136837 | Eugene A. Eline | Orthopaedic Surgery | 1910 Jake Alexander Blvd W Ste 202, Salisbury, NC 28147-1165 | 2005-09-30 |
| 1376142398 | Abigail Jordan Bailey | Psychiatry & Neurology | 1910 Jake Alexander Blvd W Ste 202, Salisbury, NC 28147-1165 | 2020-10-21 |
| 1275002511 | Justin James Festa | Physician Assistant | 1910 Jake Alexander Blvd W Ste 202, Salisbury, NC 28147-1165 | 2018-11-15 |
| 1376041525 | Erin Elizabeth Ferrante | Physician Assistant | 1910 Jake Alexander Blvd W Ste 202, Salisbury, NC 28147 | 2018-01-23 |
| 1073825485 | Jedediah David Alexander Robinson | Physical Medicine & Rehabilitation | 1910 Jake Alexander Blvd W Ste 202, Salisbury, NC 28147-1165 | 2010-07-14 |
| 1750693065 | Jeffrey Michael Zeckser | Internal Medicine | 1910 Jake Alexander Blvd W Ste 202, Salisbury, NC 28147-1165 | 2010-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700397908 | The Young Men's Christian Association of Rowan County, N.c., Inc. | Health Educator | 828 Jake Alexander Blvd., West, Salisbury, NC 28147 | 2017-10-16 |
| 1417490202 | Angels At Heart Assisted Living | PACE Provider Organization | 140 Kent Road, Salisbury, NC 28147 | 2016-11-28 |
| 1780047316 | Lugina Dumas | Counselor | 1100 Litaker Farm Road, Salisbury, NC 28147 | 2016-03-31 |
| 1689054777 | Travis Howell | Occupational Therapist | 548 White Oak Drive, Apt 310, Salisbury, NC 28147 | 2015-06-03 |
| 1790115384 | Urgent Cares of America North Carolina Inc | Non-Pharmacy Dispensing Site | 1361 Klumac Road, Salisbury, NC 28147 | 2013-11-18 |
| 1336499409 | Ashley Elizabeth Jones | Speech-Language Pathologist | 701julian Road, Salisbury, NC 28147 | 2012-09-14 |
| 1730489360 | Shepherd's Home Care | Home Health | 1953 W Jake Alexander Blvd, 2, Salisbury, NC 28147 | 2010-10-29 |
| 1346369006 | Denise Murphy | Occupational Therapist | 548 White Oaks Dr, Salisbury, NC 28147 | 2007-03-27 |
| 1205992203 | Robert N Whitaker Jr Md Pa | Otolaryngology | 330 Jake Alexander Blvd West Suite 101, Salisbury, NC 28147 | 2006-12-28 |
| 1720174162 | Michael Steven Binder | Chiropractor | 2124 Statesville Blvd, Salisbury, NC 28147 | 2006-10-05 |
| Find all providers in zip 28147 | ||||
| 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 |
|---|---|---|---|---|
| 1881663730 | Robert S Humble | Orthopaedic Surgery | 605 Grove St, Salisbury, NC 28144-3233 | 2006-03-14 |
| 1659352375 | John Joseph Greco | Orthopaedic Surgery | 1675 Woodbrooke Drive, Salisbury, MD 21804 | 2005-11-09 |
| 1740261809 | Harrison Armistead Latimer | Orthopaedic Surgery | 810 Mitchell Ave, Salisbury, NC 28144-6253 | 2005-11-07 |
| 1336136837 | Eugene A. Eline | Orthopaedic Surgery | 1910 Jake Alexander Blvd W Ste 202, Salisbury, NC 28147-1165 | 2005-09-30 |
| 1043719610 | The Charlotte-mecklenburg Hospital Authority | Orthopaedic Surgery | 340 Jake Alexander Blvd W, Ste 101, Salisbury, NC 28147-1364 | 2018-02-08 |
| 1861913311 | Bo Alan Wilkinson | Orthopaedic Surgery | 1675 Woodbrooke Dr, Salisbury, MD 21804-8502 | 2017-07-05 |
| 1841616950 | Novant Medical Group, Inc | Orthopaedic Surgery | 400 Mocksville Ave, Salisbury, NC 28144-2740 | 2014-03-13 |
| 1396182945 | Taylor Joseph Wiley | Orthopaedic Surgery | 1675 Woodbrooke Dr, Salisbury, MD 21804-8502 | 2013-05-22 |
| 1407190010 | Novant Medical Group, Inc | Orthopaedic Surgery | 1035 Lincolnton Rd, Salisbury, NC 28144-6277 | 2012-11-20 |
| 1770827388 | Novant Medical Group, Inc | Orthopaedic Surgery | 810 Mitchell Ave, Salisbury, NC 28144-6253 | 2012-11-20 |
| Find all providers in SALISBURY | ||||
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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.