CLEVELAND HEALTH VENTURES LLC (NPI# 1700109188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700109188 |
| Entity Type | Organization |
| Organization Name | CLEVELAND HEALTH VENTURES LLC |
| Other Organization Name | SHELBY WOMEN'S CARE |
| Practice Address |
110 W Grover St Shelby NC 28150-3825 |
| Mailing Address |
Po Box 601884 Charlotte NC 28260-1884 |
| Practice Telephone | 7044875258 |
| Practice Fax Number | 7044870186 |
| Mailing Telephone | 7044875258 |
| Mailing Fax Number | 7044870186 |
| Enumeration Date | 2010-03-12 |
| Last Update Date | 2013-01-25 |
| Authorized Official Name | DANIEL L WIENS (SENIOR VICE PRESIDENT OPERATIONS) |
| Authorized Official Telephone | 7043550648 |
| Is Organization Subpart | Y |
| Parent Organization Name | CLEVELAND HEALTH VENTURES LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Shelby Women's Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235414830 | Cleveland Health Ventures LLC | Internal Medicine | 823 E. King Street, Kings Mountain, NC 28086-3186 | 2011-10-14 |
| 1760760052 | Cleveland Health Ventures LLC | Psychiatry & Neurology | 825 E. King Street, Kings Mountain, NC 28086-3186 | 2011-08-03 |
| 1780987693 | Cleveland Health Ventures LLC | Internal Medicine | 111 W. Grover Street, Shelby, NC 28150-3824 | 2010-12-15 |
| 1861795916 | Cleveland Health Ventures LLC | Internal Medicine | 802 N Lafayette St, Shelby, NC 28150-3831 | 2010-12-13 |
| 1811227978 | Cleveland Health Ventures LLC | Plastic Surgery | 807 Schenck Street, Suite 3, Shelby, NC 28150-5123 | 2010-01-12 |
| 1407195431 | Cleveland Health Ventures LLC | Plastic Surgery | 823 E King St, Suite B, Kings Mountain, NC 28086-3186 | 2013-02-12 |
| 1891063277 | Cleveland Health Ventures LLC | Family Medicine | 1010 E Dixon Blvd, Shelby, NC 28152-6838 | 2011-12-13 |
| 1326323239 | Cleveland Health Ventures LLC | Psychiatry & Neurology | 823 E King St, Kings Mountain, NC 28086-3186 | 2011-10-12 |
| 1326358334 | Cleveland Health Ventures LLC | Internal Medicine | 222 N Lafayette St, Suite 23, Shelby, NC 28150-4444 | 2010-10-13 |
| 1982916714 | Cleveland Health Ventures LLC | Psychiatry & Neurology | 202 E Grover St, Shelby, NC 28150-3977 | 2010-07-09 |
| Street Address |
110 W GROVER ST |
| City | SHELBY |
| State | NC |
| Zip Code | 28150-3825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265419444 | Dawn Martin-herring | Obstetrics & Gynecology | 110 W Grover St, Shelby, NC 28150-3825 | 2005-12-28 |
| 1366093957 | Alexis Holland Reuther Pruitt | Advanced Practice Midwife | 110 W Grover St, Shelby, NC 28150-3825 | 2019-09-25 |
| 1356826481 | Julie Royster | Advanced Practice Midwife | 110 W Grover St, Shelby, NC 28150-3825 | 2018-09-25 |
| 1225480361 | Amber Justice | Nurse Practitioner | 110 W Grover St, Shelby, NC 28150-3825 | 2016-07-12 |
| 1710335625 | Courtney Barbee | Nurse Practitioner | 110 W Grover St, Shelby, NC 28150-3825 | 2016-06-01 |
| 1801241567 | Brittany Papworth | Obstetrics & Gynecology | 110 W Grover St, Shelby, NC 28150-3825 | 2016-05-02 |
| 1508270570 | Hollis Konitzer | Obstetrics & Gynecology | 110 W Grover St, Shelby, NC 28150-3825 | 2014-06-17 |
| 1841632882 | Carolinas Physicians Network Inc | Obstetrics & Gynecology | 110 W Grover St, Shelby, NC 28150-3825 | 2013-07-18 |
| 1861627903 | Elizabeth Borders | Obstetrics & Gynecology | 110 W Grover St, Shelby, NC 28150-3825 | 2009-05-19 |
| 1871796136 | Christine Y House | Registered Nurse | 110 W Grover St, Shelby, NC 28150-3825 | 2007-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154981652 | Benjamin Caple | Dentist | 139 W Ross Grove Rd, Shelby, NC 28150 | 2019-06-17 |
| 1003471103 | Anne Marie Lackey | Physician Assistant | 215 Stacey Street, Lawndale, NC 28150 | 2019-05-03 |
| 1174001937 | Allstate Medical Equipment & Supplies | Durable Medical Equipment & Medical Supplies | 607 W Grover St, Shelby, NC 28150 | 2018-08-03 |
| 1013494970 | Shannon Bumgardner Standish | Nurse Practitioner | 1019 N Lafayette Street, Suite 1, Shelby, NC 28150 | 2018-07-24 |
| 1205323078 | Focused Care, Inc | Community/Behavioral Health | 834 Churchill Dr, Shelby, NC 28150 | 2018-04-17 |
| 1508373507 | Janelle Marie Velasco | Acupuncturist | 115 E Sumter St, Shelby, NC 28150 | 2017-12-29 |
| 1902344666 | Georgette Johnson | Durable Medical Equipment & Medical Supplies | 607 West Grover Street, Shelby, NC 28150 | 2017-02-02 |
| 1457703126 | Sweet Caroline Assisted Living LLC | Assisted Living Facility | 110 Greene Drive, Shelby, NC 28150 | 2016-07-06 |
| 1972954113 | Self Determination, LLC | Community Based Residential Treatment Facility, Mental Illness | 423 Millsap Rd, Shelby, NC 28150 | 2016-06-29 |
| 1306217666 | Living Family Supportive Services | Clinic/Center | 2538 West Dixon Blvd., Shelby, NC 28150 | 2015-10-13 |
| Find all providers in zip 28150 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497867873 | Omar F S Guimaraes | Obstetrics & Gynecology | 24 Morris Road, Suite 3, Shelby, OH 44875-1152 | 2006-08-31 |
| 1518946490 | Shelby Womens Clinic Pa | Obstetrics & Gynecology | 110 West Grover Street, Shelby, NC 28152 | 2006-01-10 |
| 1265419444 | Dawn Martin-herring | Obstetrics & Gynecology | 110 W Grover St, Shelby, NC 28150-3825 | 2005-12-28 |
| 1801241567 | Brittany Papworth | Obstetrics & Gynecology | 110 W Grover St, Shelby, NC 28150-3825 | 2016-05-02 |
| 1508270570 | Hollis Konitzer | Obstetrics & Gynecology | 110 W Grover St, Shelby, NC 28150-3825 | 2014-06-17 |
| 1841632882 | Carolinas Physicians Network Inc | Obstetrics & Gynecology | 110 W Grover St, Shelby, NC 28150-3825 | 2013-07-18 |
| 1649611823 | Carolinas Physicians Network Inc | Obstetrics & Gynecology | 335a W College Ave, Shelby, NC 28152-8111 | 2013-07-16 |
| 1831412337 | Cleveland Health Ventures LLC | Obstetrics & Gynecology | 335a W College Ave, Shelby, NC 28152-8111 | 2010-03-11 |
| 1518137256 | Omar F S Guimaraes M D Obstetrics and Gynecology Inc | Obstetrics & Gynecology | 24 Morris Rd, Suite 3, Shelby, OH 44875-1152 | 2008-03-10 |
| 1053453399 | Jeffrey Sabolovic | Obstetrics & Gynecology | 110 W Grover St, Shelby, NC 28150-3825 | 2007-02-13 |
| Find all providers in SHELBY | ||||
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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.