STATESVILLE HMA MEDICAL GROUP, LLC (NPI# 1710261151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710261151 |
Entity Type | Organization |
Organization Name | STATESVILLE HMA MEDICAL GROUP, LLC |
Other Organization Name | STATESVILLE OBGYN |
Practice Address |
1410 Fern Creek Dr Statesville NC 28625-9376 |
Mailing Address |
5811 Pelican Bay Blvd Suite 500 Naples FL 34108-2733 |
Practice Telephone | 7049782820 |
Practice Fax Number | 7049782934 |
Mailing Telephone | 2395983131 |
Mailing Fax Number | 2395920438 |
Enumeration Date | 2011-10-04 |
Last Update Date | 2014-02-10 |
Authorized Official Name | MR. MICHAEL L GINGRAS (VICE PRESIDENT, PPM) |
Authorized Official Telephone | 2395983131 |
Is Organization Subpart | Y |
Parent Organization Name | HEALTH MANAGEMENT ASSOCIATES, INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Statesville OBGYN | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548544984 | Statesville Hma Medical Group, LLC | Surgery | 1703 Davie Ave, Statesville, NC 28677-3521 | 2011-10-04 |
1538443973 | Statesville Hma Medical Group, LLC | Psychiatry & Neurology | 1418 Fern Creek Dr, Statesville, NC 28625-9376 | 2011-10-04 |
1639407737 | Statesville Hma Medical Group, LLC | Family Medicine | 1412 Fern Creek Dr, Statesville, NC 28625-9376 | 2009-12-01 |
1548796584 | Statesville Hma Medical Group, LLC | Family Medicine | 35 Ruritan Park Rd, Stony Point, NC 28678-8928 | 2017-05-11 |
1932476298 | Statesville Hma Medical Group, LLC | Urology | 1410 Fern Creek Dr, Statesville, NC 28625-9376 | 2011-11-30 |
1801163167 | Statesville Hma Medical Group, LLC | Family Medicine | 1414 Fern Creek Dr, Statesville, NC 28625-9376 | 2011-11-30 |
1497031314 | Statesville Hma Medical Group, LLC | Internal Medicine | 349 Brookdale Dr, Statesville, NC 28677-4103 | 2011-10-24 |
1629352679 | Statesville Hma Medical Group, LLC | Orthopaedic Surgery | 340 Signal Hill Dr Ste A, Statesville, NC 28625-4483 | 2011-10-07 |
1609150655 | Statesville Hma Medical Group, LLC | Orthopaedic Surgery | 223 Hospital St, Mocksville, NC 27028-2038 | 2011-10-07 |
1871877829 | Statesville Hma Medical Group, LLC | Physical Therapist | 375 Hospital St, Suite 200, Mocksville, NC 27028-2086 | 2011-10-07 |
Street Address |
1410 FERN CREEK DR |
City | STATESVILLE |
State | NC |
Zip Code | 28625-9376 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700112612 | Uma Periyanayagam | Pediatrics | 1410 Fern Creek Dr, Statesville, NC 28625-9376 | 2009-10-28 |
1730551714 | Statesville Hma Medical Group LLC | Pediatrics | 1410 Fern Creek Dr, Statesville, NC 28625-9376 | 2015-10-29 |
1902151152 | Ali Nasir Chhotani | Pediatrics | 1410 Fern Creek Dr, Statesville, NC 28625-9376 | 2012-07-13 |
1336403211 | Tara Moon | Pediatrics | 1410 Fern Creek Dr, Statesville, NC 28625-9376 | 2012-06-26 |
1932476298 | Statesville Hma Medical Group, LLC | Urology | 1410 Fern Creek Dr, Statesville, NC 28625-9376 | 2011-11-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730714163 | Sandra Lourdes Mayta | Counselor | 1450 Fern Creek Drive, Statesville, NC 28625 | 2020-03-05 |
1023643582 | Youngchi Chang Dds Pllc | Dentist | 964 Glenway Ave Ste A, Statesville, NC 28625 | 2020-03-05 |
1538799200 | Nicole-marie Blischak | Dentist | 964 Glenway Dr, Ste A, Statesville, NC 28625 | 2020-01-22 |
1013575257 | Sherry Neilson | Registered Nurse | 524 Signal Hill Rd, Statesville, NC 28625 | 2019-06-03 |
1770904328 | Elinor Kyle Tyner | Counselor | 1206 Museum Road, Statesville, NC 28625 | 2013-12-30 |
1982031001 | Tamiko Bradley | Counselor | 524 Signal Hill Dr Ext, Statesville, NC 28625 | 2013-10-03 |
1487932505 | Nicole Weisner Winecoff | Advanced Practice Midwife | 1420 Fern Creek Drive, Statesville, NC 28625 | 2011-07-22 |
1538461967 | Bethany J Sprague | Nurse Practitioner | 2632 Fines Creek Dr, Statesville, NC 28625 | 2010-11-17 |
1477789147 | Greenbriar Primary Care, Pa | Nurse Practitioner | 308-c Mocksville Highway, Statesville, NC 28625 | 2009-06-08 |
1619122538 | Phasebdevelopment | Substance Abuse Rehabilitation Facility | 113 Bethany Rd, Statesville, NC 28625 | 2008-11-19 |
Find all providers in zip 28625 |
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 |
---|---|---|---|---|
1275069858 | Statesville Hma Medical Group LLC | Obstetrics & Gynecology | 555 Kitchings Dr, Statesville, NC 28677-3576 | 2017-05-03 |
1881673838 | Roshnara Singh | Obstetrics & Gynecology | 1804 Davie Ave, Statesville, NC 28677-3524 | 2006-01-10 |
1871588962 | Walter V Meadors Jr. | Obstetrics & Gynecology | 1669 Davie Ave, Statesville, NC 28677-3519 | 2005-09-14 |
1316939036 | Michael Avery Kepley | Obstetrics & Gynecology | 1446 Fern Creek Dr, Statesville, NC 28625-9376 | 2005-08-18 |
1538653449 | Piedmont Healthcare, P.a. | Obstetrics & Gynecology | 1804 Davie Ave, Statesville, NC 28677-3524 | 2018-06-15 |
1265844211 | Ariel Jaleigh Ansley | Obstetrics & Gynecology | 1804 Davie Ave, Statesville, NC 28677 | 2014-05-27 |
1710301437 | Compassionate Women's Healthcare | Obstetrics & Gynecology | 1420 Fern Creek Dr, Statesville, NC 28625-9376 | 2014-02-17 |
1114293172 | Margot Wacks | Obstetrics & Gynecology | 1804 Davie Ave, Statesville, NC 28677-3524 | 2012-03-23 |
1558666362 | Laura Randolph | Obstetrics & Gynecology | 1804 Davie Ave, Statesville, NC 28677-3524 | 2011-01-26 |
1508977927 | Mary E Torres | Obstetrics & Gynecology | 1804 Davie Ave, Statesville, NC 28677-3524 | 2006-08-31 |
Find all providers in STATESVILLE |
City | STATESVILLE |
Zip Code | 28625 |
Please comment or provide details below to improve the information on STATESVILLE HMA MEDICAL GROUP, LLC.
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.