HEALTHSTAT ONSITE CLINIC CONSOLIDATED METCO CANTON (NPI# 1710436225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710436225 |
| Entity Type | Organization |
| Organization Name | HEALTHSTAT ONSITE CLINIC CONSOLIDATED METCO CANTON |
| Practice Address |
171 Great Oak Dr Canton NC 28716-8715 |
| Mailing Address |
4651 Charlotte Park Dr Suite 300 Charlotte NC 28217-1956 |
| Practice Telephone | 7045296161 |
| Mailing Telephone | 7045296161 |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2016-09-26 |
| Authorized Official Name | WARREN HUTTON (COO) |
| Authorized Official Telephone | 7045296161 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
171 GREAT OAK DR |
| City | CANTON |
| State | NC |
| Zip Code | 28716-8715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699174987 | Ryan Scott Buchanan | Counselor | 118 Main St Fl 2, Canton, NC 28716 | 2014-08-22 |
| 1164689766 | Ann Davis Rest Home | Assisted Living Facility | 460 Beaverdam St, Canton, NC 28716 | 2008-05-21 |
| 1306991799 | William Courtenay Dinwiddie Jr. | Family Medicine | 55 Buckeye Cove Road, Canton, NC 28716 | 2007-01-24 |
| 1922175355 | Charles Richard Panther | Social Worker | 30 Pennsylvania Ave, Canton, NC 28716 | 2006-11-29 |
| 1932114881 | Ingles Markets Inc | Pharmacy | 630 Champion Dr, Canton, NC 28716-3032 | 2006-07-29 |
| 1083123608 | Ariana Debussey | Pharmacist | 630 Champion Dr, Canton, NC 28716-3032 | 2017-09-26 |
| 1346580040 | Frank Cecil Etier Sr. | Pharmacist | 630 Champion Dr, Canton, NC 28716-3032 | 2013-02-18 |
| 1346588431 | Anna Maria Apostolopoulos | Pharmacist | 630 Champion Dr, Canton, NC 28716-3032 | 2013-01-23 |
| 1003171034 | Kelsie Paige Ormsby | Pharmacist | 630 Champion Dr, Canton, NC 28716-3032 | 2012-07-05 |
| 1851568372 | Sandra Y Wyche | Pharmacist | 630 Champion Dr, Canton, NC 28716-3032 | 2008-05-14 |
| Find all providers in zip 28716 | ||||
| Taxonomy Code | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811508419 | Healthstat Inc Piolax | Preventive Medicine | 139 Etowah Industrial Ct, Canton, GA 30114-8017 | 2020-08-17 |
| 1457369860 | Robert Joseph Csorba | Preventive Medicine | 4449 Whipple Ave Nw, Canton, OH 44718-2645 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104438407 | Healthstat Inc Southeastern Paper Greensboro | Preventive Medicine | 6201 Corporate Drive, Brown Summit, NC 27214 | 2020-08-18 |
| 1568073161 | Healthstat Inc National Gypsum Charlotte | Preventive Medicine | 2001 Rexford Rd, Charlotte, NC 28211-3415 | 2020-08-17 |
| 1619588217 | Healthstat Inc Ccbcc Monroe | Preventive Medicine | 4268 Capital Dr, Monroe, NC 28110-7681 | 2020-08-17 |
| 1518578111 | Healthstat Inc Coca Cola Corporate | Preventive Medicine | 4115 Coca Cola Plz, Charlotte, NC 28211-3400 | 2020-08-17 |
| 1073124673 | Healthstat Inc Coca Cola Charlotte | Preventive Medicine | 4901 Chesapeake Dr, Charlotte, NC 28216-2905 | 2020-08-17 |
| 1326659921 | Healthstat Inc Hitachi Metals | Preventive Medicine | 1 Hitachi Metals Dr, China Grove, NC 28023-9461 | 2020-08-17 |
| 1164033767 | Healthstat Inc Ccbcc Charlotte Mini | Preventive Medicine | 801 Black Satchel Rd, Charlotte, NC 28216-3453 | 2020-08-17 |
| 1336750934 | Healthstat Inc Gold Toe Moretz | Preventive Medicine | 7110 E Washington Street Ext, Mebane, NC 27302-8277 | 2020-08-17 |
| 1881215770 | Healthstat Onsite Clinic Mccreary Modern Plant 2 | Preventive Medicine | 2574 Us Highway 321 S, Newton, NC 28658-9349 | 2020-05-01 |
| 1477174597 | Healthstat Onsite Clinic Mccreary Modern Plant 6 | Preventive Medicine | 2961 Rocky Road, Lenoir, NC 28645 | 2020-04-29 |
| Find all providers with the same taxonomy | ||||
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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.