MARK VANDERWEL (NPI# 1740212901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740212901 |
| Entity Type | Individual |
| Full Name | MARK VANDERWEL |
| Credential | MD |
| Practice Address |
4501 Cameron Valley Pkwy Ste 200 Charlotte NC 28211-4297 |
| Mailing Address |
Po Box 19305 Charlotte NC 28219-9305 |
| Practice Telephone | 7045123636 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2020-09-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
200001011 | NC | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1781 Tate Blvd Se, Ste 203, Hickory, NC 286024251 | 7045123636 |
| Street Address |
4501 CAMERON VALLEY PKWY STE 200 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28211-4297 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801825914 | Lisa Houchin | Pediatrics | 4501 Cameron Valley Pkwy, Ste 200, Charlotte, NC 28211-4297 | 2006-07-01 |
| 1184275570 | Stefanie Kienker | Nurse Practitioner | 4501 Cameron Valley Pkwy, Suite 300, Charlotte, NC 28211-4297 | 2019-09-26 |
| 1063895977 | Medcarerx Inc | Pharmacy | 4501 Cameron Valley Pkwy, Charlotte, NC 28211-4297 | 2015-07-09 |
| 1912393943 | Summer Tetteh | Nurse Practitioner | 4501 Cameron Valley Pkwy, Ste 100, Charlotte, NC 28211-4297 | 2015-04-07 |
| 1447664164 | Anne Elam | Lactation Consultant, Non-RN | 4501 Cameron Valley Pkwy, Suite 100, Charlotte, NC 28211-4297 | 2014-06-20 |
| 1861757197 | Carolinas Medical Center | Pediatrics | 4501 Cameron Valley Pkwy, Suite 300, Charlotte, NC 28211-4297 | 2012-07-12 |
| 1063772374 | Stephanie Kwon | Pediatrics | 4501 Cameron Valley Pkwy, Ste 100, Charlotte, NC 28211-4297 | 2012-05-21 |
| 1144580754 | Carolinas Medical Center-northeast | Pediatrics | 4501 Cameron Valley Pkwy, Suite 301-b, Charlotte, NC 28211-4297 | 2012-05-17 |
| 1922367077 | Carolinas Medical Center-northeast | Psychiatry & Neurology | 4501 Cameron Valley Pkwy, Suite 301-a, Charlotte, NC 28211-4297 | 2012-05-10 |
| 1285922690 | Adam Faizi | Pediatrics | 4501 Cameron Valley Pkwy, Ste 100, Charlotte, NC 28211-4297 | 2011-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184277832 | I and J Wheelchair Transportation | Non-emergency Medical Transport (VAN) | 1512 Delane Avenue, Charlotte, NC 28211 | 2019-07-22 |
| 1922563923 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 447 Billingsley Rd, Cottage A, Charlotte, NC 28211 | 2019-02-04 |
| 1649798273 | Ally Home Care Charlotte LLC | In Home Supportive Care | 3711 Latrobe Drive Suite 520, Charlotte, NC 28211 | 2017-09-04 |
| 1154866770 | Vaibhav Bajaj | Dentist | 2809 Coltsgate Rd Ste 200, Charlotte, NC 28211 | 2017-01-05 |
| 1508254939 | Lindsay Marie Smits | Speech-Language Pathologist | 427 N. Wendover Rd., Charlotte, NC 28211 | 2015-01-08 |
| 1457755480 | Kristen Hammer | Physical Therapy Assistant | 4120 Providence Rd Apt D, Charlotte, NC 28211 | 2014-10-20 |
| 1669805610 | Carla Elizabeth Scott | Physical Therapist | 3500 Ellington Street, Dr. Carlton Watkins Center, Charlotte, NC 28211 | 2013-08-14 |
| 1760726368 | Jill Hensdale Shipp | Social Worker | 307 Hunter Lane, Charlotte, NC 28211 | 2012-11-20 |
| 1346592722 | Danielle Marie Benoit | Occupational Therapist | 3541 Randolph Road Suite 100 W, Charlotte, NC 28211 | 2012-10-09 |
| 1487910832 | John Joseph Marcel Jr. | Orthopaedic Surgery | 449 North Wendover Rd Ste A, Charlotte, NC 28211 | 2012-04-10 |
| Find all providers in zip 28211 | ||||
| Taxonomy Code | 2080P0205X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Endocrinology |
| A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801825914 | Lisa Houchin | Pediatrics | 4501 Cameron Valley Pkwy, Ste 200, Charlotte, NC 28211-4297 | 2006-07-01 |
| 1386164051 | Novant Medical Group, Inc | Pediatrics | 201 Queens Rd, Charlotte, NC 28204-3217 | 2017-06-23 |
| 1700213113 | The Charlotte-mecklenburg Hospital Authority | Pediatrics | 101 E Wt Harris Blvd, Bldg 3000 Ste 3301c, Charlotte, NC 28262-3485 | 2013-09-30 |
| 1962778266 | Diana Elizabeth Miller | Pediatrics | 201 Queens Rd, Charlotte, NC 28204-3217 | 2012-03-30 |
| 1962797654 | Carolinas Medical Center-northeast | Pediatrics | 101 E W T Harris Blvd, Bldg 3000, Suite 3301c, Charlotte, NC 28262-7000 | 2011-06-10 |
| 1053605873 | Elizabeth Dabrowski | Pediatrics | 4501 Cameron Valley Pkwy, Ste 200, Charlotte, NC 28211-4297 | 2011-06-09 |
| 1184811937 | Jakub Mieszczak | Pediatrics | 4501 Cameron Valley Pkwy, Ste 200, Charlotte, NC 28211-4297 | 2007-09-26 |
| 1679582134 | Pediatric Endocrinology & Diabetes Specialists | Pediatrics | 4501 Cameron Valley Pkwy, Ste 200, Charlotte, NC 28211-4297 | 2006-08-05 |
| 1609806264 | Malaka Baharah Jackson | Pediatrics | 201 Queens Rd, Charlotte, NC 28204-3217 | 2006-07-03 |
| 1912937475 | Mark Parker | Pediatrics | 4501 Cameron Valley Pkwy, Suite 200, Charlotte, NC 28211-4297 | 2006-07-03 |
| 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.