DR. NICOLE SHARON WELLBAUM (NPI# 1740544600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740544600 |
| Entity Type | Individual |
| Full Name | DR. NICOLE SHARON WELLBAUM |
| Credential | MD |
| Practice Address |
131 Medical Park Rd Ste 102 Mooresville NC 28117-8523 |
| Mailing Address |
Po Box 1845 Statesville NC 28687-1845 |
| Practice Telephone | 7046631282 |
| Practice Fax Number | 7046631413 |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2017-09-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 2016-00705 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
131 MEDICAL PARK RD STE 102 |
| City | MOORESVILLE |
| State | NC |
| Zip Code | 28117-8523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891356648 | Teleoptometric Service, P.C. | Optometrist | 392 Talbert Rd, Mooresville, NC 28117 | 2019-06-24 |
| 1992268544 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 392 Talbert Rd., Mooresville, NC 28117 | 2019-04-10 |
| 1982178042 | Langtree Endoscopy Center, LLC | Clinic/Center | 106 Alexander Bank Drive, Suite 101, Mooresville, NC 28117 | 2019-01-11 |
| 1679044416 | May and Associates Therapy Center | Psychologist | 862 Brawley School Road, Suite 202, Mooresville, NC 28117 | 2018-12-05 |
| 1700360153 | Sabrina Chabot Hutchinson | Physical Therapist | 508 Williamson Rd, Suite 200, Mooresville, NC 28117 | 2018-09-21 |
| 1992284327 | Presbyterian Imaging Centers LLC | Radiology | 106 Langtree Village Dr # 201, Mooresville, NC 28117 | 2018-08-07 |
| 1073091310 | Jenelle Donzelli Nemeth | Registered Nurse | 102 Sapphire Drive, Mooresville, NC 28117 | 2018-07-30 |
| 1912497496 | Patsharx LLC | Pharmacy | 480 River Hwy, Suite A, Mooresville, NC 28117 | 2018-05-10 |
| 1427502434 | Counseling Service At Lake Norman, Pllc | Community/Behavioral Health | 18117 W. Catawba Avenue, Cornelius, NC 28117 | 2016-08-08 |
| 1447605928 | Renewal Counseling, Pllc | Counselor | 125 Commerce Park Rd., Suite 102, Mooresville, NC 28117 | 2016-05-03 |
| Find all providers in zip 28117 | ||||
| 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 |
|---|---|---|---|---|
| 1184244881 | Carolinas Physicians Network Inc | Obstetrics & Gynecology | 150 Professional Park Dr Ste 200, Mooresville, NC 28117-5604 | 2020-04-22 |
| 1477585107 | Todd Jerry Adams | Obstetrics & Gynecology | 235 Medical Park Rd, Suite 201, Mooresville, NC 28117-8545 | 2006-07-06 |
| 1174593313 | James D Wilson | Obstetrics & Gynecology | 131 Medical Park Rd, Ste 102, Mooresville, NC 28117 | 2006-01-23 |
| 1558357079 | Michael Lenwood Boothe | Obstetrics & Gynecology | 1205 Hadley Rd, Mooresville, IN 46158-1737 | 2005-09-20 |
| 1801899901 | Nicole Suzette Perry | Obstetrics & Gynecology | 100 Town Center Rd S, Ste B, Mooresville, IN 46158-2321 | 2005-05-23 |
| 1053878868 | Novant Medical Group, Inc. | Obstetrics & Gynecology | 106 Langtree Village Dr Ste 200, Mooresville, NC 28117-7571 | 2019-02-28 |
| 1487012886 | Novant Medical Group, Inc. | Obstetrics & Gynecology | 106 Langtree Village Drive, Suite 200, Mooresville, NC 28117 | 2016-02-01 |
| 1558708032 | Brittany E Johnson | Obstetrics & Gynecology | 1205 Hadley Rd, Mooresville, IN 46158 | 2013-05-24 |
| 1285909002 | Southside Ob/gyn P.C. | Obstetrics & Gynecology | 1205 Hadley Rd, Mooresville, IN 46158-1737 | 2012-03-12 |
| 1659693679 | Neal Edward Ipema | Obstetrics & Gynecology | 100 Town Center Rd S, Suiteb, Mooresville, IN 46158-2321 | 2010-02-17 |
| Find all providers in MOORESVILLE | ||||
| City | MOORESVILLE |
| Zip Code | 28117 |
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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.