QUEEN CITY GASTROENTEROLOGY & HEPATOLOGY, PC (NPI# 1750682431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750682431 |
| Entity Type | Organization |
| Organization Name | QUEEN CITY GASTROENTEROLOGY & HEPATOLOGY, PC |
| Practice Address |
320 Lillington Ave Suite 101 Charlotte NC 28204-3189 |
| Practice Telephone | 7043624403 |
| Practice Fax Number | 7043624405 |
| Mailing Telephone | 7043624403 |
| Mailing Fax Number | 7043624405 |
| Enumeration Date | 2010-11-10 |
| Last Update Date | 2020-02-21 |
| Authorized Official Name | MICHELLE OGUNWALE (ADMINISTRATOR / MANAGER) |
| Authorized Official Telephone | 7043624403 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
| Street Address |
320 LILLINGTON AVE SUITE 101 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28204-3189 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659361210 | Center for Speech Excellence Inc | Speech-Language Pathologist | 320 Lillington Ave, Ste 202, Charlotte, NC 28204-3130 | 2005-10-25 |
| 1710327333 | Jessica Jeanne Weiglein | Speech-Language Pathologist | 320 Lillington Ave, Suite 202, Charlotte, NC 28204-3188 | 2013-06-27 |
| 1821331067 | Sharon M Conte | Hearing Instrument Specialist | 320 Lillington Ave, Suite 101, Charlotte, NC 28204-3188 | 2013-04-05 |
| 1225261209 | Pamela H. Bashor | Speech-Language Pathologist | 320 Lillington Ave, Suite 202, Charlotte, NC 28204-3188 | 2009-08-25 |
| 1851566558 | David D Bartels | Audiologist | 320 Lillington Ave, Charlotte, NC 28204-3188 | 2008-04-24 |
| 1720126600 | Ben O Ogunwale | Internal Medicine | 320 Lillington Ave, Suite 101, Charlotte, NC 28204-3189 | 2007-02-02 |
| 1184674707 | Bertha Parthenia Richardson | Internal Medicine | 320 Lillington Ave, Suite 202, Charlotte, NC 28204-3188 | 2006-05-12 |
| 1104880244 | Michelle D Ogunwale | Physician Assistant | 320 Lillington Ave, Suite 101, Charlotte, NC 28204-3189 | 2006-04-14 |
| 1316907405 | Four Jewels Healthways Inc. | Internal Medicine | 320 Lillington Ave, Suite 201, Charlotte, NC 28204-3130 | 2006-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285263582 | Precise Home Care Service LLC | In Home Supportive Care | 1935 Baxter Street, Unit 101, Charlotte, NC 28204 | 2020-04-07 |
| 1285276253 | Shannon Miller | Counselor | 1432 E Seventh Street, Charlotte, NC 28204 | 2019-10-11 |
| 1194282202 | Madison Joann Mcgarrigle | Behavior Technician | 1401 East 7th Street, Charlotte, NC 28204 | 2019-02-25 |
| 1255802674 | Stacey D. Alston, Dds, Pa | Dentist | 1020 E. 10th St., Suite 1, Charlotte, NC 28204 | 2018-12-11 |
| 1972082097 | Kim Webb Talbert | Nurse Practitioner | Novant Health Presbyterian Medical Center Charlotte, 200 Hawthorne Lane, Charlotte, NC 28204 | 2018-08-09 |
| 1164910535 | Jesse Elijah Roberts | Counselor | 1801 E 5th Street, #208, Charlotte, NC 28204 | 2018-05-01 |
| 1336696848 | Eight Healthcare | Exclusive Provider Organization | 2455 Weddington Ave, 2110, Charlotte, NC 28204 | 2016-09-01 |
| 1225480551 | Kathleen Quintana Bradley | Physician Assistant | 1523 Elizabeth Ave., Suite 200, Charlotte, NC 28204 | 2016-07-11 |
| 1184049777 | Della Franklin | Speech-Language Pathologist | 1021 Morehead Medical Dr Ste 3300, Charlotte, NC 28204 | 2014-02-19 |
| 1225459845 | Healing Arts Medical, Pa | Family Medicine | 335 N. Caswell Rd., Charlotte, NC 28204 | 2013-12-27 |
| Find all providers in zip 28204 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356778567 | The Charlotte-mecklenburg Hospital Authority | Internal Medicine | 101 E W T Harris Blvd Bldg 3000, Ste 3301e, Charlotte, NC 28262-3485 | 2013-10-02 |
| 1528086980 | Ronnie Cyzner | Internal Medicine | 10370 Park Rd Ste 102, Charlotte, NC 28210-8509 | 2006-07-17 |
| 1326066705 | Fred Charles Fowler | Internal Medicine | 101 E Wt Harris Blvd Ste 3111, Charlotte, NC 28262-7002 | 2006-07-17 |
| 1124052444 | Carolina Digestive Health Associates, Pa | Internal Medicine | 300 Billingsley Road, Suite 200, Charlotte, NC 28211 | 2006-07-11 |
| 1275566283 | Preston Pemberton Purdum IIi | Internal Medicine | 300 Billingsley Rd Ste 200, Charlotte, NC 28211-1084 | 2006-07-10 |
| 1407814999 | Dennis D Kokenes | Internal Medicine | 15830 John J Delaney Dr, Suite 175, Charlotte, NC 28277-3294 | 2006-05-03 |
| 1881007540 | Nicolas Labarre | Internal Medicine | 1025 Morehead Medical Dr, Ste 300, Charlotte, NC 28204-2963 | 2014-06-10 |
| 1316365067 | Victoria Maldonado Rothwell | Internal Medicine | 300 Billingsley Rd Ste 200, Charlotte, NC 28211-1180 | 2014-03-31 |
| 1053671586 | Olanrewaju Yusuf Jimoh | Internal Medicine | 300 Billingsley Rd Ste 200, Charlotte, NC 28211 | 2012-05-17 |
| 1407144744 | David Olson | Internal Medicine | 10502 Park Rd, Ste 150, Charlotte, NC 28210-8479 | 2011-07-20 |
| 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.