MR. IRVING DAVID WIGHT (NPI# 1760471221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760471221 |
| Entity Type | Individual |
| Full Name | MR. IRVING DAVID WIGHT |
| Credential | PA-C |
| Practice Address |
1401 Matthews Township Pkwy Suite 101 Matthews NC 28105-5402 |
| Mailing Address |
6035 Fairview Rd Charlotte NC 28210-3256 |
| Practice Telephone | 7042953550 |
| Practice Fax Number | 7042953556 |
| Mailing Telephone | 7042953000 |
| Mailing Fax Number | 7042953468 |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2009-12-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 100635 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE RR | 970023482 | 01 | |
| NC | MEDCOST | 98462 | 01 |
| Street Address |
1401 MATTHEWS TOWNSHIP PKWY SUITE 101 |
| City | MATTHEWS |
| State | NC |
| Zip Code | 28105-5402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023574191 | Tarah Faust | Physical Therapy Assistant | 1401 Matthews Township Pkwy, Matthews, NC 28105-5402 | 2019-02-14 |
| 1952842833 | Novant Medical Group, Inc | Psychiatry & Neurology | 1401 Matthews Township Pkwy, Suite 320, Matthews, NC 28105-5402 | 2017-03-13 |
| 1427596329 | Claudiu Samuel Mioc | Physician Assistant | 1401 Matthews Township Pkwy, Suite 380, Matthews, NC 28105-5402 | 2017-02-10 |
| 1942748538 | Chelsea Hopkins | Physician Assistant | 1401 Matthews Township Pkwy, Matthews, NC 28105-5402 | 2017-02-03 |
| 1326597493 | Novant Medical Group, Inc | Social Worker | 1401 Matthews Township Pkwy, Suite 320, Matthews, NC 28105-5402 | 2016-09-29 |
| 1174071229 | Donna C Knowlton Dds Pllc | Dentist | 1401 Matthews Township Pkwy, Ste 210, Matthews, NC 28105-5402 | 2016-09-19 |
| 1740645886 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 1401 Matthews Township Pkwy, Suite 100, Matthews, NC 28105-5402 | 2015-12-16 |
| 1861861346 | Carolina Neurosurgery & Spine Associates, Pa | Neurological Surgery | 1401 Matthews Township Pkwy, Suite 300, Matthews, NC 28105-5402 | 2015-09-15 |
| 1194152512 | Novant Medical Group, Inc. | Pediatrics | 1401 Matthews Township Pkwy, Suite 100, Matthews, NC 28105-5403 | 2013-09-30 |
| 1114267085 | Novant Medical Group, Inc. | Pediatrics | 1401 Matthews Township Pkwy, Suite 312, Matthews, NC 28105-5402 | 2013-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750917407 | Lauren Deasy Blackshaw | Counselor | 1163 Sam Newell Rd, Matthews, NC 28105 | 2020-03-13 |
| 1912549643 | Monarch | Community/Behavioral Health | 10545 Paces Avenue 634, Matthews, NC 28105 | 2019-10-15 |
| 1326515768 | Holly Harvey Heddleson | Nurse Practitioner | 1450 Matthews Township Pkwy Ste 280, Matthews, NC 28105 | 2018-10-24 |
| 1396241030 | Erickson Health Medical Group of North Carolina, PC | Internal Medicine | 2030 Windsor Run Lane, Matthews, NC 28105 | 2018-04-02 |
| 1811406994 | Lice Clinics of America of The Carolinas | Technician, Other | 3042 Suite C Senna Dr, Matthews, NC 28105 | 2017-09-21 |
| 1376065003 | Carillon Assisted Living of Mint Hill, LLC | Custodial Care Facility | 5601 Margaret Wallace Road, Matthews, NC 28105 | 2017-07-14 |
| 1568906055 | London Young | Physical Therapy Assistant | 11100- 11189 Berkley Square Ln, Charlotte, NC 28105 | 2016-12-19 |
| 1003363128 | New Beginnings Community Counseling Center | Community/Behavioral Health | 5232 Maragaret Wallace Road, Matthews, NC 28105 | 2016-09-07 |
| 1275993149 | Kristi Dougan | Nurse Practitioner | 434 N Trade St Ste 104, Matthews, NC 28105 | 2016-03-04 |
| 1205219896 | Kalyani Vellanki Starr | Dentist | 1819 Matthews Township Pkwy Ste 200, Matthews, NC 28105 | 2015-07-01 |
| Find all providers in zip 28105 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437540416 | Ashley Hess | Physician Assistant | 6801 Brookgreen Ter, Matthews, NC 28104-2203 | 2015-02-11 |
| 1558511410 | James E Harris | Physician Assistant | 8901 Clifton Meadow Dr, Matthews, NC 28105-8466 | 2008-09-26 |
| 1346414703 | Randall Eugene Lewis | Physician Assistant | 10531 Paces Ave, #924, Matthews, NC 28105-2719 | 2008-04-16 |
| 1528267010 | Jeffrey Howard Belabin | Physician Assistant | 332 N. Trade Street, Suite 1100, Matthews, NC 28105-6887 | 2007-07-13 |
| 1497849939 | Jason Lee Cossey | Physician Assistant | 1450 Matthews Township Pkwy Ste 380, Matthews, NC 28105 | 2006-10-02 |
| 1235159260 | Gretchen Janinia Krant | Physician Assistant | 724 Aubrey Bell Drive, Matthews, NC 28105-5055 | 2006-07-20 |
| 1003880121 | David Dorenfeld | Physician Assistant | 1450 Matthews Township Pkwy Ste 170, Matthews, NC 28105-6300 | 2006-02-15 |
| 1205819141 | Ronald Edward Field | Physician Assistant | 710 Park Rd, Ste 300, Matthews, NC 28105-2387 | 2005-11-23 |
| 1578189478 | Soumyaa Thushyanthan | Physician Assistant | 1500 Matthews Township Pkwy, Matthews, NC 28105-4656 | 2020-06-17 |
| 1518522010 | Brian Robert Hummel | Physician Assistant | 1401 Matthews Township Pkwy Ste 200, Matthews, NC 28105-5403 | 2019-05-09 |
| Find all providers in MATTHEWS | ||||
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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.