PEDRO CERVANTES FANNING (NPI# 1760633812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760633812 |
Entity Type | Individual |
Full Name | PEDRO CERVANTES FANNING |
Credential | M.D. |
Practice Address |
13532 Steelecroft Parkway Charlotte NC 28278-7545 |
Mailing Address |
6035 Fairview Rd Charlotte NC 28210-3256 |
Practice Telephone | 7042953475 |
Practice Fax Number | 7042953476 |
Mailing Telephone | 7042953000 |
Mailing Fax Number | 7042953476 |
Enumeration Date | 2008-10-07 |
Last Update Date | 2018-05-03 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207W00000X | Ophthalmology | 2016-01762 | NC | Allopathic & Osteopathic Physicians |
N | 207W00000X | Ophthalmology | 036129100 | IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | BCBSNC | 19N11 | 01 |
CIGNA | 7151944 | 01 | |
AETNA | 9973753 | 01 | |
SC | NC2885 | 05 | |
NC | RAILROAD MEDICARE | P01840923 | 01 |
Street Address |
13532 STEELECROFT PARKWAY |
City | CHARLOTTE |
State | NC |
Zip Code | 28278-7545 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538305552 | Charlotte Eye Ear Nose & Throat Associates, Pa | Otolaryngology | 13532 Steelecroft Parkway, Charlotte, NC 28278-7545 | 2008-12-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366060170 | Stride | Community/Behavioral Health | 14054 Singleleaf Lane, Charlotte, NC 28278 | 2020-07-08 |
1245742279 | Ruby Home Healthcare, LLC | Home Health | 17202 Belmont Stakes Lane, Charlotte, NC 28278 | 2017-10-31 |
1962926287 | Limitless Little Learners | Community/Behavioral Health | 13909 Derby Farm Lane, Charlotte, NC 28278 | 2017-07-28 |
1497106694 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 4821 Berewick Town Center Dr, Charlotte, NC 28278 | 2016-06-29 |
1932574753 | Adrienne Forney | Counselor | 14923 Alyssa Faith Court, Charlotte, NC 28278 | 2015-12-04 |
1447620398 | Sherae Threatt Lattimore | Behavioral Analyst | 5614 Samuel Neel Rd, Charlotte, NC 28278 | 2015-10-05 |
1528340676 | Khyati Dhaval Shah | Pediatrics | 13557 Steelecroft Pkwy Ste 2200, Charlotte, NC 28278 | 2011-09-14 |
1184915043 | John Angelo Tenini | Internal Medicine | 13557 Steelecroft Pkwy Ste 1200, Charlotte, NC 28278 | 2011-04-27 |
1568612240 | Kim Marie Briden | Contractor | 13805 Appling Lane, Charlotte, NC 28278 | 2008-09-30 |
1144477258 | Presbyterian Imaging Centers LLC | Radiology | 13557 Steelecroft Parkway, Suite 1100, Charlotte, NC 28278 | 2008-08-20 |
Find all providers in zip 28278 |
Taxonomy Code | 207W00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Ophthalmology |
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
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 Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114572534 | Charlotte Eye Ear Nose & Throat Associates, Pa | Ophthalmology | 400 E Stonewall St Unit F, Charlotte, NC 28202-3601 | 2019-08-02 |
1518351493 | Lee Angelo Wiley | Ophthalmology | 10512 Park Rd Ste 200, Charlotte, NC 28210-8476 | 2015-03-27 |
1710271507 | Charlotte Eye Ear Nose & Throat Associates, Pa | Ophthalmology | 2614 E 7th St, Charlotte, NC 28204-4375 | 2011-06-09 |
1548290562 | Reza Michael Mozayeni | Ophthalmology | 3025 Springbank Lane, Ste 200, Charlotte, NC 28226-3362 | 2006-07-04 |
1821026980 | Thomas K Mundorf | Ophthalmology | 1718 E. Fourth St., Ste 703, Charlotte, NC 28204 | 2006-06-29 |
1720027543 | Cleve Wilson Howard | Ophthalmology | 7530 Whistlestop Rd, Charlotte, NC 28210-6914 | 2006-06-06 |
1669428975 | Galen Grayson | Ophthalmology | 817 E Morehead St, Ste 200, Charlotte, NC 28202-2700 | 2006-05-26 |
1013963719 | Genesis Eye Center | Ophthalmology | 817 East Morehead Street, Suite 200, Charlotte, NC 28202-2767 | 2006-05-25 |
1851354724 | Wesley Dobbs Clement Sr. | Ophthalmology | 230 E Wt Harris Blvd, Suite C-13, Charlotte, NC 28262-3492 | 2006-04-10 |
1093790131 | Samuel Santander | Ophthalmology | 3621 Randolph Road, Suite 100, Charlotte, NC 28211 | 2005-12-13 |
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.