PEDRO CERVANTES FANNING


Address: 13532 Steelecroft Parkway, Charlotte, NC 28278-7545
Phone: 7042953475

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
NC BCBSNC 19N11 01
CIGNA 7151944 01
AETNA 9973753 01
SC NC2885 05
NC RAILROAD MEDICARE P01840923 01

Office Location

Street Address 13532 STEELECROFT PARKWAY
City CHARLOTTE
State NC
Zip Code 28278-7545

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538305552 Charlotte Eye Ear Nose & Throat Associates, Pa Otolaryngology 13532 Steelecroft Parkway, Charlotte, NC 28278-7545 2008-12-22

Providers in the same zip code

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 Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City CHARLOTTE
Zip Code 28278

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Dataset Information

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.

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