DR. GORDON REGINALD REEVES (NPI# 1760687552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760687552 |
| Entity Type | Individual |
| Full Name | DR. GORDON REGINALD REEVES |
| Credential | MD |
| Practice Address |
1718 E 4th St Ste 501 Charlotte NC 28204 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 7043439800 |
| Practice Fax Number | 7043472011 |
| Mailing Telephone | 7043439800 |
| Mailing Fax Number | 7043472011 |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2020-10-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 2007-00568 | NC | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
2007-00568 | NC | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD434416 | PA | Allopathic & Osteopathic Physicians |
| Y | 207RA0001X |
Internal Medicine Specialization: Advanced Heart Failure and Transplant Cardiology |
2007-00568 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0308234 | 05 | |
| PA | 1027229750001 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1718 E 4th St Ste 501, Charlotte, NC 28204 | 7043439800 | 7043472011 |
| 925 Chestnut Street, Mezzanine Floor, Philadelphia, PA 191074201 | 2159555050 | 2159557499 |
| Street Address |
1718 E 4TH ST STE 501 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982600201 | David Beard | Internal Medicine | 1718 E 4th St Ste 501, Charlotte, NC 28204-3197 | 2005-06-22 |
| 1215584784 | Meagan Ann Tremblay | Nurse Practitioner | 1718 E 4th St Ste 501, Charlotte, NC 28204-3197 | 2019-08-20 |
| 1952894792 | Jennifer Erin Singleton | Nurse Practitioner | 1718 E 4th St Ste 501, Charlotte, NC 28204-3197 | 2018-06-06 |
| 1194184523 | Juliana Efua Quagraine | Nurse Practitioner | 1718 E 4th St Ste 501, Charlotte, NC 28204-3197 | 2016-02-12 |
| 1679992416 | Oktay Feridun Rifki | Internal Medicine | 1718 E 4th St Ste 501, Charlotte, NC 28204-3197 | 2014-04-09 |
| 1568883320 | Chelsey Megan Moore | Physician Assistant | 1718 E 4th St Ste 501, Charlotte, NC 28204 | 2013-12-21 |
| 1982036356 | Sophia Abimbola Mitchell | Physician Assistant | 1718 E 4th St Ste 501, Charlotte, NC 28204 | 2013-08-07 |
| 1366706111 | Hakeem Ayinde | Internal Medicine | 1718 E 4th St Ste 501, Charlotte, NC 28204-3197 | 2012-06-26 |
| 1982960746 | Daniel Ke Pu | Internal Medicine | 1718 E 4th St Ste 501, Charlotte, NC 28204-3197 | 2012-04-05 |
| 1376863910 | Thomas Ryan Kambur | Internal Medicine | 1718 E 4th St Ste 501, Charlotte, NC 28204-3197 | 2010-06-06 |
| Find all providers in the same location | ||||
| 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 | 207RA0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Advanced Heart Failure and Transplant Cardiology |
| Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure. |
| Notes: Source: American Board of Internal Medicine, www.abim.org [7/1/2015: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457695264 | The Presbyterian Hospital | Internal Medicine | 1718 E 4th St, Suite 501, Charlotte, NC 28204-3197 | 2012-11-16 |
| 1497047633 | Nicole Cyrille-superville | Internal Medicine | 1025 Morehead Medical Dr, Suite 600, Charlotte, NC 28204-2963 | 2011-05-06 |
| 1891016556 | Rachel Garcia | Internal Medicine | 1025 Morehead Medical Dr, Suite 600, Charlotte, NC 28204-2963 | 2010-06-17 |
| 1376692640 | Joseph Mishkin | Internal Medicine | 1001 Blythe Blvd, Ste 300- Adult Cardiology, Charlotte, NC 28203-5866 | 2007-01-09 |
| 1942211164 | Theodore Frank | Internal Medicine | 1001 Blythe Blvd, Ste 300- Adult Cardiology, Charlotte, NC 28203-5866 | 2006-08-11 |
| 1578574638 | Sanjeev Gulati | Internal Medicine | 1001 Blythe Blvd, Ste 300- Adult Cardiology, Charlotte, NC 28203-5866 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487268512 | Fawaz Abdulaziz M Alenezi | Internal Medicine | 2301 Erwin Rd, Durham, NC 27705-4699 | 2020-09-05 |
| 1437713914 | Wakemed Specialists Group, LLC | Internal Medicine | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2019-04-30 |
| 1194259432 | Rex Hospital Inc | Internal Medicine | 2800 Blue Ridge Road, Suite 204, Raleigh, NC 27607-6477 | 2017-04-13 |
| 1104154723 | Mission Medical Associates Inc | Internal Medicine | 691 Blythe Street Ct, Hendersonville, NC 28739 | 2009-11-19 |
| 1205061678 | John Rommel | Internal Medicine | 1415 Physicians Dr, Wilmington, NC 28401-7338 | 2009-05-28 |
| 1083858047 | Priyesh Patel | Internal Medicine | 100 Medical Park Dr, Ste 210, Concord, NC 28025-2948 | 2009-04-21 |
| 1033140892 | Stephen Zouzoulas | Internal Medicine | 100 Medical Park Dr, Ste 210, Concord, NC 28025-2948 | 2006-07-06 |
| 1184650798 | Vinay Thohan | Internal Medicine | 509 Biltmore Ave, Asheville, NC 28801-4601 | 2006-06-24 |
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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.