MOORESVILLE PPM LLC (NPI# 1790110146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790110146 |
| Entity Type | Organization |
| Organization Name | MOORESVILLE PPM LLC |
| Other Organization Name | CAMPBELL SURGICAL |
| Practice Address |
123 Professional Park Dr Ste 101 Mooresville NC 28117-5516 |
| Mailing Address |
5811 Pelican Bay Blvd Ste 500 Naples FL 34108-2711 |
| Practice Telephone | 7046637905 |
| Practice Fax Number | 7043604954 |
| Mailing Telephone | 2395523691 |
| Mailing Fax Number | 2395920438 |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2013-09-04 |
| Authorized Official Name | DONALD PATRICK EASTERLING (PRESIDENT) |
| Authorized Official Telephone | 2395523691 |
| Is Organization Subpart | Y |
| Parent Organization Name | HEALTH MANAGEMENT ASSOCIATES INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Campbell Surgical | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851678767 | Mooresville Ppm LLC | Family Medicine | 128 Argus Ln, Suite G, Mooresville, NC 28117-6972 | 2011-11-05 |
| 1588941496 | Mooresville Ppm LLC | Family Medicine | 16630 Northcross Dr, Huntersville, NC 28078-5048 | 2011-11-05 |
| 1710384466 | Mooresville Ppm LLC | Internal Medicine | 134 Medical Park Rd, Suite 108, Mooresville, NC 28117-8526 | 2014-11-24 |
| 1518361914 | Mooresville Ppm LLC | Psychiatry & Neurology | 131 Medical Park Rd Ste 308, Mooresville, NC 28117-8525 | 2014-10-14 |
| 1457621799 | Mooresville Ppm LLC | Surgery | 131 Medical Park Rd, Suite 303, Mooresville, NC 28117-8522 | 2012-01-04 |
| 1598032849 | Mooresville Ppm LLC | Surgery | 123 Professional Park Dr, Suite 200, Mooresville, NC 28117-5524 | 2011-11-30 |
| 1225305576 | Mooresville Ppm LLC | Family Medicine | 396 Williamson Rd, Mooresville, NC 28117-5935 | 2011-11-30 |
| 1740557008 | Mooresville Ppm LLC | Pediatrics | 171 Fairview Rd, Mooresville, NC 28117-9500 | 2011-11-30 |
| 1861769119 | Mooresville Ppm LLC | Family Medicine | 202 Williamson Rd, Suite 100, Mooresville, NC 28117-7610 | 2011-11-30 |
| 1679850580 | Mooresville Ppm LLC | Family Medicine | 5732 Highway 150 E, Denver, NC 28037-6770 | 2011-11-05 |
| Street Address |
123 PROFESSIONAL PARK DR STE 101 |
| City | MOORESVILLE |
| State | NC |
| Zip Code | 28117-5516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518099910 | Nzinga Ajabu Harrison | Psychiatry & Neurology | 123 Professional Park Dr Ste 101, Mooresville, NC 28117-5516 | 2007-03-12 |
| 1427698604 | Michael Doyle | Registered Nurse | 123 Professional Park Dr Ste 101, Mooresville, NC 28117-5516 | 2020-01-15 |
| 1477103810 | Christina M Stone | Registered Nurse | 123 Professional Park Dr Ste 101, Mooresville, NC 28117-5516 | 2019-09-18 |
| 1891349155 | Eleanor Health Professional Nc, Pllc | 123 Professional Park Dr Ste 101, Mooresville, NC 28117-5516 | 2019-07-25 | |
| 1386200848 | Phyllis Ann Shanklin | Counselor | 123 Professional Park Dr Ste 101, Mooresville, NC 28117 | 2019-05-10 |
| 1770037699 | Veronica Moeller | Counselor | 123 Professional Park Dr Ste 101, Mooresville, NC 28117 | 2016-08-09 |
| 1558775163 | Megan Rhyne-cousar | Family Medicine | 123 Professional Park Dr Ste 101, Mooresville, NC 28117-5516 | 2014-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891356648 | Teleoptometric Service, P.C. | Optometrist | 392 Talbert Rd, Mooresville, NC 28117 | 2019-06-24 |
| 1992268544 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 392 Talbert Rd., Mooresville, NC 28117 | 2019-04-10 |
| 1982178042 | Langtree Endoscopy Center, LLC | Clinic/Center | 106 Alexander Bank Drive, Suite 101, Mooresville, NC 28117 | 2019-01-11 |
| 1679044416 | May and Associates Therapy Center | Psychologist | 862 Brawley School Road, Suite 202, Mooresville, NC 28117 | 2018-12-05 |
| 1700360153 | Sabrina Chabot Hutchinson | Physical Therapist | 508 Williamson Rd, Suite 200, Mooresville, NC 28117 | 2018-09-21 |
| 1992284327 | Presbyterian Imaging Centers LLC | Radiology | 106 Langtree Village Dr # 201, Mooresville, NC 28117 | 2018-08-07 |
| 1073091310 | Jenelle Donzelli Nemeth | Registered Nurse | 102 Sapphire Drive, Mooresville, NC 28117 | 2018-07-30 |
| 1912497496 | Patsharx LLC | Pharmacy | 480 River Hwy, Suite A, Mooresville, NC 28117 | 2018-05-10 |
| 1427502434 | Counseling Service At Lake Norman, Pllc | Community/Behavioral Health | 18117 W. Catawba Avenue, Cornelius, NC 28117 | 2016-08-08 |
| 1447605928 | Renewal Counseling, Pllc | Counselor | 125 Commerce Park Rd., Suite 102, Mooresville, NC 28117 | 2016-05-03 |
| Find all providers in zip 28117 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437333630 | Brendan M Marr | Surgery | 131 Medical Park Rd Ste 303, Mooresville, NC 28117-8525 | 2007-12-24 |
| 1245275072 | Timothy Ryan Heider | Surgery | 106 Alexander Bank Dr Ste 300, Mooresville, NC 28117-9624 | 2006-06-17 |
| 1821073149 | David Lawrence Gish | Surgery | 131 Medical Park Rd Ste 305, Mooresville, NC 28117 | 2005-12-09 |
| 1194700419 | Michelle Marie Bertsch | Surgery | 131 Medical Park Rd Ste 306, Mooresville, NC 28117 | 2005-12-09 |
| 1558916395 | Breast Care Specialists of Carolina | Surgery | 150 Fairview Rd Ste 110, Mooresville, NC 28117-9506 | 2019-08-08 |
| 1528403144 | Campbell Surgical Pllc | Surgery | 123 Professional Park Dr, Suite 101, Mooresville, NC 28117-5516 | 2013-05-09 |
| 1457621799 | Mooresville Ppm LLC | Surgery | 131 Medical Park Rd, Suite 303, Mooresville, NC 28117-8522 | 2012-01-04 |
| 1598032849 | Mooresville Ppm LLC | Surgery | 123 Professional Park Dr, Suite 200, Mooresville, NC 28117-5524 | 2011-11-30 |
| 1902052210 | Novant Medical Group, Inc. | Surgery | 123 Professional Park Dr, Suite 200, Mooresville, NC 28117-5524 | 2008-08-18 |
| 1790727931 | Mooresville Surgical Associates | Surgery | 123 Professional Park Dr, Suite 200, Mooresville, NC 28117 | 2006-06-12 |
| Find all providers in MOORESVILLE | ||||
| City | MOORESVILLE |
| Zip Code | 28117 |
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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.