COURTNEY MOYNIHAN (NPI# 1801233390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801233390 |
| Entity Type | Individual |
| Full Name | COURTNEY MOYNIHAN |
| Credential | MD |
| Practice Address |
13640 Steelecroft Pkwy Ste 240 Charlotte NC 28278-7565 |
| Mailing Address |
Po Box 19305 Charlotte NC 28219-9305 |
| Practice Telephone | 7045123860 |
| Enumeration Date | 2013-05-24 |
| Last Update Date | 2020-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | 51123 | SC | Allopathic & Osteopathic Physicians |
| Y | 207V00000X | Obstetrics & Gynecology | 2017-01060 | NC | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10628 Park Rd, Charlotte, NC 282108407 | 7045127562 | |
| 15110 John J Delaney Dr, Ste 100, Charlotte, NC 282773544 | 7045125100 | |
| 1550 Faulk St, Ste 2100, Monroe, NC 281125086 | 7042892553 | |
| 1656 Riverchase Blvd, Ste 3600, Rock Hill, SC 297322084 | 8033247606 | |
| 6030 W Highway 74, Ste B, Indian Trail, NC 280793468 | 7042892553 |
| Street Address |
13640 STEELECROFT PKWY STE 240 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28278-7565 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063444263 | Charles Bale | Obstetrics & Gynecology | 13640 Steelecroft Pkwy, Ste 240, Charlotte, NC 28278-7565 | 2006-07-07 |
| 1740711076 | John Licata | Pediatrics | 13640 Steelecroft Pkwy, Ste 210, Charlotte, NC 28278-7565 | 2017-03-27 |
| 1871038265 | Elissa Ann Bolling | Physician Assistant | 13640 Steelecroft Pkwy, Charlotte, NC 28278-7565 | 2016-12-21 |
| 1518339902 | Dustin Huerta | Nurse Practitioner | 13640 Steelecroft Pkwy, Charlotte, NC 28278-7565 | 2015-10-23 |
| 1497131031 | Kanitra Clyburn | Nurse Practitioner | 13640 Steelecroft Pkwy, Ste 210, Charlotte, NC 28278-7565 | 2015-08-05 |
| 1316328818 | Shirin Jafari-namin | Pediatrics | 13640 Steelecroft Pkwy, Ste 210, Charlotte, NC 28278-7565 | 2015-06-11 |
| 1366847915 | Sana Umair | Hospitalist | 13640 Steelecroft Pkwy, Ste 320, Charlotte, NC 28278-7565 | 2014-10-24 |
| 1972924157 | Kathryn Alexis Repas | Physician Assistant | 13640 Steelecroft Pkwy, Charlotte, NC 28278-7565 | 2013-12-14 |
| 1023455425 | Colleen Pettrey | Internal Medicine | 13640 Steelecroft Pkwy, Ste 320, Charlotte, NC 28278-7565 | 2013-05-28 |
| 1407299415 | Mitchell Alvarez | Obstetrics & Gynecology | 13640 Steelecroft Pkwy, Ste 240, Charlotte, NC 28278-7565 | 2013-04-09 |
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| 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 | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649899782 | Atrium Health North Market Network LLC | Obstetrics & Gynecology | 101 E Wt Harris Blvd Ste 5002, Charlotte, NC 28262-3588 | 2020-04-09 |
| 1528617362 | Arboretum Obstetrics & Gynecology | Obstetrics & Gynecology | 3125 Springbank Ln Ste B, Charlotte, NC 28226-3379 | 2019-09-04 |
| 1548624992 | Cassandra Yoder | Obstetrics & Gynecology | 1350 S. Kings Dr., Myers Park Clinic Ob/gyn, Charlotte, NC 28207 | 2016-04-12 |
| 1043690480 | Elizabeth Lindsay Montague-farwell | Obstetrics & Gynecology | 416 E 36th St Su 200, Charlotte, NC 28205 | 2015-06-01 |
| 1285048181 | Katie Mellington Vemireddy | Obstetrics & Gynecology | 8201 Healthcare Loop Ste 302, Charlotte, NC 28215-7072 | 2014-06-18 |
| 1467899948 | Chancy Lucas | Obstetrics & Gynecology | 325 Hawthorne Ln Ste 200, Charlotte, NC 28204 | 2013-05-24 |
| 1750727293 | Stephanie Barbadora-froelich | Obstetrics & Gynecology | 416 E 36th St Ste 200, Charlotte, NC 28205 | 2013-05-10 |
| 1992076509 | Novant Medical Group, Inc | Obstetrics & Gynecology | 11030 Golf Links Dr N, Suite 100, Charlotte, NC 28277-8200 | 2012-01-13 |
| 1073898805 | Novant Medical Group Inc | Obstetrics & Gynecology | 2610 West Arrowood Road, Charlotte, NC 28273-6134 | 2011-10-12 |
| 1164714788 | Patricia Jane Mattingly | Obstetrics & Gynecology | 6324 Fairview Rd Ste 390, Charlotte, NC 28210-4173 | 2011-05-16 |
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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.