NOVANT MEDICAL GROUP INC (NPI# 1811334923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811334923 |
Entity Type | Organization |
Organization Name | NOVANT MEDICAL GROUP INC |
Other Organization Name | NOVANT HEALTH ROWAN PEDIATRICS |
Practice Address |
530 Corporate Cir Suite 200 Salisbury NC 28147-8074 |
Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
Practice Telephone | 7046381550 |
Practice Fax Number | 7046681559 |
Mailing Telephone | 7043847840 |
Enumeration Date | 2013-05-30 |
Last Update Date | 2013-05-30 |
Authorized Official Name | MR. GEOFFREY KEITH GARDNER (VP FINANCE) |
Authorized Official Telephone | 7043849742 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Novant Health Rowan Pediatrics | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700433711 | Novant Medical Group Inc | Psychiatry & Neurology | 933 Rockford St Ste 2, Mount Airy, NC 27030-5323 | 2019-08-23 |
1205481009 | Novant Medical Group Inc | Dermatology | 6324 Fairview Rd # 200, Charlotte, NC 28210-3271 | 2019-08-08 |
1033675079 | Novant Medical Group Inc | Psychiatry & Neurology | 1918 Randolph Rd Ste 320, Charlotte, NC 28207-1109 | 2019-02-14 |
1205355799 | Novant Medical Group Inc | Family Medicine | 16525 Holly Crest Ln Ste 250, Huntersville, NC 28078-4912 | 2017-09-15 |
1679090468 | Novant Medical Group Inc | Internal Medicine | 12311 Copper Way Ste 100, Charlotte, NC 28277-3643 | 2017-08-23 |
1003332016 | Novant Medical Group Inc | Internal Medicine | 10030 Gilead Rd Ste 344, Huntersville, NC 28078-7545 | 2017-08-22 |
1255709432 | Novant Medical Group Inc | Family Medicine | 19485 Old Jetton Road, Suite 100, Cornelius, NC 28031-6583 | 2015-09-04 |
1215326665 | Novant Medical Group Inc | Surgery | 819 N Atlantic Ave, Southport, NC 28461-3531 | 2015-01-22 |
1194113662 | Novant Medical Group Inc | Obstetrics & Gynecology | 1730 Kernersville Medical Parkway, Suite 104, Kernersville, NC 27284-7198 | 2015-01-06 |
1437556594 | Novant Medical Group Inc | Internal Medicine | 13 Medical Campus, Suite 102, Supply, NC 28462-4093 | 2014-12-04 |
Entity Type | Entity Name | Entity Address |
---|---|---|
North Carolina Corporations | Novant Medical Group Inc. | 2626 Glenwood Ave Ste 550, Raleigh, NC 27608 |
Virginia Business Entities | Novant Medical Group Inc. | 2085 Frontis Plaza Blvd, Winston Salem, North Carolina 27103 |
Street Address |
530 CORPORATE CIR SUITE 200 |
City | SALISBURY |
State | NC |
Zip Code | 28147-8074 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659367449 | Willard Ray Thompson Jr. | Specialist | 530 Corporate Cir, Salisbury, NC 28147-8074 | 2005-09-27 |
1235692633 | Paige Nicole Kelsch | Audiologist | 530 Corporate Cir, Salisbury, NC 28147-8074 | 2019-04-11 |
1881047033 | Sara Richard | Physician Assistant | 530 Corporate Cir, Ste 200, Salisbury, NC 28147-8074 | 2016-07-22 |
1588061261 | Novant Medical Group Inc | Surgery | 530 Corporate Cir, Suite 200, Salisbury, NC 28147-8074 | 2014-11-25 |
1295142792 | Novant Medical Group Inc | Pediatrics | 530 Corporate Cir, Suite 200, Salisbury, NC 28147-8074 | 2014-07-16 |
1801217948 | Charlotte Eye Ear Nose & Throat Associates, Pa | Ophthalmology | 530 Corporate Cir, Salisbury, NC 28147-8074 | 2013-12-16 |
1851602353 | Ashley Miriam Ferguson | Pediatrics | 530 Corporate Cir, Suite 200, Salisbury, NC 28147-8074 | 2010-06-29 |
1003127507 | Perry Scott Agbuya Jr. | Pediatrics | 530 Corporate Cir, Suite 200, Salisbury, NC 28147-8074 | 2010-06-29 |
1164687604 | Leighanne Hoskins Dorton | Otolaryngology | 530 Corporate Cir, Salisbury, NC 28147-8074 | 2008-07-24 |
1740459098 | Paula M. Issinghoff | Nurse Practitioner | 530 Corporate Cir, Suite 200, Salisbury, NC 28147-8074 | 2008-02-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700397908 | The Young Men's Christian Association of Rowan County, N.c., Inc. | Health Educator | 828 Jake Alexander Blvd., West, Salisbury, NC 28147 | 2017-10-16 |
1417490202 | Angels At Heart Assisted Living | PACE Provider Organization | 140 Kent Road, Salisbury, NC 28147 | 2016-11-28 |
1780047316 | Lugina Dumas | Counselor | 1100 Litaker Farm Road, Salisbury, NC 28147 | 2016-03-31 |
1689054777 | Travis Howell | Occupational Therapist | 548 White Oak Drive, Apt 310, Salisbury, NC 28147 | 2015-06-03 |
1790115384 | Urgent Cares of America North Carolina Inc | Non-Pharmacy Dispensing Site | 1361 Klumac Road, Salisbury, NC 28147 | 2013-11-18 |
1336499409 | Ashley Elizabeth Jones | Speech-Language Pathologist | 701julian Road, Salisbury, NC 28147 | 2012-09-14 |
1730489360 | Shepherd's Home Care | Home Health | 1953 W Jake Alexander Blvd, 2, Salisbury, NC 28147 | 2010-10-29 |
1346369006 | Denise Murphy | Occupational Therapist | 548 White Oaks Dr, Salisbury, NC 28147 | 2007-03-27 |
1205992203 | Robert N Whitaker Jr Md Pa | Otolaryngology | 330 Jake Alexander Blvd West Suite 101, Salisbury, NC 28147 | 2006-12-28 |
1720174162 | Michael Steven Binder | Chiropractor | 2124 Statesville Blvd, Salisbury, NC 28147 | 2006-10-05 |
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Taxonomy Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104152024 | Novant Medical Group Inc | Pediatrics | 111 S Salisbury Gq Ave, Salisbury, NC 28146-8150 | 2009-10-28 |
1780805366 | Lisa Stephanie Gall | Pediatrics | 106 Milford Street Suite 201, Salisbury, MD 21804 | 2007-05-01 |
1427143536 | Mohsin Ansari Md Faap PC | Pediatrics | 106 Pine Bluff Rd., Suite # 11, Salisbury, MD 21801 | 2006-10-04 |
1083700488 | Andras Kovacs | Pediatrics | 106 Milford St. Ste 201, Salisbury, MD 21804 | 2006-10-04 |
1083705198 | Jennifer Lynn Wehberg | Pediatrics | 1415 Wesley Dr, Salisbury, MD 21801-7130 | 2006-09-27 |
1356377691 | Mcfayden Eyo & Strottand Assoc Pa | Pediatrics | 1205 Pemberton, Ste 102, Salisbury, MD 21801-2483 | 2006-06-25 |
1639136633 | Saadat A Panni | Pediatrics | 217 Phillip Morris Dr, Salisbury, MD 21804-1923 | 2006-04-26 |
1063489284 | Kimberly Cuomo | Pediatrics | 100 E Carroll Street, Salisbury, MD 21801 | 2006-03-07 |
1508849977 | Ephrem Daniel | Pediatrics | 211 Maryland Ave, Salisbury, MD 21801-5805 | 2005-11-21 |
1932182359 | Melinda Castillo Maranan | Pediatrics | 223 Phillip Morris Dr, Salisbury, MD 21804-1923 | 2005-11-21 |
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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.