PRESBYTERIAN BREAST CENTER LLC (NPI# 1831452622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831452622 |
Entity Type | Organization |
Organization Name | PRESBYTERIAN BREAST CENTER LLC |
Other Organization Name | NOVANT HEALTH BREAST CENTER |
Practice Address |
1718 E 4th St Suite 103 Charlotte NC 28204-3261 |
Mailing Address |
Po Box 603543 Charlotte NC 28260-3543 |
Practice Telephone | 7043845000 |
Practice Fax Number | 7043845654 |
Mailing Telephone | 6783935600 |
Mailing Fax Number | 7703009018 |
Enumeration Date | 2012-06-18 |
Last Update Date | 2017-07-10 |
Authorized Official Name | DANIEL J SCHAEFER (COO) |
Authorized Official Telephone | 7703000101 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Novant Health Breast Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275584179 | Presbyterian Breast Center LLC | Clinic/Center | 14215 Ballantyne Corporate Place, Ste 140, Charlotte, NC 28277-3146 | 2006-05-15 |
1326099201 | Presbyterian Breast Center LLC | Physiological Laboratory | 1718 E 4th St, Ste 103, Charlotte, NC 28204-3260 | 2006-05-15 |
Street Address |
1718 E 4TH ST SUITE 103 |
City | CHARLOTTE |
State | NC |
Zip Code | 28204-3261 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841298239 | Kevin Hsu | Internal Medicine | 1718 E 4th St, Ste 501, Charlotte, NC 28204-3260 | 2005-07-11 |
1205373081 | Miranda L Williams | Physician Assistant | 1718 E 4th St, Suite 501, Charlotte, NC 28204-3261 | 2017-01-31 |
1881138873 | Shannon Scandone | Nurse Practitioner | 1718 E 4th St, Suite 501, Charlotte, NC 28204-3261 | 2016-12-09 |
1063963866 | Jessica Puskarich | Nurse Practitioner | 1718 E 4th St, Suite 307, Charlotte, NC 28204-3261 | 2016-10-18 |
1801343793 | Novant Medical Group, Inc | Pediatrics | 1718 E 4th St, Suite 601, Charlotte, NC 28204-3261 | 2016-09-08 |
1497107536 | Kelly J Coleman | Nurse Practitioner | 1718 E 4th St, Suite 501, Charlotte, NC 28204-3261 | 2016-07-12 |
1447616602 | Lindsay Spears Taylor | Physician Assistant | 1718 E 4th St, Suite 501, Charlotte, NC 28204-3261 | 2016-01-04 |
1982089322 | Melanie Moshier | Genetic Counselor, MS | 1718 E 4th St, Suite 608, Charlotte, NC 28204-3261 | 2015-07-28 |
1962886218 | Novant Medical Group, Inc | Pediatrics | 1718 E 4th St, Suite 401, Charlotte, NC 28204-3261 | 2015-07-16 |
1780071373 | Shannon Deluca | Nurse Practitioner | 1718 E 4th St, Suite 501, Charlotte, NC 28204-3261 | 2015-04-21 |
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 | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003110677 | Charlotte Radiology Pa | Radiology | 1025 Morehead Medical Dr Ste 150, Charlotte, NC 28204-2973 | 2010-12-22 |
1144477258 | Presbyterian Imaging Centers LLC | Radiology | 13557 Steelecroft Parkway, Suite 1100, Charlotte, NC 28278 | 2008-08-20 |
1801097803 | Orion Imaging, LLC | Radiology | 10420 Park Rd, Ste 100, Charlotte, NC 28210-8501 | 2007-05-29 |
1457561912 | John D Wylie | Radiology | 3816 Latrobe Dr, Charlotte, NC 28211-1167 | 2007-05-23 |
1417029455 | Gregory John Duellman | Radiology | 14121 Lissadell Cir, Charlotte, NC 28277-3137 | 2006-11-14 |
1407926165 | Metrolina Women's Breast Center Pllc | Radiology | 439 N Wendover Road, Charlotte, NC 28211 | 2006-11-09 |
1932286523 | Charles Nicholas Pappas | Radiology | 609 Stockbridge Rd, Charlotte, VT 05445-9361 | 2006-11-01 |
1164439873 | Kenneth Fox | Radiology | 9935d Rea Rd Ste 266, Charlotte, NC 28277-6710 | 2006-08-02 |
1265470421 | Kevin W Carroll | Radiology | 3623 Latrobe Drive, Ste 216, Charlotte, NC 28211 | 2006-06-02 |
1528032604 | Diane Huntington Conley | Radiology | 3815 Stoney Ridge Trl, Charlotte, NC 28210-6932 | 2006-02-15 |
Find all providers in CHARLOTTE |
Please comment or provide details below to improve the information on PRESBYTERIAN BREAST CENTER LLC.
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.