DDMR PLLC (NPI# 1851692891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851692891 |
| Entity Type | Organization |
| Organization Name | DDMR PLLC |
| Other Organization Name | HEALTH SOURCE OF MONROE |
| Practice Address |
1309 E Sunset Dr Monroe NC 28112-4324 |
| Mailing Address |
420 Utility Dr Clemmons NC 27012-8397 |
| Practice Telephone | 7042969090 |
| Mailing Telephone | 3367665935 |
| Mailing Fax Number | 3367665365 |
| Enumeration Date | 2010-11-08 |
| Last Update Date | 2010-11-08 |
| Authorized Official Name | DR. MICHAEL RICCOBONI (ORGANIZING MEMBER) |
| Authorized Official Telephone | 3367665935 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 3062 | NC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | NPI | 1477587947 | 01 |
| NC | 890833W | 05 | |
| NC | NPI | 1013998848 | 01 |
| NC | 085HM | 05 |
| Other Name | Type Code |
|---|---|
| Health Source of Monroe | Doing Business As Name - Organization |
| Street Address |
1309 E SUNSET DR |
| City | MONROE |
| State | NC |
| Zip Code | 28112-4324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962450155 | Mecklenburg Diagnostic Imaging LLC | Radiology | 1309 E Sunset Dr, Monroe, NC 28112-4324 | 2006-05-04 |
| 1386050870 | Sandip Rajnibhai Patel | Chiropractor | 1309 E Sunset Dr, Monroe, NC 28112-4324 | 2014-07-07 |
| 1982921318 | Nicholas Daniel-grant Chappel | Chiropractor | 1309 E Sunset Dr, Monroe, NC 28112-4324 | 2010-04-25 |
| 1972673283 | Jason B Minsky | Chiropractor | 1309 E Sunset Dr, Monroe, NC 28112-4324 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376000620 | Paladina Health, LLC | Family Medicine | Paladina Health Monroe Campus Park, 1640 A Campus Park Drive, Monroe, NC 28112 | 2019-02-22 |
| 1073078408 | Sharelle Monique Hatley | Social Worker | 501 North Charlotte Ave, Suite C-214, Monroe, NC 28112 | 2019-02-11 |
| 1740762509 | Fox Counseling and Consulting, Pllc | Social Worker | 311 W Jefferson Street, Monroe, NC 28112 | 2018-08-29 |
| 1760976062 | Kinena J Dent-smith | Community/Behavioral Health | 207 Raymond St, Monroe, NC 28112 | 2018-06-20 |
| 1093225468 | Healthstat Onsite Clinic Parkdale Plant 21 | Preventive Medicine | 5005 Waxhaw Highway 75, Monroe, NC 28112 | 2017-10-11 |
| 1871026567 | H.o.p.e. Advancement, Inc. | Counselor | 349 Venus Street, Monroe, NC 28112 | 2017-04-10 |
| 1508304650 | Monroe Dental Clinic General Partnership | Dentist | 102 E Windsor Street, Monroe, NC 28112 | 2017-02-09 |
| 1073062865 | Garahetta Robin Sell | Massage Therapist | 600 West End Drive, Monroe, NC 28112 | 2016-09-22 |
| 1700280765 | Katherine Hartness | Massage Therapist | 205 N. Hayne St., Monroe, NC 28112 | 2014-10-20 |
| 1346655586 | Gaurav Chand | Internal Medicine | 1663 Campus Park Dr., Suite D, Monroe, NC 28112 | 2014-06-26 |
| Find all providers in zip 28112 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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| 1730667320 | Ideal Option, Pllc | Clinic/Center | 14523 169th Drive, Suite 773, Monroe, WA 98272-2935 | 2018-08-06 |
| 1669918892 | Strong Health and Wellness | Clinic/Center | 1335 W Roosevelt Blvd, Monroe, NC 28110-2821 | 2017-01-11 |
| 1861702680 | Healthpoint Center, LLC | Clinic/Center | 400 Stubbs Ave, Monroe, LA 71201-5506 | 2010-10-14 |
| 1689988149 | Exodus Clinic LLC | Clinic/Center | 671 State Route 17m, Monroe, NY 10950-3318 | 2010-07-27 |
| 1558692871 | Exodus Clinic, LLC | Clinic/Center | 7 Rieger Dr, Monroe, NY 10950-1628 | 2010-01-26 |
| 1598918633 | Cynthia Brown Manning Md, Apmc | Clinic/Center | 1825 North 18th St, Suite B, Monroe, LA 71201 | 2008-11-03 |
| 1588828560 | Head To Toe Research & Wellness, LLC | Clinic/Center | 307 S Broad St, Monroe, GA 30655-2119 | 2008-07-18 |
| 1447436829 | The Monroe Medical Foundation for Research and Education, Inc | Clinic/Center | 411 22nd Ave, Monroe, WI 53566-1576 | 2008-01-15 |
| Find all providers in MONROE | ||||
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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.