TINA PETOK (NPI# 1861464810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861464810 |
| Entity Type | Individual |
| Full Name | TINA PETOK |
| Credential | M.D. |
| Practice Address |
8220 University Exec Park Dr Suite 107 Charlotte NC 28262-3380 |
| Mailing Address |
8220 University Exec Park Dr Ste 107 Charlotte NC 28262-3380 |
| Practice Telephone | 7045481221 |
| Practice Fax Number | 7045481311 |
| Mailing Telephone | 7045481221 |
| Mailing Fax Number | 7045481311 |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2007-10-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
32417 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8967234 | 05 |
| Street Address |
8220 UNIVERSITY EXEC PARK DR SUITE 107 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28262-3380 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568468502 | Proactive Therapy of North Carolina Inc | Clinic/Center | 8220 University Exec Park Dr, Suite 140, Charlotte, NC 28262-3380 | 2005-06-23 |
| 1043759947 | Kelsey Hight | Physical Therapist | 8220 University Exec Park Dr, Charlotte, NC 28262-3380 | 2017-02-13 |
| 1376089631 | Brandy Cardwell | Specialist/Technologist | 8220 University Exec Park Dr, Suite #140, Charlotte, NC 28262-3380 | 2017-01-11 |
| 1356727341 | Dr Reimels Univerisity Pllc | Dentist | 8220 University Exec Park Dr, Suite 110, Charlotte, NC 28262-3380 | 2015-08-03 |
| 1093190167 | Lauren Huber | Physical Therapist | 8220 University Exec Park Dr, Charlotte, NC 28262-3380 | 2015-07-29 |
| 1154670511 | University Neurological Associates | Psychiatry & Neurology | 8220 University Exec Park Dr, Charlotte, NC 28262-3380 | 2012-08-31 |
| 1851521116 | Paul S Clarke Iv | Dentist | 8220 University Exec Park Dr, Suite 111, Charlotte, NC 28262-3380 | 2009-07-21 |
| 1164657672 | Deborah Johns | Nurse Practitioner | 8220 University Exec Park Dr, Ste 107, Charlotte, NC 28262-3380 | 2009-05-28 |
| 1639318561 | Kari Schenk | Physical Therapist | 8220 University Exec Park Dr, Charlotte, NC 28262-3380 | 2009-02-17 |
| 1437307279 | Craig Brattlie | Physical Therapist | 8220 University Exec Park Dr, Charlotte, NC 28262-3380 | 2008-09-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366056913 | Aleta Michelle Johnson | Specialist | 9711 David Taylor Dr., Ste. 145, Charlotte, NC 28262 | 2020-09-01 |
| 1275161580 | Londyn Homecare Agency L.l.c | Home Health | 1914j.n. Place, Charlotte, NC 28262 | 2020-03-31 |
| 1154964914 | Abundant Love Home Care Service LLC | In Home Supportive Care | 1981 J.n. Pease Place, Ste 204, Charlotte, NC 28262 | 2019-10-24 |
| 1104399070 | Nattya S Pilgreen | Prosthetist | 410 E Mccullough Drive, Suite 103, Charlotte, NC 28262 | 2019-01-03 |
| 1114404506 | Laura Ida Anthony-getant | Social Worker | 10130 Mallard Creek Road, Ste 300 #333, Charlotte, NC 28262 | 2018-07-27 |
| 1720573587 | Carolinas Center for Ambulatory Dentistry LLC | Dentist | 8415 Medical Plaza Drice, Charlotte, NC 28262 | 2018-06-25 |
| 1598254799 | Cassandra Faye Harding | Nurse Practitioner | 1905 Jn Pease Place Suite 103, Charlotte, NC 28262 | 2018-05-03 |
| 1669960746 | Michael Riley | In Home Supportive Care | 8301 University Exec Park Dr Ste 120, Charlotte, NC 28262 | 2018-04-25 |
| 1568989804 | Bridget Coomber | Behavior Technician | 8420 University Executive Dr Ste 810, Charlotte, NC 28262 | 2017-08-28 |
| 1073037701 | Toshana Daley | Physical Therapist | 8801 Jm Keynes Blvd, Charlotte, NC 28262 | 2017-08-03 |
| Find all providers in zip 28262 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952736142 | Brandon Gynecology Associates, Pa | Obstetrics & Gynecology | 10310 Mallard Creek Rd Ste 101d, Mallard Crossing Medical Park, Charlotte, NC 28262-4563 | 2013-09-06 |
| 1639389240 | Ashutosh Ron Virmani | Obstetrics & Gynecology | 4626 Charlestowne Manor Dr, Charlotte, NC 28211-3185 | 2007-05-23 |
| 1154543239 | Ronald L Brown | Obstetrics & Gynecology | 423 S Sharon Amity Rd Ste C, Charlotte, NC 28211-2974 | 2007-05-02 |
| 1568501856 | Kenneth H Chambers | Obstetrics & Gynecology | 1406 Beatties Ford Rd, Charlotte, NC 28216-4550 | 2007-02-05 |
| 1558367680 | Alyse Kelly-jones | Obstetrics & Gynecology | 6324 Fairview Rd Ste 440, Charlotte, NC 28210-4278 | 2005-06-23 |
| 1245233279 | David W Mcallister | Obstetrics & Gynecology | 2711 Randolph Rd, Ste 512, Charlotte, NC 28207-2027 | 2005-05-23 |
| 1326686890 | Novant Medical Group, Inc. | Obstetrics & Gynecology | 6324 Fairview Rd Ste 440, Charlotte, NC 28210-4278 | 2019-12-16 |
| 1912445560 | Thrive Gynecology Pllc | Obstetrics & Gynecology | 6401 Morrison Blvd, Suite 2a, Charlotte, NC 28211-3800 | 2017-02-03 |
| 1881131167 | Thrive Personalized Healthcare and Wellness | Obstetrics & Gynecology | 6401 Morrison Blvd, Suite 2a, Charlotte, NC 28211-3800 | 2017-01-25 |
| 1366794455 | Center for Sexual Health and Education | Obstetrics & Gynecology | 10801 Johnston Rd, Suite 121, Charlotte, NC 28226-4558 | 2012-10-12 |
| Find all providers in CHARLOTTE | ||||
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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.