BARBARA ELIZABETH KISSAM


Address: 1900 Randolph Rd, Suite 1010, Charlotte, NC 28207-1122
Phone: 7043161155

BARBARA ELIZABETH KISSAM (NPI# 1881689362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881689362
Entity Type Individual
Full Name BARBARA ELIZABETH KISSAM
Credential MD
Practice Address 1900 Randolph Rd
Suite 1010
Charlotte
NC 28207-1122
Mailing Address Po Box 60447
Charlotte
NC 28260-0447
Practice Telephone 7043161155
Practice Fax Number 7043161160
Mailing Telephone 7043847840
Mailing Fax Number 7043847830
Enumeration Date 2005-09-12
Last Update Date 2013-03-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0006X Pediatrics
Specialization: Developmental – Behavioral Pediatrics
2006-01118 NC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WI 32568300 05

Office Location

Street Address 1900 RANDOLPH RD
SUITE 1010
City CHARLOTTE
State NC
Zip Code 28207-1122

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144769332 Courtney Wiseman Physician Assistant 1900 Randolph Rd, Suite 800, Charlotte, NC 28207-1122 2017-02-21
1700339785 Yu Wei Shan Nurse Practitioner 1900 Randolph Rd, Suite 800, Charlotte, NC 28207-1122 2016-07-26
1891182127 Novant Medical Group,inc Pediatrics 1900 Randolph Rd, Suite 300, Charlotte, NC 28207-1122 2015-04-24
1578979936 Kristen Elizabeth Bush Physician Assistant 1900 Randolph Rd, Ste 900, Charlotte, NC 28207-1122 2014-07-07
1003235524 Novant Medical Group Inc Internal Medicine 1900 Randolph Rd, Suite 216, Charlotte, NC 28207-1122 2014-04-11
1508107863 Novant Medical Group Inc Internal Medicine 1900 Randolph Rd, Suite 300, Charlotte, NC 28207-1106 2013-03-12
1639422264 Anthony James Mignanelli II Nurse Practitioner 1900 Randolph Rd, Suite 900, Charlotte, NC 28207-1122 2012-10-19
1851642169 Meagan Marie Bullock Social Worker 1900 Randolph Rd, Suite 800, Charlotte, NC 28207-1122 2012-09-26
1114299294 Worley Shaun Lynch Physician Assistant 1900 Randolph Rd, Suite 900, Charlotte, NC 28207-1122 2012-02-03
1124335427 Ppg Pathology and Diagnostics Pllc Clinical Medical Laboratory 1900 Randolph Rd, Suite 708, Charlotte, NC 28207-1122 2010-09-08
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013560739 Louis Roncaglione Dentist 8815 Christenbury Pkway, Concord, NC 28207 2019-07-22
1619430014 Khrystyna Levytska Student in an Organized Health Care Education/Training Program Myers Park Clinic Ob/gyn, 1350 S. Kings Dr., Charlotte, NC 28207 2019-04-11
1649743584 Carolinas Hometown Respiratory LLC Durable Medical Equipment & Medical Supplies 1005 South Kings Drive, Charlotte, NC 28207 2019-01-03
1023584489 Herron and Smith Associates, Pllc Dentist 135 Perrin Place, Suite 100, Charlotte, NC 28207 2018-10-23
1588161640 Lauren Mogk Student in an Organized Health Care Education/Training Program Myers Park Clinical Internal Medicine, 1350 S. Kings Dr., 3rd Floor, Charlotte, NC 28207 2018-04-06
1518462241 Sarah Hollyn Carlock Student in an Organized Health Care Education/Training Program Myers Park Clinic Internal Medicine, 1350 S Kings Dr, 3rd Floor, Charlotte, NC 28207 2018-03-26
1083118178 Claire Milam Student in an Organized Health Care Education/Training Program Cmc/department of Emergency Medicine, 100 Blythe Blvd, Charlotte, NC 28207 2018-03-22
1811422256 Complete Care At Dartmouth LLC Skilled Nursing Facility 300 Province Road, Charlotte, NC 28207 2017-04-24
1063945467 Kaitlyn O'keefe Internal Medicine 1350 S. Kings Dr., 3rd Floor, Myers Park Clinic Internal Medicine, Charlotte, NC 28207 2017-04-04
1811432024 Advanced Prosthetics of Easley, Inc Durable Medical Equipment & Medical Supplies 2310 Randolph Rd Ste A, Charlotte, NC 28207 2016-12-23
Find all providers in zip 28207

Taxonomy Information

Taxonomy Code 2080P0006X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Developmental – Behavioral Pediatrics

Taxonomy Definition

A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801343793 Novant Medical Group, Inc Pediatrics 1718 E 4th St, Suite 601, Charlotte, NC 28204-3261 2016-09-08
1942637319 The Charlotte-mecklenburg Hospital Authority Pediatrics 2608 E 7th St, Suite B, Charlotte, NC 28204-4375 2013-10-01
1104162932 Novant Medical Group, Inc Pediatrics 6331 Carmel Rd Ste 102, Charlotte, NC 28226 2012-12-26
1144580754 Carolinas Medical Center-northeast Pediatrics 4501 Cameron Valley Pkwy, Suite 301-b, Charlotte, NC 28211-4297 2012-05-17
1306987185 Yasmin Senturias Pediatrics 2608 E 7th St, Suite B, Charlotte, NC 28204-4375 2007-02-12
1275627812 Tsehaiwork Fenikile Pediatrics 2608 E 7th St, Suite B, Charlotte, NC 28204-4375 2006-10-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1548746365 Kassondra Amada Shoemaker Brino Pediatrics 307 S Salem St Ste 100, Apex, NC 27502-1845 2018-07-15
1164949814 Moses Cone Physician Services, Inc. Pediatrics 301 E Wendover Ave Ste 311, Greensboro, NC 27401-1210 2017-08-24
1821474628 Melissa Thingvoll Md Pllc Pediatrics 7 Yorkshire St Ste 101, Asheville, NC 28803-2798 2015-08-04
1053445130 Barbara Nan Samuels Pediatrics 108 W Fire Tower Rd Ste B, Ecu Pediatrics Autism Center, Winterville, NC 28590-8408 2007-03-14
1396823498 Patricia Dockery Weavil Pediatrics 4805 Seward Rd, Pfafftown, NC 27040-9450 2006-11-02
1780782805 Jean Charlotte Smith Pediatrics 10 Sunnybrook Road, Wake County Human Services, Raleigh, NC 27610-1808 2006-09-20
1528060209 Arne John Anderson Pediatrics 108 W Fire Tower Rd, Winterville, NC 28590-8371 2005-08-12
1104479708 Novant Medical Group Inc Pediatrics 311 Coddle Market Dr Nw Ste 200, Concord, NC 28027-2432 2019-07-23
1508426370 Novant Medical Group Inc Pediatrics 17810 Statesville Rd Ste 311, Cornelius, NC 28031-8149 2019-06-14
1659934511 Wake Specialty Physicians, LLC Pediatrics 23 Sunnybrook Rd, Raleigh, NC 27610-1855 2019-04-17
Find all providers with the same taxonomy

Competitor

Search similar providers

City CHARLOTTE
Zip Code 28207

Improve Information

Please comment or provide details below to improve the information on BARBARA ELIZABETH KISSAM.

Dataset Information

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.

Trending Searches