MICHELLE SCULLOCK (NPI# 1942206131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942206131 |
| Entity Type | Individual |
| Full Name | MICHELLE SCULLOCK |
| Credential | MD |
| Practice Address |
3025 Springbank Ln Ste 100 Charlotte NC 28226-3362 |
| Mailing Address |
Po Box 19305 Charlotte NC 28219-9305 |
| Practice Telephone | 7044462620 |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2020-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 200101130 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
3025 SPRINGBANK LN STE 100 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28226-3362 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376052753 | Daniel Zalinov | Physician Assistant | 3025 Springbank Ln, Ste 100, Charlotte, NC 28226-3362 | 2017-09-28 |
| 1396264503 | Lauren Foley | Nurse Practitioner | 3025 Springbank Ln, Ste 100, Charlotte, NC 28226-3362 | 2017-09-19 |
| 1144744681 | Amanda Konopka | Nurse Practitioner | 3025 Springbank Ln, Ste 100, Charlotte, NC 28226-3362 | 2017-07-26 |
| 1790147940 | William Shimberg | Internal Medicine | 3025 Springbank Ln, Ste 100, Charlotte, NC 28226-3362 | 2016-03-27 |
| 1225437643 | Queen City Plastic Surgery Pllc | Plastic Surgery | 3025 Springbank Ln, Suite 240, Charlotte, NC 28226-3362 | 2014-08-21 |
| 1134485964 | Laura Hahn | Internal Medicine | 3025 Springbank Ln, Suite 100, Charlotte, NC 28226-3362 | 2012-04-05 |
| 1154646578 | Charlotte Medical Clinic Inc | Family Medicine | 3025 Springbank Ln, Ste 100, Charlotte, NC 28226-3362 | 2010-03-29 |
| 1396078424 | April Ihne Madaris | Optometrist | 3025 Springbank Ln, Suite 200, Charlotte, NC 28226-3362 | 2009-09-08 |
| 1447487186 | Kristina Coffey | Physician Assistant | 3025 Springbank Ln, Ste 100, Charlotte, NC 28226-3362 | 2009-06-21 |
| 1679719843 | Betancourt,pinnix, Phelps, &grimes, Dmd Pllc | Dentist | 3025 Springbank Ln, Suite 250, Charlotte, NC 28226-3362 | 2008-12-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841837507 | Southeast Vulvar Clinic, Pllc | Dermatology | 6406 Carmel Road, Suite 309, Charlotte, NC 28226 | 2019-12-02 |
| 1427540012 | Kenneth William Riley Jr. | Behavioral Analyst | 10953 Park Rd., Charlotte, NC 28226 | 2018-05-31 |
| 1780103838 | Tamara Andres | Specialist/Technologist | 2518 Lawton Bluff Rd., Charlotte, NC 28226 | 2017-09-10 |
| 1083132609 | Xenon Anesthesia of North Carolina Pllc | Anesthesiology | 7006 Shannon Willow Road, Charlotte, NC 28226 | 2017-09-04 |
| 1104354117 | Lauren Nicole Brindisi | Chiropractor | 11230 Carmel Commons Blvd., Charlotte, NC 28226 | 2017-06-03 |
| 1346790821 | Carolinas Skin Center Pa | Plastic Surgery | 3315 Springbank Lane, Suite 202, Charlotte, NC 28226 | 2016-10-10 |
| 1871040469 | Julie R Jackson | Counselor | 7810 Prineville-mathews Road, Charlotte, NC 28226 | 2016-09-01 |
| 1518346105 | Christopher Abernathy | Dentist | 3111 Springbank Ln Ste A, Charlotte, NC 28226 | 2015-05-28 |
| 1285067504 | Amy N Bullock | Physical Therapist | 7207 Marcel Ln Apt 1138, Charlotte, NC 28226 | 2013-08-11 |
| 1528405297 | Elevate Counseling and Clinical Services, Pllc | Community/Behavioral Health | 107220 Carmel Commons Blvd., Ste. 320, Charlotte, NC 28226 | 2013-06-04 |
| Find all providers in zip 28226 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932722980 | Carolinas Physicians Network Inc | Internal Medicine | 2041 South Blvd, Ste 100, Charlotte, NC 28203-5062 | 2020-05-26 |
| 1538700745 | Geriatric Care of The Carolinas, Pllc | Internal Medicine | 6001 Graburns Ford Dr, Charlotte, NC 28269-7120 | 2019-09-30 |
| 1477100683 | Carolinas Physicians Network Inc | Internal Medicine | 9325 Jw Clay Blvd, Ste 221, Charlotte, NC 28262-5411 | 2019-08-22 |
| 1972169977 | Iora Health North Carolina, P.C. | Internal Medicine | 8332 Pineville Matthews Rd Ste 205, Charlotte, NC 28226-3765 | 2019-05-15 |
| 1700345105 | Carolinas Physicians Network Inc | Internal Medicine | 2109 Randolph Rd, Charlotte, NC 28207-1521 | 2019-03-15 |
| 1790256964 | Tele Phys Inc | Internal Medicine | 10035 Park Center Dr., Ste 100, Charlotte, NC 28210 | 2018-12-16 |
| 1053880518 | Low-t Physicians Professional Association | Internal Medicine | 10430 Park Road Suite 100a, Charlotte, NC 28210 | 2018-11-14 |
| 1033698527 | Novant Medical Group, Inc | Internal Medicine | 8201 Healthcare Loop Ste 304, Charlotte, NC 28215 | 2018-08-07 |
| 1588166060 | Allcare Medical Center,pllc | Internal Medicine | 7401 The Plaza, Charlotte, NC 28215 | 2018-03-01 |
| 1083137616 | Sc Med LLC | Internal Medicine | 10436 Winslet Dr, Charlotte, NC 28277-2956 | 2017-07-25 |
| 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.