UNION PHYSICIANS NETWORK INC (NPI# 1952477671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952477671 |
| Entity Type | Organization |
| Organization Name | UNION PHYSICIANS NETWORK INC |
| Other Organization Name | INDIAN TRAIL PEDIATRICS |
| Practice Address |
6030 W Highway 74 Suite F Indian Trail NC 28079-3468 |
| Mailing Address |
Po Box 601892 Charlotte NC 28260-1892 |
| Practice Telephone | 7042462900 |
| Practice Fax Number | 7042462899 |
| Mailing Telephone | 7042462900 |
| Mailing Fax Number | 7042462899 |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2011-08-19 |
| Authorized Official Name | MR. DANIEL L WIENS (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 7043550648 |
| Is Organization Subpart | Y |
| Parent Organization Name | UNION PHYSICIANS NETWORK INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5905684 | 05 |
| Other Name | Type Code |
|---|---|
| Indian Trail Pediatrics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295002459 | Union Physicians Network Inc | Surgery | 2700 Providence Road, South Suite 225, Waxhaw, NC 28173-0000 | 2011-11-16 |
| 1255654786 | Union Physicians Network Inc | Obstetrics & Gynecology | 6030 Hwy 74, Suite B, Indian Trail, NC 28079-3469 | 2010-03-11 |
| 1811210917 | Union Physicians Network Inc | Surgery | 1423-b E Franklin Street, Monroe, NC 28112-5087 | 2010-03-04 |
| 1144477837 | Union Physicians Network Inc | Internal Medicine | 1428 Ellen Street, Suite B, Monroe, NC 28112-5286 | 2008-08-25 |
| 1184799561 | Union Physicians Network Inc | Durable Medical Equipment & Medical Supplies | 301 N Van Lingle Mungo Blvd., Pageland, SC 29728-0278 | 2006-11-21 |
| 1598854879 | Union Physicians Network Inc | Internal Medicine | 1303 Dove St, Monroe, NC 28112-5012 | 2006-10-12 |
| 1922017391 | Union Physicians Network Inc | Family Medicine | 2700 Providence Road South, Suite 300, Waxhaw, NC 28173 | 2006-08-05 |
| 1154354447 | Union Physicians Network Inc | Obstetrics & Gynecology | 1550 Faulk Street, Suite 2100, Monroe, NC 28112-5087 | 2006-07-09 |
| 1528324365 | Union Physicians Network Inc | Internal Medicine | 6030 W Highway 74, Ste D, Indian Trail, NC 28079-3468 | 2012-04-05 |
| 1316218332 | Union Physicians Network Inc | Internal Medicine | 2700 Providence Road South, Suite 225, Waxhaw, NC 28173-6314 | 2012-01-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | Union Physicians Network Inc. | 1111 Metropolitan Avenue, Suite 600, Charlotte, NC 28204 |
| Street Address |
6030 W HIGHWAY 74 SUITE F |
| City | INDIAN TRAIL |
| State | NC |
| Zip Code | 28079-3468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922074236 | Susan Brown | Obstetrics & Gynecology | 6030 W Highway 74, Ste B, Indian Trail, NC 28079-3468 | 2006-02-27 |
| 1982035358 | Charmeen Mack Wilkes | Physician Assistant | 6030 W Highway 74, Suite A, Indian Trail, NC 28079-3468 | 2013-12-10 |
| 1376880922 | Taisiya Netrebko | Internal Medicine | 6030 W Highway 74, Ste D, Indian Trail, NC 28079-3468 | 2013-01-15 |
| 1851649180 | Carolinas Physicians Network Inc | Internal Medicine | 6030 W Highway 74, Ste A, Indian Trail, NC 28079-3468 | 2012-08-16 |
| 1881940252 | Carolinas Physicians Network Inc | Obstetrics & Gynecology | 6030 W Highway 74, Ste B, Indian Trail, NC 28079-3468 | 2012-08-03 |
| 1861747479 | Carolinas Physicians Network Inc | Pediatrics | 6030 W Highway 74, Ste F, Indian Trail, NC 28079-3468 | 2012-07-19 |
| 1740535657 | Carolinas Physicians Network Inc | Internal Medicine | 6030 W Highway 74, Ste D, Indian Trail, NC 28079-3468 | 2012-07-17 |
| 1457610891 | Mildred Kaagaza | Pediatrics | 6030 W Highway 74, Ste F, Indian Trail, NC 28079-3468 | 2012-05-04 |
| 1528324365 | Union Physicians Network Inc | Internal Medicine | 6030 W Highway 74, Ste D, Indian Trail, NC 28079-3468 | 2012-04-05 |
| 1841579588 | Zachary Betters | Physician Assistant | 6030 W Highway 74, Ste A, Indian Trail, NC 28079-3468 | 2011-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992297485 | Carolina Cala | Community/Behavioral Health | 3817 Balsam St, Indian Trail, NC 28079 | 2018-05-31 |
| 1992294805 | Dr Patel & Associates, Pa | Clinic/Center | 6046 W Highway 74, Indian Trail, NC 28079 | 2018-05-07 |
| 1306389085 | Creative Counseling and Consulting, LLC | Counselor | 4389 Indian Trail-fairview Road, Indian Trail, NC 28079 | 2016-11-29 |
| 1922481381 | Aakar Gaurang Chokshi | Dentist | 5850 W Highway 74 Ste 135, Indian Trail, NC 28079 | 2015-07-02 |
| 1881944536 | Francy Johana Rodriguez | Naturopath | 124 Unionville Indian Trail Rd W Ste A9, Indian Trail, NC 28079 | 2012-09-10 |
| 1669767653 | Leigh Ann Zimmerman Tasillo | Psychologist | 124 Unionville-indian Trail Rd., Suite B3, Indian Trail, NC 28079 | 2011-06-17 |
| 1679715650 | Indian Trail Chiropractic & Rehabilitation, Pa | Chiropractor | 100 Park Road East, Indian Trail, NC 28079 | 2009-04-06 |
| 1003079518 | Shemeeka L Mcfadden | Optometrist | 5850 Us-74, Unit 116, Indian Trail, NC 28079 | 2008-07-03 |
| 1023290046 | Gary Lee Vaughn | Technician/Technologist | 622 Indian Trail Rd, Indian Trail, NC 28079 | 2007-11-30 |
| 1750574331 | Susana C Junco | Dentist | 136 Indian Trail Rd, Indian Trail, NC 28079 | 2007-08-27 |
| Find all providers in zip 28079 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457610891 | Mildred Kaagaza | Pediatrics | 6030 W Highway 74, Ste F, Indian Trail, NC 28079-3468 | 2012-05-04 |
| 1730198185 | Carolinas Physicians Network Inc | Pediatrics | 6030 W Highway 74, Suite F, Indian Trail, NC 28079-3468 | 2006-08-05 |
| 1700801727 | Reema Puri | Pediatrics | 6030 W Highway 74, Ste F, Indian Trail, NC 28079-3468 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627146 | Kidzcare Pediatrics, PC | Pediatrics | Kidzcare Pediatrics, PC, 312 South Mccaskey Road, Williamston, NC 27892-2150 | 2020-10-21 |
| 1619582343 | Carolinas Physicians Network Inc | Pediatrics | 9908 Couloak Dr Ste 103, Charlotte, NC 28216-8678 | 2020-09-10 |
| 1992310627 | Carolinas Physicians Network Inc | Pediatrics | 1585 Forney Creek Pkwy Ste 2100, Denver, NC 28037-9520 | 2020-09-10 |
| 1861004426 | Carolinas Physicians Network Inc | Pediatrics | 4501 Cameron Valley Pkwy Ste 200-b, Charlotte, NC 28211-4297 | 2020-08-17 |
| 1871114470 | Kidzcare Pediatrics, PC | Pediatrics | 327 W College Ave, Shelby, NC 28152-8111 | 2020-05-05 |
| 1568082212 | Kidzcare Pediatrics, PC | Pediatrics | 416 Mccullough Dr Ste 140, Charlotte, NC 28262-4390 | 2020-04-23 |
| 1881222404 | Victoria Marie Carvajal | Pediatrics | Cmc/levine's Children's Hospital 1000 Blythe Blvd, 4th Floor, Meb, Charlotte, NC 28203-8812 | 2020-03-30 |
| 1386271930 | Irina Maria Geiculescu | Pediatrics | 1000 Blythe Blvd Fl 4 Meb, Charlotte, NC 28203 | 2020-03-24 |
| 1689201568 | Mark Selna | Pediatrics | 13 Weybridge Pl, Chapel Hill, NC 27517-8938 | 2020-03-23 |
| 1407488349 | Beth A Scisciani | Pediatrics | 8654 Walsham Dr, Charlotte, NC 28277-1850 | 2020-02-09 |
| Find all providers with the same taxonomy | ||||
| City | INDIAN TRAIL |
| Zip Code | 28079 |
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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.