CATAWBA VALLEY MEDICAL GROUP, INC (NPI# 1952678013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952678013 |
| Entity Type | Organization |
| Organization Name | CATAWBA VALLEY MEDICAL GROUP, INC |
| Other Organization Name | CATAWBA VALLEY FAMILY MEDICINE - NORTH HICKORY |
| Practice Address |
212 29th Ave Ne Hickory NC 28601-1084 |
| Practice Telephone | 8283260658 |
| Practice Fax Number | 8283267105 |
| Mailing Telephone | 8283260658 |
| Mailing Fax Number | 8283267105 |
| Enumeration Date | 2011-11-17 |
| Last Update Date | 2013-07-09 |
| Authorized Official Name | DAVID J BOONE (SR VP OF FINANCE/CFO) |
| Authorized Official Telephone | 8283263809 |
| Is Organization Subpart | Y |
| Parent Organization Name | CATAWBA VALLEY MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1952678013 | 05 | |
| NC | NC BCBS | 026CY | 01 |
| Other Name | Type Code |
|---|---|
| CATAWBA VALLEY FAMILY MEDICINE - NORTH HICKORY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205209996 | Catawba Valley Medical Group, Inc | General Practice | 2425 Highland Ave Ne, Hickory, NC 28601-8164 | 2015-11-04 |
| 1790062362 | Catawba Valley Medical Group, Inc | Family Medicine | 200 Rosenwald School St Sw, Catawba, NC 28609-8896 | 2011-11-10 |
| 1346715067 | Catawba Valley Medical Group, Inc | Family Medicine | 5045 Hickory Blvd, Hickory, NC 28601-8920 | 2018-10-09 |
| 1386093482 | Catawba Valley Medical Group, Inc | Family Medicine | 3511 Graystone Pl Se, Conover, NC 28613-8201 | 2016-06-09 |
| 1730552399 | Catawba Valley Medical Group, Inc | Family Medicine | 24 2nd Ave Ne, Hickory, NC 28601-5045 | 2015-11-04 |
| 1386057529 | Catawba Valley Medical Group, Inc | Internal Medicine | 200 Rosenwald School St Sw, Catawba, NC 28609-8896 | 2014-06-05 |
| 1184037327 | Catawba Valley Medical Group, Inc | Internal Medicine | 50 Macedonia Church Rd, Suite A, Taylorsville, NC 28681-8414 | 2014-06-05 |
| 1659784890 | Catawba Valley Medical Group, Inc | Internal Medicine | 6127 Highway 16 S, Denver, NC 28037-9220 | 2014-06-05 |
| 1194138339 | Catawba Valley Medical Group, Inc | Internal Medicine | 2890 S Lookout St, Claremont, NC 28610-9528 | 2014-06-05 |
| 1760895908 | Catawba Valley Medical Group, Inc | Internal Medicine | 137 Island Ford Rd, Maiden, NC 28650-8735 | 2014-06-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CATAWBA VALLEY MEDICAL GROUP, INC. | 810 Fairgrove Church Rd, Hickory, NC 28602-9617 |
| Street Address |
212 29TH AVE NE |
| City | HICKORY |
| State | NC |
| Zip Code | 28601-1084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972550945 | Catawba Valley Medical Center | Family Medicine | 212 29th Ave Ne, Hickory, NC 28601-1130 | 2006-05-27 |
| 1255783346 | Boni Killian | Nurse Practitioner | 212 29th Ave Ne, Suite 1, Hickory, NC 28601-1084 | 2016-07-12 |
| 1659773919 | Christi Ann Lucus | Nurse Practitioner | 212 29th Ave Ne, Suite 1, Hickory, NC 28601-1084 | 2014-09-18 |
| 1154634988 | Jason Kihneman | Family Medicine | 212 29th Ave Ne, Hickory, NC 28601-1084 | 2010-07-21 |
| 1043356686 | Crown Health Care, Pa | Clinic/Center | 212 29th Ave Ne, Hickory, NC 28601-1130 | 2007-01-30 |
| 1114080819 | Mary Frances Vassuar Sears | Physician Assistant | 212 29th Ave Ne, Suite 2, Hickory, NC 28601-1084 | 2006-12-18 |
| 1790706224 | Dana Chambers | Family Medicine | 212 29th Ave Ne, Hickory, NC 28601-1130 | 2006-07-21 |
| 1508881681 | Steven L Sanderson | Family Medicine | 212 29th Ave Ne, Hickory, NC 28601-1084 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555236 | Mathew Ryan Dunn | Specialist/Technologist | 755 5th St Ne, Hickory, NC 28601 | 2020-10-14 |
| 1669086757 | Alex Neil Hines | Massage Therapist | 2759 North Center Street, Hickory, NC 28601 | 2020-09-04 |
| 1306327515 | Natasha Anderson | Nurse Practitioner | 2830 16th St Ne Apt 94, Hickory, NC 28601 | 2018-08-25 |
| 1902382120 | Danielle Marie Cisney | Counselor | 1219 10th Street Blvd Nw Apt F, Hickory, NC 28601 | 2018-07-11 |
| 1295243681 | Maggie Isabelle Mccarrick | Specialist/Technologist | 2225 6th St Nw, Hickory, NC 28601 | 2018-01-19 |
| 1487165395 | Healthstat Onsite Clinic Hsm Metal | Preventive Medicine | 180 Mcdonald Parkway Sw, Hickory, NC 28601 | 2017-10-18 |
| 1407249691 | Alexcia Dawn Pennell | Registered Nurse | 1501 Tate Blvd Sw, Suite 201, Hickory, NC 28601 | 2015-03-11 |
| 1134527484 | Pamilla Griffin Yount | Specialist | 825 3rd Ave. Nw, Hickory, NC 28601 | 2014-12-18 |
| 1831593615 | Josephine Lovelace Polhemus | Pharmacist | 12th Avenue Ne, Hickory, NC 28601 | 2014-10-22 |
| 1275957128 | Amy Lor | Acupuncturist | 46 Cloninger Mill Rd Ne Ste E, Hickory, NC 28601 | 2014-02-13 |
| Find all providers in zip 28601 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598383564 | Kayla Bridges Dills | Family Medicine | 2537 Us Highway 70 Se, Hickory, NC 28602-8302 | 2020-07-07 |
| 1568704831 | Catawba Valley Medical Group, Ing | Family Medicine | 2712 S Nc 127 Hwy, Hickory, NC 28602-9130 | 2013-03-25 |
| 1598030983 | Cornerstone Health Care, LLC | Family Medicine | 212 29th Avenue Ne, Suite 2, Hickory, NC 28601-1130 | 2012-03-19 |
| 1417242017 | Sharmeen Hossain | Family Medicine | 52 12th Ave Ne Ste 101, Hickory, NC 28601-2799 | 2011-06-13 |
| 1316113160 | Aimee L Cavendish | Family Medicine | 221 13th Avenue Pl Nw Ste 101, Hickory, NC 28601-2596 | 2008-05-01 |
| 1780702712 | Patrick J. Morgante, Md | Family Medicine | 907 38th Ave Ne, Hickory, NC 28601-8419 | 2007-03-27 |
| 1801986872 | Benjamin Warren Goodman Jr. | Family Medicine | 2820 16th St Ne, Hickory, NC 28601-9600 | 2006-10-13 |
| 1336251271 | Cherry Gay Clark | Family Medicine | 18199 Highway 80, Hickory, MS 39332-0220 | 2006-08-31 |
| 1932217551 | John Keith Earl | Family Medicine | 1650 5th St Nw, Hickory, NC 28601-5208 | 2006-08-25 |
| 1235247743 | William C. Thompson IIi, Md | Family Medicine | 1803 5th St Nw, Hickory, NC 28601-5213 | 2006-08-25 |
| Find all providers in HICKORY | ||||
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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.