MERCY HOSPITAL INC. (NPI# 1972707909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972707909 |
| Entity Type | Organization |
| Organization Name | MERCY HOSPITAL INC. |
| Practice Address |
10628 Park Rd Charlotte NC 28210-8407 |
| Practice Telephone | 7045127562 |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2018-10-16 |
| Authorized Official Name | THOMAS LAYMON (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 7044468250 |
| Is Organization Subpart | Y |
| Parent Organization Name | MERCY HOSPITAL INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Mercy Hospital Inc - Independent Physicians | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MERCY HOSPITAL INC | 271 Carew St, Springfield, MA 01104-3457 |
| Street Address |
10628 PARK RD |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28210-8407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861499279 | Rajesh Sakala | Hospitalist | 10628 Park Rd, Charlotte, NC 28210-8407 | 2005-06-30 |
| 1891393088 | Kedesse Yemane | Nurse Practitioner | 10628 Park Rd, Charlotte, NC 28210-8407 | 2020-10-11 |
| 1922628379 | Lisa Land | Registered Nurse | 10628 Park Rd, Charlotte, NC 28210-8407 | 2020-04-24 |
| 1427687888 | Marina Maystruk | Registered Nurse | 10628 Park Rd, Charlotte, NC 28210-8407 | 2020-04-07 |
| 1346889649 | Reinaldo Livoti | Physician Assistant | 10628 Park Rd, Charlotte, NC 28210-8407 | 2020-01-03 |
| 1407495385 | Garrett West | Registered Nurse | 10628 Park Rd, Charlotte, NC 28210-8407 | 2019-12-25 |
| 1497304927 | Jordan Felsberg | Physical Medicine & Rehabilitation | 10628 Park Rd, Charlotte, NC 28210-8407 | 2019-09-07 |
| 1740848100 | Carolinas Physicians Network Inc | Obstetrics & Gynecology | 10628 Park Rd, Charlotte, NC 28210-8407 | 2019-05-31 |
| 1568923803 | Elizabeth Curtis | Physician Assistant | 10628 Park Rd, Charlotte, NC 28210-8407 | 2019-03-28 |
| 1831669274 | Danielle Jennifer Giglio | Registered Nurse | 10628 Park Rd, Charlotte, NC 28210-8407 | 2018-11-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952920860 | Rx Care 14 LLC | Pharmacy | 7701 Sharon Lakes Road, Suite H, Charlotte, NC 28210 | 2020-04-10 |
| 1427697622 | David Durant Dinsmore | Nurse Anesthetist, Certified Registered | Atrium Health Pineville, 10628 Park Road, Charlotte, NC 28210 | 2020-01-06 |
| 1790256964 | Tele Phys Inc | Internal Medicine | 10035 Park Center Dr., Ste 100, Charlotte, NC 28210 | 2018-12-16 |
| 1104395896 | Bridgett Williams | Behavior Technician | 7806 Andover Woods Drive, Charlotte, NC 28210 | 2018-11-26 |
| 1053880518 | Low-t Physicians Professional Association | Internal Medicine | 10430 Park Road Suite 100a, Charlotte, NC 28210 | 2018-11-14 |
| 1053895102 | Carolinas Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 7701 Sharon Lakes Blvd, Ste A., Charlotte, NC 28210 | 2018-09-24 |
| 1679066658 | Afc Urgent Care and Family Care of Wnc, Pllc | Clinic/Center | 10102 Johnston Rd, Charlotte, NC 28210 | 2018-06-13 |
| 1346777018 | Hopeway Foundation | Clinic/Center | 1717 Sharon Road West, Charlotte, NC 28210 | 2017-05-12 |
| 1891154688 | Jessie Lee Ogienko | Social Worker | 5960 Fairview Rd Ste 328, Charlotte, NC 28210 | 2016-02-22 |
| 1699151985 | Carolina Complete Psychiatry, Pllc | Physician Assistant | 5950 Fairview Road, Suite 708, Charlotte, NC 28210 | 2015-08-10 |
| Find all providers in zip 28210 | ||||
| Taxonomy Code | 207VX0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Obstetrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346760675 | Trisha Ann Dmytruk | Obstetrics & Gynecology | 11840 Southmore Dr Ste 100, Charlotte, NC 28277-4821 | 2017-06-27 |
| 1679012660 | Novant Medical Group, Inc. | Obstetrics & Gynecology | 6324 Fairview Rd Ste 430, Charlotte, NC 28210-4278 | 2017-02-23 |
| 1366779928 | Eastover Obstetrics and Gynecology Associates Inc | Obstetrics & Gynecology | 7810 Providence Rd, Ste 105, Charlotte, NC 28226-2954 | 2009-11-03 |
| 1467496869 | John Matthew Mcdonald | Obstetrics & Gynecology | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942757034 | Stacie Walker | Obstetrics & Gynecology | 4414 Lake Boone Trl Ste 311, Raleigh, NC 27607 | 2016-09-06 |
| 1245599273 | Jessica Son | Obstetrics & Gynecology | 204 Oakwood Ct, Winston Salem, NC 27103-1955 | 2012-05-11 |
| 1124192737 | Peter F Mcilveen | Obstetrics & Gynecology | 942 Johnson Ridge Rd, Elkin, NC 28621-2212 | 2006-11-17 |
| 1487606943 | Kenneth Wade Jackson Jr. | Obstetrics & Gynecology | 22 Manningfield Dr, Fletcher, NC 28732-9457 | 2006-05-16 |
| 1689663999 | Charles Augustus Harper Jr. | Obstetrics & Gynecology | 706 Green Valley Road, Suite 506, Greensboro, NC 27408-7023 | 2005-10-19 |
| 1669474268 | Laurie May Marston | Obstetrics & Gynecology | 2304 Wesvill Ct, Ste 210, Raleigh, NC 27607-2973 | 2005-08-12 |
| 1861498354 | John Davis Hepler | Obstetrics & Gynecology | 300 W 27th St, Lumberton, NC 28358-3075 | 2005-06-21 |
| 1942766886 | Watina D Gibbs | Obstetrics & Gynecology | 501 E Green Dr, High Point, NC 27260-6707 | 2019-02-15 |
| 1972974509 | Cape Fear Physician Services, Inc. | Obstetrics & Gynecology | 2221 S 17th St, Wilmington, NC 28401-7542 | 2015-10-08 |
| 1497155857 | Green Valley Ob/gyn | Obstetrics & Gynecology | 719 Green Valley Rd, Suite 201, Greensboro, NC 27408-7014 | 2014-09-03 |
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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.