FAITH MEDICAL CENTER P.C. (NPI# 1992947766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992947766 |
| Entity Type | Organization |
| Organization Name | FAITH MEDICAL CENTER P.C. |
| Practice Address |
3626 Latrobe Dr Charlotte NC 28211-1388 |
| Practice Telephone | 7043667182 |
| Practice Fax Number | 7043667184 |
| Mailing Telephone | 7043667182 |
| Mailing Fax Number | 7043667184 |
| Enumeration Date | 2009-03-25 |
| Last Update Date | 2020-08-03 |
| Authorized Official Name | JOEL A ONAFOWOKAN (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7047718400 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 261Q00000X | Clinic/Center | 200401292 | NC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5902366 | 05 | |
| NC | BLUECROSS BLUESHIELD OF NORTH CAROLINA | 1406K | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 170 Medical Park Rd Ste 303, Mooresville, NC 281178541 | 7046777547 | 9804440863 |
| Street Address |
3626 LATROBE DR |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28211-1388 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790745495 | Joel A Onafowokan | Internal Medicine | 3626 Latrobe Dr, Charlotte, NC 28211-1388 | 2006-03-25 |
| 1114583358 | Bezawit Abebe | Nurse Practitioner | 3626 Latrobe Dr, Charlotte, NC 28211-1388 | 2019-05-14 |
| 1134598790 | Phuong Minh Bui | Counselor | 3626 Latrobe Dr, Suite 102, Charlotte, NC 28211-1388 | 2015-09-24 |
| 1093108896 | Bobbie C Stokes | Health Educator | 3626 Latrobe Dr, Charlotte, NC 28211-1388 | 2015-03-18 |
| 1710390224 | Alicia Smalls | Counselor | 3626 Latrobe Dr, Charlotte, NC 28211-1388 | 2014-06-03 |
| 1447504485 | Restoration Physiotherapy, Inc. | Clinic/Center | 3626 Latrobe Dr, Charlotte, NC 28211-1388 | 2012-10-30 |
| 1700027307 | Ambrosha Nicole Jordan | Nurse Practitioner | 3626 Latrobe Dr, Charlotte, NC 28211-1388 | 2009-03-12 |
| 1528239357 | Christine Renee Getty | Physician Assistant | 3626 Latrobe Dr, Charlotte, NC 28211-1183 | 2008-03-19 |
| 1639123391 | Heart Care Center of Charlotte | Internal Medicine | 3626 Latrobe Dr, Charlotte, NC 28211-1388 | 2006-05-19 |
| 1932167004 | Hossein H Farahany | Internal Medicine | 3626 Latrobe Dr, Charlotte, NC 28211-1183 | 2006-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184277832 | I and J Wheelchair Transportation | Non-emergency Medical Transport (VAN) | 1512 Delane Avenue, Charlotte, NC 28211 | 2019-07-22 |
| 1922563923 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 447 Billingsley Rd, Cottage A, Charlotte, NC 28211 | 2019-02-04 |
| 1649798273 | Ally Home Care Charlotte LLC | In Home Supportive Care | 3711 Latrobe Drive Suite 520, Charlotte, NC 28211 | 2017-09-04 |
| 1154866770 | Vaibhav Bajaj | Dentist | 2809 Coltsgate Rd Ste 200, Charlotte, NC 28211 | 2017-01-05 |
| 1508254939 | Lindsay Marie Smits | Speech-Language Pathologist | 427 N. Wendover Rd., Charlotte, NC 28211 | 2015-01-08 |
| 1457755480 | Kristen Hammer | Physical Therapy Assistant | 4120 Providence Rd Apt D, Charlotte, NC 28211 | 2014-10-20 |
| 1669805610 | Carla Elizabeth Scott | Physical Therapist | 3500 Ellington Street, Dr. Carlton Watkins Center, Charlotte, NC 28211 | 2013-08-14 |
| 1760726368 | Jill Hensdale Shipp | Social Worker | 307 Hunter Lane, Charlotte, NC 28211 | 2012-11-20 |
| 1346592722 | Danielle Marie Benoit | Occupational Therapist | 3541 Randolph Road Suite 100 W, Charlotte, NC 28211 | 2012-10-09 |
| 1487910832 | John Joseph Marcel Jr. | Orthopaedic Surgery | 449 North Wendover Rd Ste A, Charlotte, NC 28211 | 2012-04-10 |
| Find all providers in zip 28211 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487270674 | Fall Forward Wellness Center | Clinic/Center | 12709 Caldwell Rd, Charlotte, NC 28213-3811 | 2020-06-23 |
| 1760024749 | Wellcomemd Charlotte Clinic, Inc | Clinic/Center | 8035 Providence Rd Ste 315, Charlotte, NC 28277-8909 | 2019-10-11 |
| 1255807251 | Melissa Martin | Clinic/Center | 4401 E Independence Blvd Ste 101, Charlotte, NC 28205-7442 | 2018-10-17 |
| 1104303635 | Greenbrook Tms Charlotte LLC | Clinic/Center | 1515 Mockingbird Ln Ste 340, Charlotte, NC 28209-3298 | 2018-07-27 |
| 1811474976 | Elev8 Md Wellness Center | Clinic/Center | 8000 Corporate Center Dr Ste 212, Charlotte, NC 28226-4205 | 2018-07-23 |
| 1053801936 | Charlotte Community Health Clinic, Inc. | Clinic/Center | 1225 S Caldwell St, Charlotte, NC 28203-4556 | 2018-05-16 |
| 1235642166 | Thrive Pediatric Therapy, Pllc | Clinic/Center | 3315 Springbank Ln Ste 206, Charlotte, NC 28226-3198 | 2017-11-14 |
| 1821501800 | 4 Life Lab | Clinic/Center | 11709 Fruehauf Dr Ste 103, Charlotte, NC 28273-7285 | 2017-11-13 |
| 1336595826 | North Carolina Neurodiagnostics, LLC | Clinic/Center | 10130 Perimeter Pwky, Ste. 200, Office 250, Charlotte, NC 28216 | 2016-05-13 |
| 1750673729 | Al-falah Group PC | Clinic/Center | 3118 Milton Rd, A, Charlotte, NC 28215 | 2011-05-10 |
| 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.