Jonathan L Desamero (NPI# 1003804972, PAC ID# 1951203769) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1003804972 |
| PAC ID by PECOS | 1951203769 |
| Professional Enrollment ID | I20040122000878 |
| Full Name | Jonathan L Desamero |
| Organization Legal Name | CAROLINA MEDICORP ENTERPRISES INC |
| Address |
6816 Matthews Mint Hill Rd Suite 101 Mint Hill NC 28227-9324 |
| Phone Number | 7043163601 |
| Gender | M |
| Credential | NP |
| Graduation Year | 2002 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0648174904 |
| Number of Group Practice Members | 81 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 6816 Matthews Mint Hill Rd, Suite 101, Mint Hill, NC 28227-9324 | 7043163601 | CAROLINA MEDICORP ENTERPRISES INC |
| 6816 Matthews Mint Hill Rd, Mint Hill, NC 28227-9324 | 7043163601 | CAROLINA MEDICORP ENTERPRISES INC |
| Organization Legal Name | CAROLINA MEDICORP ENTERPRISES INC |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa L Stevens | Physician Assistant | Carolina Medicorp Enterprises Inc | 501 Hickory Branch Dr, Greensboro, NC 27409-9601 |
| Edwin T Holloway | Emergency Medicine | Carolina Medicorp Enterprises Inc | 1918 Randolph Rd, Suite 175, Charlotte, NC 28207-1107 |
| Sabrina A Mccluskey | Nurse Practitioner | Carolina Medicorp Enterprises Inc | 15235 John J Delaney Dr B, Charlotte, NC 28277-2846 |
| Michelle A Balmaceda | Family Practice | Carolina Medicorp Enterprises Inc | 9600 E Independence Blvd, Matthews, NC 28105-4628 |
| Kirsten M Gross | Emergency Medicine | Carolina Medicorp Enterprises Inc | 445 S Kings Dr, Charlotte, NC 28204-3041 |
| Eduardo Gembs | Family Practice | Carolina Medicorp Enterprises Inc | 11840 Southmore Dr, Suite 100, Charlotte, NC 28277-4466 |
| Trisha Dmytruk | Nurse Practitioner | Carolina Medicorp Enterprises Inc | 11840 Southmore Dr, Suite 100, Charlotte, NC 28277-4466 |
| Lindsay F Schalles | Nurse Practitioner | Carolina Medicorp Enterprises Inc | 1918 Randolph Rd, Suite 175, Charlotte, NC 28207-1107 |
| Breland M Joines | Physician Assistant | Carolina Medicorp Enterprises Inc | 600 Highland Oaks Dr, Winston Salem, NC 27103-7107 |
| Holly A Jamison | Nurse Practitioner | Carolina Medicorp Enterprises Inc | 2620 N Main St, Suite 109, High Point, NC 27265-2735 |
| Street Address |
6816 MATTHEWS MINT HILL RD SUITE 101 |
| City | MINT HILL |
| State | NC |
| Zip | 28227-9324 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura Campbell | Nurse Practitioner | Carolina Medicorp Enterprises, Inc. | 6816 Matthews Mint Hill Rd, Suite 101, Mint Hill, NC 28227-9324 |
| Lindsay Johnston | Nurse Practitioner | Carolina Medicorp Enterprises, Inc. | 6816 Matthews Mint Hill Rd, Suite 101, Mint Hill, NC 28227-9324 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David C Tignor | Family Medicine | Carolinas Physicians Network Inc | 10545 Blair Rd, Suite 1200, Mint Hill, NC 28227-2806 |
| Elizabeth Asare | Nurse Practitioner | Carolinas Physicians Network Inc | 10545 Blair Rd, Suite 1200, Mint Hill, NC 28227-2806 |
| David Hosseini Emmons | Nurse Practitioner | Carolinas Physicians Network, Inc. | 10545 Blair Rd, Suite 1200, Mint Hill, NC 28227-2806 |
| David M Innis | Chiropractic | 9929 Albemarle Rd, Suite 3b, Charlotte, NC 28227-3363 | |
| Steven J Leighton | Optometry | 7148 Lawyers Rd, Mint Hill, NC 28227-3906 | |
| Marjorie M Whitehead | Physician Assistant | Novant Medical Group Inc | 7110 Lawyers Rd, Mint Hill, NC 28227-3906 |
| Edmire F Souffrant | Family Medicine | Novant Medical Group Inc | 7110 Lawyers Rd, Mint Hill, NC 28227-3906 |
| Mary Lou Mcmullen Lawson | Family Medicine | Novant Medical Group Inc | 7110 Lawyers Rd, Mint Hill, NC 28227-3906 |
| Pushpa L Gross | Family Medicine | Novant Medical Group Inc | 7110 Lawyers Rd, Mint Hill, NC 28227-3906 |
| Hiten K Patel | Family Medicine | Novant Medical Group Inc | 7110 Lawyers Rd, Mint Hill, NC 28227-3906 |
| Find all physicians in zip 28227 | |||
| City | MINT HILL |
| Zip Code | 28227 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MINT HILL + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.