Kathleen S Short (NPI# 1861589566, PAC ID# 2769507839) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1861589566 |
| PAC ID by PECOS | 2769507839 |
| Professional Enrollment ID | I20170425002130 |
| Full Name | Kathleen S Short |
| Organization Legal Name | MECKLENBURG MEDICAL GROUP |
| Address |
16455 Statesville Rd Suite 200 Huntersville NC 28078-7125 |
| Phone Number | 7043676610 |
| Gender | F |
| Medical School | UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE |
| Graduation Year | 1985 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 9931196797 |
| Number of Group Practice Members | 38 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340113 | CAROLINAS MEDICAL CENTER/BEHAV HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 16455 Statesville Rd, Suite 200, Huntersville, NC 28078-7125 | 7043676610 | MECKLENBURG MEDICAL GROUP |
| Organization Legal Name | MECKLENBURG MEDICAL GROUP |
| Physicians | 52 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Colleen M Pettrey | Psychiatry | Mecklenburg Medical Group | 13640 Steelecroft Pkwy, Suite 320, Charlotte, NC 28278-7880 |
| Sydney M Capodicasa | Nurse Practitioner | Mecklenburg Medical Group | 200 S College St, Suite 500, Charlotte, NC 28202-2067 |
| Ashley P W Dunigan | Physician Assistant | Mecklenburg Medical Group | 1550 Faulk St, Suite 1500, Monroe, NC 28112-5087 |
| Terry B Short | Internal Medicine | Mecklenburg Medical Group | 13640 Steelecroft Pkwy, Suite 320, Charlotte, NC 28278-7880 |
| Joseph A Davis | Internal Medicine | Mecklenburg Medical Group | 1550 Faulk St, Suite 1500, Monroe, NC 28112-5087 |
| Julio E De Pena Fernandez | Internal Medicine | Mecklenburg Medical Group | 332 N Trade St, Suite 2000, Matthews, NC 28105-1728 |
| Beth Christina Butler | Internal Medicine | Mecklenburg Medical Group | 332 N Trade St, Suite 2000, Matthews, NC 28105-1728 |
| Odile Kamanzi | Internal Medicine | Mecklenburg Medical Group | 200 S College St, Suite 500, Charlotte, NC 28202-2067 |
| Hana Alqariab | Nurse Practitioner | Mecklenburg Medical Group | 10650 Park Rd, Suite 420, Charlotte, NC 28210-8539 |
| Charlotte E Mcmanaman | Internal Medicine | Mecklenburg Medical Group | 16455 Statesville Rd, Suite 200, Huntersville, NC 28078-7125 |
| Street Address |
16455 STATESVILLE RD SUITE 200 |
| City | HUNTERSVILLE |
| State | NC |
| Zip | 28078-7125 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard A Rosania | Anesthesiology | Southeast Anesthesiology Consultants Pllc | 16455 Statesville Rd, Huntersville, NC 28078-7135 |
| Jennifer L Thomas | Nurse Practitioner | Carolinas Physicians Network Inc | 16455 Statesville Rd, Suite 360, Huntersville, NC 28078-7139 |
| Paul T Campbell | Interventional Cardiology | Carolinas Physicians Network Inc | 16455 Statesville Rd, Suite 360, Huntersville, NC 28078-7139 |
| Garry Ewell Rains | Anesthesiology | Southeast Anesthesiology Consultants Pllc | 16455 Statesville Rd, Huntersville, NC 28078-7135 |
| Carly Rivet | Internal Medicine | Carolinas Physicians Network Inc | 16455 Statesville Rd, Suite 360, Huntersville, NC 28078-7139 |
| Katherine R Brooks | Nurse Practitioner | Carolinas Physicians Network Inc | 16455 Statesville Rd, Suite 360, Huntersville, NC 28078-7139 |
| Nancy Iirene Durning | Nurse Practitioner | Carolinas Physicians Network Inc | 16455 Statesville Rd, Suite 360, Huntersville, NC 28078-7139 |
| Jennifer W Burke | Internal Medicine | Carolinas Physicians Network Inc | 16455 Statesville Rd, Suite 360, Huntersville, NC 28078-7139 |
| William S Panza | Anesthesiology | Southeast Anesthesiology Consultants Pllc | 16455 Statesville Rd, Huntersville, NC 28078-7135 |
| Catherine L. Ellison | Physician Assistant | Carolinas Physicians Network Inc | 16455 Statesville Rd, Suite 360, Huntersville, NC 28078-7139 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacy C Le | Internal Medicine | Progressive Medical Associates Pllc | 13220 Rosedale Hill Ave, Huntersville, NC 28078-0361 |
| Stacy K Mullet | Nurse Practitioner | Progressive Medical Associates Pllc | 13220 Rosedale Hill Ave, Huntersville, NC 28078-0361 |
| Mary C Head | Nurse Practitioner | Progressive Medical Associates Pllc | 13220 Rosedale Hill Ave, Huntersville, NC 28078-0361 |
| Yvonne Verla Tah | Nurse Practitioner | Pacs, PC | 8712 Lindholm Dr, Suite 302, Huntersville, NC 28078-1872 |
| Kimberly Mae Clements | Nurse Practitioner | Pacs, PC | 8712 Lindholm Dr, Suite 302, Huntersville, NC 28078-1872 |
| Nancy E Frye | Nurse Practitioner | Pacs, PC | 8712 Lindholm Dr, Suite 302, Huntersville, NC 28078-1872 |
| Amber Childers Giordano | Nurse Practitioner | Pacs, PC | 8712 Lindholm Dr, Suite 302, Huntersville, NC 28078-1872 |
| Leanna J Worsham | Nurse Practitioner | Pacs, PC | 8712 Lindholm Dr, Suite 302, Huntersville, NC 28078-1872 |
| Christine E Lemley | Optometry | 6634 April Mist Trl, Huntersville, NC 28078-2322 | |
| Amy N Scala | Physical Therapy | Holston Medical Group PC | 10210 Hickorywood Hill Ave, Suite 120, Huntersville, NC 28078-3345 |
| Find all physicians in zip 28078 | |||
| City | HUNTERSVILLE |
| Zip Code | 28078 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | HUNTERSVILLE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Kathleen S Short.
| 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.