Jennifer Samples Holl (NPI# 1336460922, PAC ID# 3870717085) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1336460922 |
| PAC ID by PECOS | 3870717085 |
| Professional Enrollment ID | I20180829000740 |
| Full Name | Jennifer Samples Holl |
| Organization Legal Name | SURGICAL SPECIALISTS OF CHARLOTTE PA |
| Address |
1450 Matthews Township Pkwy Suite 250 Matthews NC 28105-5331 |
| Phone Number | 7048411444 |
| Gender | F |
| Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 3779519285 |
| Number of Group Practice Members | 36 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340171 | NOVANT HEALTH MATTHEWS MEDICAL CENTER |
| 340098 | CAROLINAS MEDICAL CENTER-PINEVILLE |
| 340190 | |
| 340053 | NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1450 Matthews Township Pkwy, Suite 250, Matthews, NC 28105-5331 | 7048411444 | SURGICAL SPECIALISTS OF CHARLOTTE PA |
| Organization Legal Name | SURGICAL SPECIALISTS OF CHARLOTTE PA |
| Physicians | 40 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason S Burgess | General Surgery | Surgical Specialists of Charlotte Pa | 1918 Randolph Rd, Suite 130, Charlotte, NC 28207-1107 |
| Iyore Amy Otabor James | General Surgery | Surgical Specialists of Charlotte Pa | 1450 Matthews Township Pkwy, Suite 250, Matthews, NC 28105-5331 |
| Krista E Stark | Physician Assistant | Surgical Specialists of Charlotte Pa | 1918 Randolph Rd, Suite 130, Charlotte, NC 28207-1107 |
| Lee C Pederson | General Surgery | Surgical Specialists of Charlotte Pa | 1918 Randolph Rd, Suite 130, Charlotte, NC 28207-1107 |
| Steven David Thies | General Surgery | Surgical Specialists of Charlotte Pa | 1918 Randolph Rd, Suite 130, Charlotte, NC 28207-1107 |
| Shamly V Dhiman | General Surgery | Surgical Specialists of Charlotte Pa | 1721 Ebenezer Rd, Suite 175, Rock Hill, SC 29732-1188 |
| Lila Estelle Skropeta | Physician Assistant | Surgical Specialists of Charlotte Pa | 10030 Gilead Rd, Suite 245, Huntersville, NC 28078-7545 |
| Tammy Faw-severeide | Nurse Practitioner | Surgical Specialists of Charlotte Pa | 1918 Randolph Rd, Suite 130, Charlotte, NC 28207-1107 |
| Leah Michelle Miles | Physician Assistant | Surgical Specialists of Charlotte Pa | 10030 Gilead Rd, Suite 245, Huntersville, NC 28078-7545 |
| Cara Elizabeth Hudson | General Surgery | Surgical Specialists of Charlotte Pa | 1450 Matthews Township Pkwy, Suite 250, Matthews, NC 28105-5331 |
| Street Address |
1450 MATTHEWS TOWNSHIP PKWY SUITE 250 |
| City | MATTHEWS |
| State | NC |
| Zip | 28105-5331 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David J Dorenfeld | Physician Assistant | Novant Medical Group Inc | 1450 Matthews Township Pkwy, Suite 170, Matthews, NC 28105-6300 |
| David Becker | Family Medicine | Novant Medical Group Inc | 1450 Matthews Township Pkwy, Suite 450, Matthews, NC 28105-5343 |
| Michael F Sweeney | Obstetrics/gynecology | Novant Medical Group Inc | 1450 Matthews Township Pkwy, Suite 200, Matthews, NC 28105-2388 |
| Tejal Vijay Mehta | Internal Medicine | Tryon Medical Partners, Pllc | 1450 Matthews Township Pkwy, Suite 230, Matthews, NC 28105-2388 |
| Iyore Amy Otabor James | General Surgery | Surgical Specialists of Charlotte Pa | 1450 Matthews Township Pkwy, Suite 250, Matthews, NC 28105-5331 |
| Ashley Martinez Fento | Obstetrics/gynecology | Novant Medical Group Inc | 1450 Matthews Township Pkwy, Suite 300, Matthews, NC 28105-5332 |
| Christopher Cale Homesley | Physician Assistant | Novant Medical Group Inc | 1450 Matthews Township Pkwy, Matthews, NC 28105-4300 |
| Timothy J Leonard | Physician Assistant | Novant Medical Group Inc | 1450 Matthews Township Pkwy, Matthews, NC 28105-2388 |
| Sarah Marie Rumbaugh | Certified Nurse Midwife (cnm) | Novant Medical Group Inc | 1450 Matthews Township Pkwy, Suite 300, Matthews, NC 28105-5332 |
| Alexis C Smith | Internal Medicine | Novant Medical Group Inc | 1450 Matthews Township Pkwy, Suite 380, Matthews, NC 28105-2389 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kara G James | Optometry | Dr. Andrew G Hahn and Associates of Optometry Pa | 1419 A Matthews Minthill Rd, Matthews, NC 28105 |
| Geralyn M Campi | Internal Medicine | 2030 Windsor Run Ln, Matthews, NC 28105-0054 | |
| William J Conner | Family Medicine | 211 W Matthews St, Suite 102, Matthews, NC 28105-1310 | |
| Alicia M Pielow Krol | Physician Assistant | Carolinas Physicians Network Inc | 332 N Trade St, Matthews, NC 28105-1728 |
| 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 |
| Win Pa Lin | Physician Assistant | Carolinas Physicians Network Inc | 332 N Trade St, Matthews, NC 28105-1728 |
| Nicole Marie Kosakowski | Physician Assistant | Carolinas Physicians Network Inc | 332 N Trade St, Matthews, NC 28105-1728 |
| Ryan L Moorhouse | Physician Assistant | Carolinas Physicians Network Inc | 332 N Trade St, Matthews, NC 28105-1728 |
| Bailey Y. Chang | Internal Medicine | Mecklenburg Medical Group | 332 N Trade St, Suite 2000, Matthews, NC 28105-1728 |
| Find all physicians in zip 28105 | |||
| City | MATTHEWS |
| Zip Code | 28105 |
| Specialty | GENERAL SURGERY |
| City + Specialty | MATTHEWS + GENERAL SURGERY |
Please comment or provide details below to improve the information on Jennifer Samples Holl.
| 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.