Kevin M Rudisel (NPI# 1053389239, PAC ID# 4284769803) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1053389239 |
| PAC ID by PECOS | 4284769803 |
| Professional Enrollment ID | I20100320000131 |
| Full Name | Kevin M Rudisel |
| Organization Legal Name | NOVANT MEDICAL GROUP INC |
| Address |
1901 Randolph Rd Charlotte NC 28207-1101 |
| Phone Number | 7043845420 |
| Gender | M |
| Graduation Year | 1983 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | HOSPITALIST |
| Group Practice PAC ID | 1153234893 |
| Number of Group Practice Members | 1778 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340053 | NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1901 Randolph Rd, Charlotte, NC 28207-1101 | 7043845420 | NOVANT MEDICAL GROUP INC |
| Organization Legal Name | NOVANT MEDICAL GROUP INC |
| Physicians | 1795 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eugene Y Wang | Family Medicine | Novant Medical Group Inc | 2225 Freedom Dr, Charlotte, NC 28208-1000 |
| Cristina Saxon Hreso | Registered Dietitian Or Nutrition Professional | Novant Medical Group Inc | 14215 Ballantyne Corporate Pl, Suite 240, Charlotte, NC 28277-3875 |
| Jeffrey L Williams | Obstetrics/gynecology | Novant Medical Group Inc | 2909 Maplewood Ave, Winston Salem, NC 27103-4009 |
| Shannon M. Roche | Family Medicine | Novant Medical Group Inc | 8420 University Exec Park Dr, Suite 850, Charlotte, NC 28262-1308 |
| Laura Walker Justice | Registered Dietitian Or Nutrition Professional | Novant Medical Group Inc | 125 Baldwin Ave, Suite 200, Charlotte, NC 28204-3370 |
| Jennifer Susanne Harvey | Family Medicine | Novant Medical Group Inc | 1730 Kernersville Medical Pkwy, Suite 204, Kernersville, NC 27284-7198 |
| Zion Ko Lamm | Internal Medicine | Novant Medical Group Inc | 301 S College St, Suite 250, Charlotte, NC 28202-6035 |
| Ellen Greear | Nurse Practitioner | Novant Medical Group Inc | 200 Greenwich Rd, Charlotte, NC 28211-2316 |
| Allen J Shepard | Family Medicine | Novant Medical Group Inc | 14230 Hunters Rd, Huntersville, NC 28078-7335 |
| Charis Craig Bostian | Nurse Practitioner | Novant Medical Group Inc | 1965s Us 29 Hwy, China Grove, NC 28023-5684 |
| Street Address |
1901 RANDOLPH RD |
| City | CHARLOTTE |
| State | NC |
| Zip | 28207-1101 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vidya Venkat | Physician Assistant | Providence Anesthesiology Associates Pa | 1901 Randolph Rd, Charlotte, NC 28207-1101 |
| Steven Craig Frantz | Physician Assistant | Novant Medical Group Inc | 1901 Randolph Rd, Charlotte, NC 28207-1101 |
| Philip Thomas De Rosa | Physician Assistant | Novant Medical Group Inc | 1901 Randolph Rd, Charlotte, NC 28207-1101 |
| Kristen M Ireland | Nurse Practitioner | Novant Medical Group Inc | 1901 Randolph Rd, Charlotte, NC 28207-1101 |
| Loretta Ann Hart | Physician Assistant | Novant Medical Group Inc | 1901 Randolph Rd, Charlotte, NC 28207-1101 |
| Michael J Riznyk | Physician Assistant | Novant Medical Group Inc | 1901 Randolph Rd, Charlotte, NC 28207-1101 |
| Matthew Garretson | Physician Assistant | Novant Medical Group Inc | 1901 Randolph Rd, Charlotte, NC 28207-1101 |
| Michael R Metcalf | Hospitalist | Novant Medical Group Inc | 1901 Randolph Rd, Charlotte, NC 28207-1101 |
| Aimee B Kerchner | Physician Assistant | Novant Medical Group Inc | 1901 Randolph Rd, Charlotte, NC 28207-1101 |
| Isaac P Stappas | Physician Assistant | Novant Medical Group Inc | 1901 Randolph Rd, Charlotte, NC 28207-1101 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Philip M Dayvault | Physician Assistant | Orthocarolina, Pa | 1915 Randolph Rd, Charlotte, NC 28207-1101 |
| Tyler L Carllee | Orthopedic Surgery | Orthocarolina, Pa | 1915 Randolph Rd, Charlotte, NC 28207-1101 |
| Lindsay C Collins | Physician Assistant | Orthocarolina, Pa | 1915 Randolph Rd, Charlotte, NC 28207-1101 |
| Kristen L Alford | Physical Therapy | Orthocarolina, Pa | 1915 Randolph Rd, Charlotte, NC 28207-1101 |
| Marcie Heslop Siebert | Occupational Therapy | Orthocarolina, Pa | 1915 Randolph Rd, Charlotte, NC 28207-1101 |
| Eric C Heckman | Physician Assistant | Orthocarolina, Pa | 1915 Randolph Rd, Charlotte, NC 28207-1101 |
| Shannon Mullaly | Physical Therapy | Orthocarolina, Pa | 1915 Randolph Rd, Charlotte, NC 28207-1101 |
| Timothy A Boyd | Physician Assistant | Orthocarolina, Pa | 1915 Randolph Rd, Charlotte, NC 28207-1101 |
| Raymond G Gaston | Hand Surgery | Orthocarolina, Pa | 1915 Randolph Rd, Charlotte, NC 28207-1101 |
| Michael H Long | Physician Assistant | Orthocarolina, Pa | 1915 Randolph Rd, Charlotte, NC 28207-1101 |
| Find all physicians in zip 28207 | |||
| City | CHARLOTTE |
| Zip Code | 28207 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | CHARLOTTE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Kevin M Rudisel.
| 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.