Keri Anne Squittieri (NPI# 1366727497, PAC ID# 4385818186) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1366727497 |
| PAC ID by PECOS | 4385818186 |
| Professional Enrollment ID | I20111114000005 |
| Full Name | Keri Anne Squittieri |
| Organization Legal Name | DERMATOLOGY CARE OF CHARLOTTE PA |
| Address |
15830 Ballantyne Med Pl Suite 100 Charlotte NC 28277 |
| Phone Number | 7043410090 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 7911906151 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 15830 Ballantyne Med Pl, Suite 100, Charlotte, NC 28277 | 7043410090 | DERMATOLOGY CARE OF CHARLOTTE PA |
| Organization Legal Name | DERMATOLOGY CARE OF CHARLOTTE PA |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary M Cummins | Physician Assistant | Dermatology Care of Charlotte Pa | 15830 Ballantyne Med Pl, Suite 100, Charlotte, NC 28277 |
| James L Seward | Dermatology | Dermatology Care of Charlotte Pa | 15830 Ballantyne Med Pl, Suite 100, Charlotte, NC 28277 |
| Elizabeth G Grattan | Dermatology | Dermatology Care of Charlotte Pa | 15830 Ballantyne Med Pl, Suite 100, Charlotte, NC 28277 |
| Jocelyn E Larocque | Dermatology | Dermatology Care of Charlotte Pa | 15830 Ballantyne Med Pl, Suite 100, Charlotte, NC 28277 |
| Lisa Michelle Matuga | Physician Assistant | Dermatology Care of Charlotte Pa | 15830 Ballantyne Med Pl, Suite 100, Charlotte, NC 28277 |
| Lesslie A Marquez-durst | Physician Assistant | Dermatology Care of Charlotte Pa | 15830 Ballantyne Med Pl, Suite 100, Charlotte, NC 28277 |
| Street Address |
15830 BALLANTYNE MED PL SUITE 100 |
| City | CHARLOTTE |
| State | NC |
| Zip | 28277 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary M Cummins | Physician Assistant | Dermatology Care of Charlotte Pa | 15830 Ballantyne Med Pl, Suite 100, Charlotte, NC 28277 |
| James L Seward | Dermatology | Dermatology Care of Charlotte Pa | 15830 Ballantyne Med Pl, Suite 100, Charlotte, NC 28277 |
| Elizabeth G Grattan | Dermatology | Dermatology Care of Charlotte Pa | 15830 Ballantyne Med Pl, Suite 100, Charlotte, NC 28277 |
| Jocelyn E Larocque | Dermatology | Dermatology Care of Charlotte Pa | 15830 Ballantyne Med Pl, Suite 100, Charlotte, NC 28277 |
| Lisa Michelle Matuga | Physician Assistant | Dermatology Care of Charlotte Pa | 15830 Ballantyne Med Pl, Suite 100, Charlotte, NC 28277 |
| Lesslie A Marquez-durst | Physician Assistant | Dermatology Care of Charlotte Pa | 15830 Ballantyne Med Pl, Suite 100, Charlotte, NC 28277 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica B Bell | Nurse Practitioner | Novant Medical Group Inc | 14215 Ballantyne Corp Pl, Suite 230, Charlotte, NC 28277 |
| Tabitha L Alford | Nurse Practitioner | Life Line Community Healthcare | 11220 Elm Ln, Suite 202, Charlotte, NC 28277-0450 |
| James K Liu | Cardiovascular Disease (cardiology) | 11220 Elm Ln, Suite 200, Charlotte, NC 28277-0450 | |
| Charles Gray Shore | Nurse Practitioner | Life Line Community Healthcare | 11220 Elm Ln, Suite 202, Charlotte, NC 28277-0450 |
| Jeffrey A Seegers | Physician Assistant | Carolina Family Healthcare, Pa | 11220 Elm Lane, Suite 102, Charlotte, NC 28277-0716 |
| Dino Peter Kanelos | Family Medicine | Carolina Family Healthcare, Pa | 11220 Elm Lane, Suite 102, Charlotte, NC 28277-0716 |
| Sharon K Kanelos | Physical Medicine and Rehabilitation | Integra Rehabilitation Physicians Pllc | 11220 Elm Ln, Suite 102, Charlotte, NC 28277-0716 |
| Maureen Moore Scott | Nurse Practitioner | Carolina Family Healthcare, Pa | 11220 Elm Lane, Suite 102, Charlotte, NC 28277-0716 |
| Bethany J Sprague | Nurse Practitioner | Integra Rehabilitation Physicians Pllc | 11220 Elm Ln, Suite 102, Charlotte, NC 28277-0716 |
| Jamie Lynn Pearman | Physician Assistant | Carolina Family Healthcare, Pa | 11220 Elm Lane, Suite 102, Charlotte, NC 28277-0716 |
| Find all physicians in zip 28277 | |||
| City | CHARLOTTE |
| Zip Code | 28277 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | CHARLOTTE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Keri Anne Squittieri.
| 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.