Nichole A Waltz (NPI# 1295995462, PAC ID# 5799850772) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1295995462 |
| PAC ID by PECOS | 5799850772 |
| Professional Enrollment ID | I20080826000821 |
| Full Name | Nichole A Waltz |
| Organization Legal Name | CAROLINAS PHYSICIANS NETWORK INC |
| Address |
11304 Hawthorne Dr Mint Hill NC 28227-9437 |
| Gender | F |
| Medical School | EAST CAROLINA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3375449655 |
| Number of Group Practice Members | 1149 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340113 | CAROLINAS MEDICAL CENTER/BEHAV HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 11304 Hawthorne Dr, Mint Hill, NC 28227-9437 | CAROLINAS PHYSICIANS NETWORK INC |
| Organization Legal Name | CAROLINAS PHYSICIANS NETWORK INC |
| Physicians | 1118 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andy Young Jin Kim | Nurse Practitioner | Carolinas Physicians Network Inc | 101 E Wt Harris Blvd, Bld 1000 Suite 1110, Charlotte, NC 28262-3485 |
| Punam Rajput | Endocrinology | Carolinas Physicians Network Inc | 2202 Carolina Pl, Suite 100, Kings Mountain, NC 28086-8807 |
| Lauren S Feldman | Psychiatry | Carolinas Physicians Network Inc | 202 E Grover St, Shelby, NC 28150-3977 |
| Jeffrey Ham | Family Medicine | Carolinas Physicians Network Inc | 5651 Poplar Tent Rd, Suite 102, Concord, NC 28027-7530 |
| Steven A Paterno | Obstetrics/gynecology | Carolinas Physicians Network Inc | 349 Penny Lane Ne, Concord, NC 28025-1221 |
| Kathryn R Martin | Nurse Practitioner | Carolinas Physicians Network Inc | 10650 Park Rd, Suite 300, Charlotte, NC 28210-8543 |
| Nestor M Quezada | Infectious Disease | Carolinas Physicians Network Inc | 4539 Hedgemore Dr, Suite 100, Charlotte, NC 28209-3237 |
| Rebekah L Aurie | Family Medicine | Carolinas Physicians Network Inc | 4315 Physicians Blvd, Suite 101, Harrisburg, NC 28075-7431 |
| Anna Beth Sparks Deaton | Physician Assistant | Carolinas Physicians Network Inc | 1090 Vinehaven Dr Ne, Concord, NC 28025-2438 |
| Holly Melton | Nurse Practitioner | Carolinas Physicians Network Inc | 835 Albemarle Rd, Troy, NC 27371-8682 |
| Street Address |
11304 HAWTHORNE DR |
| City | MINT HILL |
| State | NC |
| Zip | 28227-9437 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Warren M Overbey | Obstetrics/gynecology | Carolinas Physicians Network Inc | 11304 Hawthorne Dr, Suite 100, Mint Hill, NC 28227-9437 |
| Marc C Harvey | Family Medicine | Carolinas Physicians Network Inc | 11304 Hawthorne Dr, Mint Hill, NC 28227-9437 |
| Rebecca L Wilson | Nurse Practitioner | Carolinas Physicians Network Inc | 11304 Hawthorne Dr, Suite 100, Mint Hill, NC 28227-9437 |
| Joseph B Whalen | Family Medicine | Carolinas Physicians Network Inc | 11304 Hawthorne Dr, Mint Hill, NC 28227-9437 |
| Mark John Heitbrink | Family Medicine | Carolinas Physicians Network Inc | 11304 Hawthorne Dr, Mint Hill, NC 28227-9437 |
| Jenny L Chen | Family Medicine | Carolinas Physicians Network Inc | 11304 Hawthorne Dr, Mint Hill, NC 28227-9437 |
| Kenneth A Morcos | Family Medicine | Carolinas Physicians Network Inc | 11304 Hawthorne Dr, Mint Hill, NC 28227-9437 |
| Sandra Magdalene Esset | Nurse Practitioner | Carolinas Physicians Network Inc | 11304 Hawthorne Dr, Suite 100, Mint Hill, NC 28227-9437 |
| Jennifer L Haugen | Physician Assistant | Carolinas Physicians Network Inc | 11304 Hawthorne Dr, Mint Hill, NC 28227-9437 |
| Farangis Goshtasbpour | Psychologist, Clinical | Carolinas Physicians Network Inc | 11304 Hawthorne Dr, Mint Hill, NC 28227-9437 |
| Find all physicians in the same address | |||
| 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 | PHYSICIAN ASSISTANT |
| City + Specialty | MINT HILL + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Nichole A Waltz.
| 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.