Trisha Dmytruk (NPI# 1346760675, PAC ID# 9032483227) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1346760675 |
| PAC ID by PECOS | 9032483227 |
| Professional Enrollment ID | I20170927001694 |
| Full Name | Trisha Dmytruk |
| Organization Legal Name | CAROLINA MEDICORP ENTERPRISES INC |
| Address |
11840 Southmore Dr Suite 100 Charlotte NC 28277-4466 |
| Phone Number | 7043164440 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0648174904 |
| Number of Group Practice Members | 89 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 11840 Southmore Dr, Suite 100, Charlotte, NC 28277-4466 | 7043164440 | CAROLINA MEDICORP ENTERPRISES INC |
| Organization Legal Name | CAROLINA MEDICORP ENTERPRISES INC |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa L Stevens | Physician Assistant | Carolina Medicorp Enterprises Inc | 501 Hickory Branch Dr, Greensboro, NC 27409-9601 |
| Edwin T Holloway | Emergency Medicine | Carolina Medicorp Enterprises Inc | 1918 Randolph Rd, Suite 175, Charlotte, NC 28207-1107 |
| Sabrina A Mccluskey | Nurse Practitioner | Carolina Medicorp Enterprises Inc | 15235 John J Delaney Dr B, Charlotte, NC 28277-2846 |
| Michelle A Balmaceda | Family Practice | Carolina Medicorp Enterprises Inc | 9600 E Independence Blvd, Matthews, NC 28105-4628 |
| Kirsten M Gross | Emergency Medicine | Carolina Medicorp Enterprises Inc | 445 S Kings Dr, Charlotte, NC 28204-3041 |
| Eduardo Gembs | Family Practice | Carolina Medicorp Enterprises Inc | 11840 Southmore Dr, Suite 100, Charlotte, NC 28277-4466 |
| Lindsay F Schalles | Nurse Practitioner | Carolina Medicorp Enterprises Inc | 1918 Randolph Rd, Suite 175, Charlotte, NC 28207-1107 |
| Breland M Joines | Physician Assistant | Carolina Medicorp Enterprises Inc | 600 Highland Oaks Dr, Winston Salem, NC 27103-7107 |
| Holly A Jamison | Nurse Practitioner | Carolina Medicorp Enterprises Inc | 2620 N Main St, Suite 109, High Point, NC 27265-2735 |
| Anne F Skinner | Nurse Practitioner | Carolina Medicorp Enterprises Inc | 15235 John J Delaney Dr B, Charlotte, NC 28277-2846 |
| Street Address |
11840 SOUTHMORE DR SUITE 100 |
| City | CHARLOTTE |
| State | NC |
| Zip | 28277-4466 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan S Mcrae | Physical Therapy | Novant Medical Group Inc | 11840 Southmore Dr, Suite 100, Charlotte, NC 28277-4466 |
| Kristin Michelle Hietbrink | Physical Therapy | Novant Medical Group Inc | 11840 Southmore Dr, Suite 100, Charlotte, NC 28277-4466 |
| Matthew W Grimm | Physical Therapy | Novant Medical Group Inc | 11840 Southmore Dr, Suite 201, Charlotte, NC 28277-4466 |
| Eileen Catherine Frager | Nurse Practitioner | Forsyth Medical Group LLC | 11840 Southmore Dr, Suite 100, Charlotte, NC 28277-4821 |
| Eleanor Rankin Pleasants | Physical Therapy | Novant Medical Group Inc | 11840 Southmore Dr, Suite 100, Charlotte, NC 28277-4466 |
| James Edward Johnson | Nurse Practitioner | Carolina Medicorp Enterprises, Inc. | 11840 Southmore Dr, Suite 100, Charlotte, NC 28277-4466 |
| Brett A Christoffersen | Internal Medicine | Novant Medical Group Inc | 11840 Southmore Dr, Charlotte, NC 28277-4466 |
| Hunter Lewis Peacock | Physical Therapy | Novant Medical Group Inc | 11840 Southmore Dr, Suite 100, Charlotte, NC 28277-4466 |
| Wiley M Davis Jr. | Family Medicine | Novant Medical Group Inc | 11840 Southmore Dr, Charlotte, NC 28277-4466 |
| John O Ketron | Pediatric Medicine | Novant Medical Group Inc | 11840 Southmore Dr, Charlotte, NC 28277-4466 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica B Bell | Nurse Practitioner | Novant Medical Group Inc | 14215 Ballantyne Corp Pl, Suite 230, Charlotte, NC 28277 |
| 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 |
| Keri Anne Squittieri | Physician Assistant | 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 |
| 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 | |
| Find all physicians in zip 28277 | |||
| City | CHARLOTTE |
| Zip Code | 28277 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CHARLOTTE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Trisha Dmytruk.
| 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.