RENEE RAIMONDI DEWEESE


Address: Summit Crossing Place, Ste 106, Gastonia, NC 28054
Phone: 7048678021

RENEE RAIMONDI DEWEESE (NPI# 1023096781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023096781
Entity Type Individual
Full Name RENEE RAIMONDI DEWEESE
Other Name RENEE MICHELLE RAIMONDI
Credential MD
Practice Address Summit Crossing Place
Ste 106
Gastonia
NC 28054
Mailing Address 620 Summit Crossing Pl
Ste 106
Gastonia
NC 28054-2176
Practice Telephone 7048678021
Practice Fax Number 7048644606
Mailing Telephone 7048678021
Mailing Fax Number 7048644606
Enumeration Date 2006-01-04
Last Update Date 2012-03-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085N0700X Radiology
Specialization: Neuroradiology
200000394 NC Allopathic & Osteopathic Physicians
N 2085R0202X Radiology
Specialization: Diagnostic Radiology
200000394 NC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
RAILROAD MEDICARE 300110411 01
MEDCOST 97384 01
PARTNERS 37295 01
UNITED HEALTHCARE 1643188 01
AETNA HMO 2353072 01
AETNA PPO 7543124 01
BLUE CROSS BLUE SHIELD 126JU 01
NC 89126JU 05

Office Location

Street Address SUMMIT CROSSING PLACE
STE 106
City GASTONIA
State NC
Zip Code 28054

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1255801817 Jarae Mcswain Counselor 1558 Union Road, Ste F, Gastonia, NC 28054 2018-11-27
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1871083147 Terrence Lamont Campbell Dentist 2641 Court Dr Ste A, Gastonia, NC 28054 2018-05-13
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1790154912 Tyler Adcock Pharmacist 2324 South New Hope Rd, Gastonia, NC 28054 2015-09-17
1922481894 Alesha Nicole Logan Nurse Practitioner 1895 Hoffman Rd Ste A, Gastonia, NC 28054 2015-07-09
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Taxonomy Information

Taxonomy Code 2085N0700X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Neuroradiology

Taxonomy Definition

A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518940790 Jill Ellen Thompson Radiology 1846 E Franklin Blvd, Gastonia, NC 28054-4700 2005-11-22
1063495117 Christopher Johannus Vandermeer Radiology 620 Summit Crossing Pl, Ste 106, Gastonia, NC 28054 2005-11-22
1972587798 Kevin Dul Radiology 620 Summit Crossing Pl, Ste 106, Gastonia, NC 28054-2176 2005-12-05
1003899766 Mark Thomas Edge Radiology 620 Summit Crossing Pl, Ste 106, Gastonia, NC 28054 2005-11-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1497191548 Michael Kelly Altenburg Radiology Acc Clinic, 102 Mason Farm Road, Chapel Hill, NC 27599-0001 2013-05-16
1699034769 Robert Miller Radiology 3022 Croasdaile Dr Ste 101, Durham, NC 27705 2012-05-10
1548581085 Alexander William Rich Radiology Duke University Medical Center 2301 Erwin Rd, Durham, NC 27710 2010-06-18
1063689776 Richard Youshin Ro Radiology 403 Edinburgh Dr, Cary, NC 27511-6493 2008-05-12
1912096843 East Carolina Neurology, Inc. Radiology 402 Bowman Gray Dr, Greenville, NC 27834-7209 2006-10-11
1710959804 Mark Marchand Radiology 3949 Browning Pl, Raleigh, NC 27609-6504 2006-02-03
1972507655 Dallas Aaron Smith Jr. Radiology 109 Muirs Chapel Rd, Lower Level, Greensboro, NC 27410-6161 2005-06-09
1245882141 Owen Stechishin Radiology 2301 Erwin Rd, Durham, NC 27705-4699 2019-07-10
1205323573 Sheng-che Hung Radiology 101 Manning Dr, 2025 Old Clinic, Chapel Hill, NC 27514-4220 2018-04-21
1235592874 Flexogenix North Carolina, PC Radiology 1414 Yanceyville St, 200, Greensboro, NC 27405-6962 2016-03-31
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Competitor

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City GASTONIA
Zip Code 28054

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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