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).
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 |
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 |
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 |
Street Address |
SUMMIT CROSSING PLACE STE 106 |
City | GASTONIA |
State | NC |
Zip Code | 28054 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225671423 | Michaela Karsyn Morris | Behavioral Analyst | 2875 Court Dr. B, Gastonia, NC 28054 | 2019-10-21 |
1982263810 | Brenda Sue Fox | Occupational Therapist | Brian Center, 969 Cox Rd, Gastonia, NC 28054 | 2019-06-13 |
1174096911 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 469 Hospital Drive, Suite B1, Gastonia, NC 28054 | 2019-01-04 |
1255801817 | Jarae Mcswain | Counselor | 1558 Union Road, Ste F, Gastonia, NC 28054 | 2018-11-27 |
1427549807 | Alterman & Dhillon Charlotte Metro, Pplc | Dentist | 2205 E. Franklin Blvd, Ste 110, Gastonia, NC 28054 | 2018-05-22 |
1871083147 | Terrence Lamont Campbell | Dentist | 2641 Court Dr Ste A, Gastonia, NC 28054 | 2018-05-13 |
1861995367 | Jefferson and Jefferson LLC. | Respite Care | 945 East 6 Ave, Gastonia, NC 28054 | 2018-03-12 |
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 |
1457732596 | Buffie Baker Eller | Counselor | 2005 Flint Lane, Gastonia, NC 28054 | 2015-06-15 |
Find all providers in zip 28054 |
Taxonomy Code | 2085N0700X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Neuroradiology |
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. |
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 |
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 |
Find all providers with the same taxonomy |
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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.