PURE MED SPA HUNTERSVILLE PLLC (NPI# 1023445079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023445079 |
| Entity Type | Organization |
| Organization Name | PURE MED SPA HUNTERSVILLE PLLC |
| Other Organization Name | PURE FACIAL PLASTICS |
| Practice Address |
10210 Hickorywood Hill Ave Suite 100 Huntersville NC 28078-3332 |
| Practice Telephone | 7044507563 |
| Practice Fax Number | 7042884202 |
| Mailing Telephone | 7044507563 |
| Mailing Fax Number | 7042884202 |
| Enumeration Date | 2013-10-07 |
| Last Update Date | 2013-10-07 |
| Authorized Official Name | DR. BRIGGS EDWARD COOK JR. (OWNER/PHYSICIAN) |
| Authorized Official Telephone | 7046042950 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0132X |
Clinic/Center Specialization: Ophthalmologic Surgery |
2001-0037 | NC | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Pure Facial Plastics | Doing Business As Name - Organization |
| Street Address |
10210 HICKORYWOOD HILL AVE SUITE 100 |
| City | HUNTERSVILLE |
| State | NC |
| Zip Code | 28078-3332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457317976 | Briggs E. Cook Jr. | Optometrist | 10210 Hickorywood Hill Ave, Suite 200, Huntersville, NC 28078-3332 | 2006-04-24 |
| 1013173483 | Stephen A. Rendulich, Dds, Pa | Dentist | 10210 Hickorywood Hill Ave, Suite 200, Huntersville, NC 28078-3332 | 2008-08-05 |
| 1154592905 | Tate C Langdon Dds Pa | Dentist | 10210 Hickorywood Hill Ave, Ste 100, Huntersville, NC 28078-3332 | 2008-03-20 |
| 1215069448 | Pemi Dominic | Counselor | 10210 Hickorywood Hill Ave, Suite 210, Huntersville, NC 28078-3332 | 2007-03-12 |
| 1073667119 | Carrisa J Ryan | Counselor | 10210 Hickorywood Hill Ave, Suite 210, Huntersville, NC 28078-3332 | 2007-01-23 |
| 1356447031 | Stephen A Rendulich | Dentist | 10210 Hickorywood Hill Ave, Suite 200, Huntersville, NC 28078-3332 | 2006-09-16 |
| 1083642250 | Tate Christopher Langdon | Dentist | 10210 Hickorywood Hill Ave, Suite 100, Huntersville, NC 28078-3332 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538787718 | John M. Bakarich, Dds, Pllc | Dentist | 15810 Northcross Drive, Suite A, Huntersville, NC 28078 | 2020-07-14 |
| 1316587082 | Blake Allen Klessig | Chiropractor | 8936 Northpointe Executive Park Dr, Suite 195, Huntersville, NC 28078 | 2020-01-10 |
| 1922644830 | Steven James Underwood | Physical Therapist | Aldersgate Ccrc, 3800 Shamrock Drive, Charlotte, NC 28078 | 2019-11-26 |
| 1851856306 | Jessica Runnion | Behavior Technician | 14625 Reese Blvd, Apartment 208, Huntersville, NC 28078 | 2019-02-08 |
| 1568935401 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 111 Commerce Centre Drive, Suite 305, Huntersville, NC 28078 | 2019-01-03 |
| 1932691763 | Shakira Grier | Massage Therapist | 15905 Brookway Drive, Ste 4202, Huntersville, NC 28078 | 2018-06-06 |
| 1457850596 | Chudney Drew | Counselor | 10224 Hickorywood Hill Ave Ste 201, Huntersville, NC 28078 | 2018-02-05 |
| 1215457122 | Amy Nicole Castongia | Counselor | 10511 Drake Hill Dr, Huntersville, NC 28078 | 2017-06-21 |
| 1457714057 | Robin D Disbro | Registered Nurse | 6216 Colonial Garden Drive, Huntersville, NC 28078 | 2016-03-31 |
| 1144695545 | Huntersville H&r Ops Limited Partnership | Skilled Nursing Facility | 13835 Boren Street, Huntersville, NC 28078 | 2015-12-10 |
| Find all providers in zip 28078 | ||||
| Taxonomy Code | 261QS0132X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ophthalmologic Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023632270 | Seacore Management, LLC | Clinic/Center | 1717 Shipyard Blvd Ste 140, Wilmington, NC 28403-8019 | 2020-06-03 |
| 1356976658 | Metrolina Eye Surgery Center, LLC | Clinic/Center | 4101 Campus Ridge Rd Ste 200, Matthews, NC 28105-5077 | 2020-03-06 |
| 1124574041 | The Cataract Vision Insitute LLC | Clinic/Center | 2525 Meridian Pkwy, Suite 125, Durham, NC 27713-5243 | 2016-08-31 |
| 1235572363 | Kulits Eyecare & Surgery Pllc | Clinic/Center | 201 S Madison Blvd, Roxboro, NC 27573-5461 | 2013-04-08 |
| 1457474355 | Albert R Munn IIi Md Pa | Clinic/Center | 720 W Jones St, Raleigh, NC 27603-1427 | 2007-04-08 |
| 1003960741 | Columbus Eye Associates, Inc. | Clinic/Center | 521 E Morehead St, Suite 130, Charlotte, NC 28202-2631 | 2007-01-22 |
| 1467060327 | Summit Eye Care Surgery Center, Pllc | Clinic/Center | 3073 Trenwest Dr, Winston Salem, NC 27103-3207 | 2020-07-16 |
| 1447878970 | Eye Care & Surgeons of Charlotte, Pllc | Clinic/Center | 602 S Sutherland Ave, Monroe, NC 28112-5063 | 2020-07-10 |
| 1720629637 | Raleigh Eye and Face Plastic Surgery Pllc | Clinic/Center | 4201 Lake Boone Trl Ste 103, Raleigh, NC 27607-7511 | 2019-10-01 |
| 1659826295 | The Cataract Vision Institute LLC | Clinic/Center | 330 Billingsley Rd, Suite 205, Charlotte, NC 28211-5055 | 2016-08-24 |
| Find all providers with the same taxonomy | ||||
| City | HUNTERSVILLE |
| Zip Code | 28078 |
Please comment or provide details below to improve the information on PURE MED SPA HUNTERSVILLE PLLC.
| 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.