DR. WILLIAM E. BOBO (NPI# 1033178330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033178330 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM E. BOBO |
| Credential | M.D. |
| Practice Address |
10650 Park Rd Charlotte NC 28210-8538 |
| Mailing Address |
200 Queens Rd Suite 400 Charlotte NC 28204-3252 |
| Practice Telephone | 7043552736 |
| Practice Fax Number | 7043551865 |
| Mailing Telephone | 7043337376 |
| Mailing Fax Number | 7043333397 |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2012-12-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
23104 | SC | Allopathic & Osteopathic Physicians |
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
200200204 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 891302W | 05 | |
| PARTNERS | 800593 | 01 | |
| SC | N00209 | 05 | |
| NC | BLUE CROSS | 1302W | 01 |
| UNITED HEALTHCARE | 2210243 | 01 | |
| CIGNA | 0256593001 | 01 | |
| MEDCOST | B8156 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063655579 | William Parker Bobo | Specialist/Technologist | 3304 Colonial Dr, Nacogdoches, TX 75965-3079 | 2009-04-14 |
| 1679530042 | William Victor Bobo | Psychiatry & Neurology | 200 1st St Sw, Rochester, MN 55905-0001 | 2006-04-28 |
| Street Address |
10650 PARK RD |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28210-8538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881676567 | Thomas Henry Buter | Orthopaedic Surgery | 10650 Park Rd, Ste 120, Charlotte, NC 28210-8538 | 2005-11-17 |
| 1497388144 | Caitlin Muse | Nurse Practitioner | 10650 Park Rd, Ste 220, Charlotte, NC 28210-8538 | 2020-02-20 |
| 1881242253 | Ann Homa | Nurse Practitioner | 10650 Park Rd, Ste 220, Charlotte, NC 28210-8538 | 2019-08-29 |
| 1689135436 | Megan David | Physician Assistant | 10650 Park Rd, Ste 220, Charlotte, NC 28210-8538 | 2019-03-26 |
| 1710453980 | Samantha White | Physician Assistant | 10650 Park Rd, Ste 220, Charlotte, NC 28210-8538 | 2018-10-16 |
| 1184108037 | Jaclyn Baker | Nurse Practitioner | 10650 Park Rd, Ste 220, Charlotte, NC 28210-8538 | 2018-09-17 |
| 1023594884 | Kathryn Martin | Nurse Practitioner | 10650 Park Rd, Ste 300, Charlotte, NC 28210-8538 | 2018-07-16 |
| 1063909794 | Janet Arrazcaeta | Pharmacist | 10650 Park Rd, Charlotte, NC 28210-8538 | 2018-04-18 |
| 1174010813 | Heather Rose | Physician Assistant | 10650 Park Rd, Ste 220, Charlotte, NC 28210-8538 | 2018-04-18 |
| 1306348081 | Hana Alqariab | Nurse Practitioner | 10650 Park Rd, Ste 420, Charlotte, NC 28210-8538 | 2018-03-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952920860 | Rx Care 14 LLC | Pharmacy | 7701 Sharon Lakes Road, Suite H, Charlotte, NC 28210 | 2020-04-10 |
| 1427697622 | David Durant Dinsmore | Nurse Anesthetist, Certified Registered | Atrium Health Pineville, 10628 Park Road, Charlotte, NC 28210 | 2020-01-06 |
| 1790256964 | Tele Phys Inc | Internal Medicine | 10035 Park Center Dr., Ste 100, Charlotte, NC 28210 | 2018-12-16 |
| 1104395896 | Bridgett Williams | Behavior Technician | 7806 Andover Woods Drive, Charlotte, NC 28210 | 2018-11-26 |
| 1053880518 | Low-t Physicians Professional Association | Internal Medicine | 10430 Park Road Suite 100a, Charlotte, NC 28210 | 2018-11-14 |
| 1053895102 | Carolinas Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 7701 Sharon Lakes Blvd, Ste A., Charlotte, NC 28210 | 2018-09-24 |
| 1679066658 | Afc Urgent Care and Family Care of Wnc, Pllc | Clinic/Center | 10102 Johnston Rd, Charlotte, NC 28210 | 2018-06-13 |
| 1346777018 | Hopeway Foundation | Clinic/Center | 1717 Sharon Road West, Charlotte, NC 28210 | 2017-05-12 |
| 1891154688 | Jessie Lee Ogienko | Social Worker | 5960 Fairview Rd Ste 328, Charlotte, NC 28210 | 2016-02-22 |
| 1699151985 | Carolina Complete Psychiatry, Pllc | Physician Assistant | 5950 Fairview Road, Suite 708, Charlotte, NC 28210 | 2015-08-10 |
| Find all providers in zip 28210 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| 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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124397328 | Aaron Tyler Wild | Radiology | 200 Queens Rd Ste 400, Charlotte, NC 28204-3264 | 2011-12-19 |
| 1568400109 | Southeast Radiation Oncology Group, P.a. | Radiology | 200 Queens Rd, Suite 400, Charlotte, NC 28204-3252 | 2006-06-04 |
| 1558603605 | Noelle L Williams | Radiology | 200 Queens Rd Ste 400, Charlotte, NC 28204 | 2013-03-26 |
| 1922346923 | Carolina Fasola | Radiology | 200 Queens Rd, Suite 400, Charlotte, NC 28204-3253 | 2013-01-25 |
| 1043570948 | Matthew Christopher Ward | Radiology | 200 Queens Rd Ste 400, Charlotte, NC 28204-3264 | 2012-05-24 |
| 1871868026 | Christopher David Corso | Radiology | 200 Queens Rd Ste 400, Charlotte, NC 28204-3264 | 2012-03-20 |
| 1518265420 | Benjamin James Moeller | Radiology | 1021 Morehead Medical Dr, Charlotte, NC 28204-2839 | 2011-03-02 |
| 1871751420 | Roshan Sudhir Prabhu | Radiology | 1021 Morehead Medical Dr, Charlotte, NC 28204-2839 | 2008-05-30 |
| 1306045752 | John Henry Heinzerling II | Radiology | 1021 Morehead Medical Dr, Charlotte, NC 28204-2839 | 2007-07-16 |
| 1922219013 | Shelileah Ramsey Newman | Radiology | 200 Queens Rd, Suite 400, Charlotte, NC 28204-3253 | 2007-05-24 |
| Find all providers in CHARLOTTE | ||||
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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.