NOVANT MEDICAL GROUP, INC. (NPI# 1033363965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033363965 |
| Entity Type | Organization |
| Organization Name | NOVANT MEDICAL GROUP, INC. |
| Other Organization Name | NOVANT HEALTH SALISBURY SURGICAL ASSOCIATES |
| Practice Address |
911 W Henderson St Ste 410 Salisbury NC 28144 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 7046372750 |
| Practice Fax Number | 7046375514 |
| Mailing Telephone | 7046372750 |
| Mailing Fax Number | 7046375514 |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2018-08-28 |
| Authorized Official Name | MR. GEOFFREY K GARDNER (VP OF FINANCE) |
| Authorized Official Telephone | 7046372750 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5950619 | 05 |
| Other Name | Type Code |
|---|---|
| Novant Health Salisbury Surgical Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033723531 | Novant Medical Group, Inc. | Surgery | 1450 Matthews Township Pkwy Ste 320, Matthews, NC 28105-2389 | 2020-09-02 |
| 1346868155 | Novant Medical Group, Inc. | Family Medicine | 106 Corporate Park Dr Ste 200, Mooresville, NC 28117-7134 | 2020-07-08 |
| 1861019150 | Novant Medical Group, Inc. | Family Medicine | 2701 Statesville Ave., Charlotte, NC 28206 | 2020-07-02 |
| 1932725124 | Novant Medical Group, Inc. | Internal Medicine | 125 Queens Rd Ste 510, Charlotte, NC 28204-3215 | 2020-06-23 |
| 1922645571 | Novant Medical Group, Inc. | Surgery | 6324 Fairview Rd Ste 420, Charlotte, NC 28210-3372 | 2019-12-03 |
| 1437706256 | Novant Medical Group, Inc. | Physical Therapist | 11202 Harris Rd, Huntersville, NC 28078-7633 | 2019-08-26 |
| 1336795137 | Novant Medical Group, Inc. | Surgery | 3515 W Market St Ste 310, Greensboro, NC 27403-4438 | 2019-08-16 |
| 1104472125 | Novant Medical Group, Inc. | Neurological Surgery | 3515 W Market St Ste 210, Greensboro, NC 27403-4442 | 2019-08-15 |
| 1649824954 | Novant Medical Group, Inc. | Family Medicine | 6555 Kee Lane, Harrisburg, NC 28075-7463 | 2019-07-25 |
| 1285287185 | Novant Medical Group, Inc. | Lactation Consultant, Non-RN | 6324 Fairview Rd Ste 435, Charlotte, NC 28210-4278 | 2019-07-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NOVANT MEDICAL GROUP, INC. | 200 Hawthorne Ln, Charlotte, NC 28204-2515 |
| Street Address |
911 W HENDERSON ST STE 410 |
| City | SALISBURY |
| State | NC |
| Zip Code | 28144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679059364 | Lisbet Lopez Cherniavsky | Dentist | Salisbury Family Dentistry, 140 Mahaley Ave, Salisbury, NC 28144 | 2018-07-16 |
| 1386140945 | Rowan Regional Medical Center, Inc. | Hospice Care, Community Based | 1229 Statesville Blvd, Salisbury, NC 28144 | 2018-04-03 |
| 1184142713 | Ally Home Care Salisbury, LLC | In Home Supportive Care | 301 S Main St Suite 120, Salisbury, NC 28144 | 2017-09-04 |
| 1700236676 | Phase II Transportation Inc | Ambulance | 109 S Mccoy Rd, Salisbury, NC 28144 | 2016-06-21 |
| 1043677727 | Concepts of Independence LLC. | Residential Treatment Facility, Emotionally Disturbed Children | 530 E. Fisher Street, Salisbury, NC 28144 | 2016-01-26 |
| 1801279138 | Tara Puma | Speech-Language Pathologist | 1630 Bellevue Rd, Salisbury, NC 28144 | 2015-07-06 |
| 1285012534 | Stephanie Georgia Pierce | Counselor | 714 South Main Street, S&h Youth and Adult Services, Inc., Salisbury, NC 28144 | 2015-05-07 |
| 1598177248 | Jeffrey Carter | Counselor | 107 W Cemetary St., Salisbury, NC 28144 | 2014-05-29 |
| 1659631786 | Mary Frances Miller | Nurse Practitioner | 1601 Brenner Avenue Endocrinology Bldg(21), Us Dept. of Veteran Affairs W.g.(bill)hefner Bldg, Salisbury, NC 28144 | 2012-05-23 |
| 1699041244 | Matthew Lewis Marshburn | Specialist/Technologist | 605 Grove Street, Salisbury, NC 28144 | 2012-03-28 |
| Find all providers in zip 28144 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720366552 | Hossain Said Mahmoudian | Surgery | 6507 Deer Pointe Dr, Salisbury, MD 21804-1667 | 2011-07-27 |
| 1326331810 | Herbert Anton Steimel | Surgery | 121 Wellington Drive, Salisbury, NC 28144-8546 | 2011-05-17 |
| 1548293962 | Walter P Lischick | Surgery | 6507 Deer Pointe Drive, Salisbury, MD 21804 | 2006-07-09 |
| 1164455580 | Douglas B Wilhite | Surgery | 6507 Deer Pointe Driver, Salisbury, MD 21804 | 2006-07-09 |
| 1891725636 | Christopher E Mciltrot Md Pa | Surgery | 103 Dorsett Dr, Suite A, Salisbury, NC 28144-2278 | 2006-07-04 |
| 1497741920 | Merle Rudy Busby | Surgery | 901 W Henderson St, Salisbury, NC 28144-2727 | 2005-09-20 |
| 1588061261 | Novant Medical Group Inc | Surgery | 530 Corporate Cir, Suite 200, Salisbury, NC 28147-8074 | 2014-11-25 |
| 1093904575 | Gavin Isaac Misner | Surgery | 911 W Henderson St, Suite 410, Salisbury, NC 28144-2736 | 2007-10-19 |
| 1215122809 | Mid Atlantic Surgical Group | Surgery | 6507 Deer Pointe Drive, Salisbury, MD 21804 | 2007-09-07 |
| 1144362427 | Kevin W Watson | Surgery | 911 W Henderson St, Suite 410, Salisbury, NC 28144-2736 | 2007-02-13 |
| Find all providers in SALISBURY | ||||
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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.