NOVANT MEDICAL GROUP, INC (NPI# 1033561824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033561824 |
| Entity Type | Organization |
| Organization Name | NOVANT MEDICAL GROUP, INC |
| Other Organization Name | NOVANT HEALTH ONCOLOGY SPECIALISTS |
| Practice Address |
911 W Henderson St Suite 300 Salisbury NC 28144-2736 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 7043849672 |
| Mailing Telephone | 7043849672 |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2016-07-06 |
| Authorized Official Name | GEOFF K GARDNER (VP OF FINANCE) |
| Authorized Official Telephone | 7043849672 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
NC | Allopathic & Osteopathic Physicians | |
| Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
NC | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Novant Health Oncology Specialists | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962048512 | Novant Medical Group, Inc | Family Medicine | 1400 Westgate Ctr Dr Ste 110, Winston Salem, NC 27103-3104 | 2019-11-19 |
| 1710444294 | Novant Medical Group, Inc | Orthopaedic Surgery | 167 Moore Rd Ste 202, King, NC 27021-8770 | 2019-02-21 |
| 1033698527 | Novant Medical Group, Inc | Internal Medicine | 8201 Healthcare Loop Ste 304, Charlotte, NC 28215 | 2018-08-07 |
| 1114411139 | Novant Medical Group, Inc | Internal Medicine | 8201 Healthcare Loop Ste 202, Charlotte, NC 28215-7072 | 2018-06-22 |
| 1649786575 | Novant Medical Group, Inc | Physical Therapist | 8045 Providence Rd Ste 100, Charlotte, NC 28277-8916 | 2017-12-14 |
| 1962953877 | Novant Medical Group, Inc | Internal Medicine | 9550 Rocky River Rd Ste 100, Charlotte, NC 28215 | 2016-10-17 |
| 1063963080 | Novant Medical Group, Inc | Urology | 1730 Kernersville Medical Pkwy Ste 303, Kernersville, NC 27284-7198 | 2016-10-14 |
| 1265807937 | Novant Medical Group, Inc | Orthopaedic Surgery | 1420 Us Highway 52, Suite B, Albemarle, NC 28001 | 2015-12-07 |
| 1881096907 | Novant Medical Group, Inc | Internal Medicine | 17810 Statesville Rd Ste 311, Cornelius, NC 28031-8149 | 2014-09-19 |
| 1548661606 | Novant Medical Group, Inc | Orthopaedic Surgery | 7138 Village Medical Circle, Clemmons, NC 27012 | 2014-09-09 |
| 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 SUITE 300 |
| City | SALISBURY |
| State | NC |
| Zip Code | 28144-2736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598765562 | Dennis Nf Wilson | Internal Medicine | 911 W Henderson St, Suite 230, Salisbury, NC 28144-2736 | 2005-07-29 |
| 1275918138 | Novant Medical Group, Inc | Urology | 911 W Henderson St, Ste 110, Salisbury, NC 28144-2736 | 2015-07-21 |
| 1679812010 | Rowan Regional Medical Center | Internal Medicine | 911 W Henderson St, Suite 230, Salisbury, NC 28144-2700 | 2013-02-05 |
| 1891932687 | Novant Medical Group, Inc. | Obstetrics & Gynecology | 911 W Henderson St, Suite 300, Salisbury, NC 28144-2700 | 2009-01-15 |
| 1629214309 | Novant Medical Group, Inc. | Psychiatry & Neurology | 911 W Henderson St, Suite L 30, Salisbury, NC 28144-2736 | 2008-12-30 |
| 1285808725 | Telly A. Meadows | Internal Medicine | 911 W Henderson St, Suite 230, Salisbury, NC 28144-2736 | 2008-04-16 |
| 1093904575 | Gavin Isaac Misner | Surgery | 911 W Henderson St, Suite 410, Salisbury, NC 28144-2736 | 2007-10-19 |
| 1184849416 | Michael D Stadler | Obstetrics & Gynecology | 911 W Henderson St, Suite 300, Salisbury, NC 28144-2736 | 2007-04-13 |
| 1144362427 | Kevin W Watson | Surgery | 911 W Henderson St, Suite 410, Salisbury, NC 28144-2736 | 2007-02-13 |
| 1851432249 | Rowan Medical Practices | Internal Medicine | 911 W Henderson St, Suite 120, Salisbury, NC 28144-2736 | 2007-02-09 |
| Find all providers in the same location | ||||
| 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 | 207VX0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecologic Oncology |
| An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245596907 | Ama Buskwofie | Obstetrics & Gynecology | 215 William Penn Plz Apt 735, Durham, NC 27704-2555 | 2012-04-06 |
| 1184704264 | Wendy R. Brewster | Obstetrics & Gynecology | 3027 Old Clinic Bldg., Cb #7570, Dept. of Ob/gyn, Chapel Hill, NC 27599-7570 | 2006-10-16 |
| 1902846330 | Novant Medical Group, Inc. | Obstetrics & Gynecology | 1918 Randolph Rd Ste 175, Charlotte, NC 28207-1107 | 2006-06-07 |
| 1508857962 | Michael John Sundborg | Obstetrics & Gynecology | 145 Applecross Rd, Southern Pines, NC 28388-0749 | 2005-11-03 |
| 1477171759 | The Presbyterian Hospital | Obstetrics & Gynecology | 125 Queens Rd Ste 540, Charlotte, NC 28204-3215 | 2020-07-13 |
| 1295385748 | Mcpc-20, LLC | Obstetrics & Gynecology | 220 Page Rd, Pinehurst, NC 28374-8748 | 2019-09-17 |
| 1093369530 | Novant Medical Group. Inc. | Obstetrics & Gynecology | 2290 Remount Rd, Gastonia, NC 28054-4725 | 2019-08-01 |
| 1386206951 | Rex Hospital Inc | Obstetrics & Gynecology | 4420 Lake Boone Trl Ste 201, Raleigh, NC 27607-7505 | 2019-07-03 |
| 1659936011 | Novant Medical Group, Inc. | Obstetrics & Gynecology | 5701 W Friendly Ave, Greensboro, NC 27410-4112 | 2019-05-01 |
| 1194138925 | Lindsey Buckingham | Obstetrics & Gynecology | 101 Manning Dr, Chapel Hill, NC 27514-4220 | 2014-06-10 |
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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.