DR. RAYMOND GLENN GASTON (NPI# 1053334367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053334367 |
| Entity Type | Individual |
| Full Name | DR. RAYMOND GLENN GASTON |
| Credential | M.D. |
| Practice Address |
1915 Randolph Rd Charlotte NC 28207-1101 |
| Mailing Address |
4601 Park Rd Ste 300 Charlotte NC 28209-3239 |
| Practice Telephone | 7043232000 |
| Mailing Telephone | 7043232000 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2011-10-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 2007-00236 | NC | Allopathic & Osteopathic Physicians |
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
2007-00236 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200852490 | 05 | |
| IN | ANTHEM | 000000490473 | 01 |
| NC | 5907545 | 05 | |
| IN | LICENSE | 01061742A | 01 |
| Street Address |
1915 RANDOLPH RD |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28207-1101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194711531 | Joseph Shepherd Cofer | Physician Assistant | 1915 Randolph Rd, Charlotte, NC 28207-1101 | 2005-09-21 |
| 1801449236 | Hanna Elizabeth Moore | Physical Therapist | 1915 Randolph Rd, Charlotte, NC 28207-1101 | 2019-07-24 |
| 1700362100 | Shelby Christine Wood | Physician Assistant | 1915 Randolph Rd, Charlotte, NC 28207-1101 | 2018-07-18 |
| 1417463555 | Michelle Glymph | Specialist/Technologist | 1915 Randolph Rd, Charlotte, NC 28207-1101 | 2017-12-27 |
| 1386192698 | Halie Shipley Bryan | Physician Assistant | 1915 Randolph Rd, Charlotte, NC 28207 | 2016-09-15 |
| 1881047751 | Sean Casey Brown | Physical Therapist | 1915 Randolph Rd, Charlotte, NC 28207-1101 | 2016-07-15 |
| 1114380144 | Ashley Coudron | Occupational Therapist | 1915 Randolph Rd, Charlotte, NC 28207-1101 | 2016-03-29 |
| 1225497118 | Kaitlyn Barger | Physician Assistant | 1915 Randolph Rd, Charlotte, NC 28207 | 2016-02-19 |
| 1760853485 | Michael Edward Magalski | Physical Therapist | 1915 Randolph Rd, Charlotte, NC 28207-1101 | 2015-10-08 |
| 1669851416 | Nicholas Heller Lake | Orthopaedic Surgery | 1915 Randolph Rd, Charlotte, NC 28207-1101 | 2015-05-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013560739 | Louis Roncaglione | Dentist | 8815 Christenbury Pkway, Concord, NC 28207 | 2019-07-22 |
| 1619430014 | Khrystyna Levytska | Student in an Organized Health Care Education/Training Program | Myers Park Clinic Ob/gyn, 1350 S. Kings Dr., Charlotte, NC 28207 | 2019-04-11 |
| 1649743584 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 1005 South Kings Drive, Charlotte, NC 28207 | 2019-01-03 |
| 1023584489 | Herron and Smith Associates, Pllc | Dentist | 135 Perrin Place, Suite 100, Charlotte, NC 28207 | 2018-10-23 |
| 1588161640 | Lauren Mogk | Student in an Organized Health Care Education/Training Program | Myers Park Clinical Internal Medicine, 1350 S. Kings Dr., 3rd Floor, Charlotte, NC 28207 | 2018-04-06 |
| 1518462241 | Sarah Hollyn Carlock | Student in an Organized Health Care Education/Training Program | Myers Park Clinic Internal Medicine, 1350 S Kings Dr, 3rd Floor, Charlotte, NC 28207 | 2018-03-26 |
| 1083118178 | Claire Milam | Student in an Organized Health Care Education/Training Program | Cmc/department of Emergency Medicine, 100 Blythe Blvd, Charlotte, NC 28207 | 2018-03-22 |
| 1811422256 | Complete Care At Dartmouth LLC | Skilled Nursing Facility | 300 Province Road, Charlotte, NC 28207 | 2017-04-24 |
| 1063945467 | Kaitlyn O'keefe | Internal Medicine | 1350 S. Kings Dr., 3rd Floor, Myers Park Clinic Internal Medicine, Charlotte, NC 28207 | 2017-04-04 |
| 1811432024 | Advanced Prosthetics of Easley, Inc | Durable Medical Equipment & Medical Supplies | 2310 Randolph Rd Ste A, Charlotte, NC 28207 | 2016-12-23 |
| Find all providers in zip 28207 | ||||
| Taxonomy Code | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063626877 | Ryan Michael Garcia | Orthopaedic Surgery | 1915 Randolph Rd, Charlotte, NC 28207-1101 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669581559 | Lacy Eugene Thornburg | Orthopaedic Surgery | 18 Medical Park Dr, Carolina Hand and Sports Medicine, Pa, Asheville, NC 28803-2493 | 2006-08-30 |
| 1275642159 | Ronald Jay Neimkin | Orthopaedic Surgery | 20 Mcdowell Street, Asheville, NC 28801-4104 | 2006-08-30 |
| 1619912466 | Eagen Gene Deune | Orthopaedic Surgery | Unc School of Medicine/plastic Surgery, 101 Manning/burnett Womack, Chapel Hill, NC 27514 | 2006-06-17 |
| 1730181223 | Jeffrey Alan Baker | Orthopaedic Surgery | 1809 Brenner Ave, Ste 102, Salisbury, NC 28144 | 2005-08-15 |
| 1740846393 | Dr. Sonya M Clark P.C. | Orthopaedic Surgery | 89 W Mills St, Columbus, NC 28722-9450 | 2019-05-18 |
| 1417512690 | Wakemed Specialists Group LLC | Orthopaedic Surgery | 3009 New Bern Ave, Raleigh, NC 27610-1214 | 2019-05-03 |
| 1265095863 | Orthocarolina, Pa | Orthopaedic Surgery | 441 Mcalister Rd Ste 1100a, Lincolnton, NC 28092-4127 | 2019-04-18 |
| 1811432727 | Fiesky Alejandro Nunez Sr. | Orthopaedic Surgery | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2017-01-01 |
| 1851748040 | Highlands-cashiers Hospital, Inc. | Orthopaedic Surgery | 57 White Owl Ln, Cashiers, NC 28717 | 2016-05-18 |
| 1235473802 | Haywood Regional Medical Center | Orthopaedic Surgery | 581 Leroy George Dr, Suite 300, Clyde, NC 28721-8084 | 2012-11-20 |
| 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.