STEPHEN COLUCCIELLO


Address: 1000 Blythe Blvd, Charlotte, NC 28203-5812
Phone: 7043552171

STEPHEN COLUCCIELLO (NPI# 1063437317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063437317
Entity Type Individual
Full Name STEPHEN COLUCCIELLO
Credential MD
Practice Address 1000 Blythe Blvd
Charlotte
NC 28203-5812
Mailing Address Po Box 19305
Charlotte
NC 28219-9305
Practice Telephone 7043552171
Enumeration Date 2006-07-13
Last Update Date 2020-09-25
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207P00000X Emergency Medicine 34962 NC Allopathic & Osteopathic Physicians

Office Location

Street Address 1000 BLYTHE BLVD
City CHARLOTTE
State NC
Zip Code 28203-5812

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740282946 Shoaib Lateef Hospitalist 1000 Blythe Blvd, Cmc Annex 1st Floor, Charlotte, NC 28203-5812 2005-06-01
1588264527 Elizabeth Lopez Registered Nurse 1000 Blythe Blvd, Charlotte, NC 28203-5812 2020-10-29
1164021648 Daniel Alan Nichols Registered Nurse 1000 Blythe Blvd, Charlotte, NC 28203-5812 2020-10-26
1487267878 Anna Molengraft Physician Assistant 1000 Blythe Blvd, Charlotte, NC 28203-5812 2020-08-26
1699388116 Cassandra L. Barnes Nurse Practitioner 1000 Blythe Blvd, Charlotte, NC 28203-5812 2020-08-25
1407469927 Lesley Rummage Nurse Practitioner 1000 Blythe Blvd, Charlotte, NC 28203-5812 2020-08-25
1104437326 Nicole Clarke Registered Nurse 1000 Blythe Blvd, Charlotte, NC 28203-5812 2020-08-11
1942819594 Nigella Siegl Nurse Practitioner 1000 Blythe Blvd, Charlotte, NC 28203-5812 2020-07-29
1316556319 Carly E Janusek Physician Assistant 1000 Blythe Blvd, Charlotte, NC 28203-5812 2020-07-26
1932717212 Lauren May Vanderlip Registered Nurse 1000 Blythe Blvd, Charlotte, NC 28203-5812 2020-07-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982225983 William Bedard Michel Emergency Medicine Carolina Medical Center, 1000 Blythe Blvd, Charlotte, NC 28203 2020-04-30
1922636927 Paulina M Kriska Dentist Cmc Dental Clinic, 1000 Blythe Blvd, Charlotte, NC 28203 2020-03-27
1386271930 Irina Maria Geiculescu Pediatrics 1000 Blythe Blvd Fl 4 Meb, Charlotte, NC 28203 2020-03-24
1205499316 James C Winnek Counselor 1713 East Blvd., Charlotte, NC 28203 2019-04-16
1487114492 Laurie Fford Counseling and Consulting Pllc Counselor 125 Remount Rd, Suite C-#391, Charlotte, NC 28203 2019-03-25
1184188815 Sunday Money Home Health 2151 Hawkins St., Suite 201, Charlotte, NC 28203 2019-01-28
1164902706 Lindsay Koonce Helton Dietitian, Registered 1218 East Blvd Ste G, Charlotte, NC 28203 2018-08-14
1376057406 Veritas Collaborative Charlotte, LLC Clinic/Center 1900 Scott Avenue, Suite 101, Charlotte, NC 28203 2017-11-28
1043733306 Kimberly Stripp Pharmacist 1300-b East Blvd, Charlotte, NC 28203 2017-07-19
1427570639 Caroline Kaleel Fogleman Optometrist 1710 Kenilworth Ave Ste 210, Charlotte, NC 28203 2017-07-10
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Taxonomy Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source]
- Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164021051 Onespotmd Primary and Urgent Care Pllc Emergency Medicine 2017 Central Ave Ste 103, Charlotte, NC 28205-5388 2020-10-21
1750909032 The Presbyterian Hospital Emergency Medicine 125 Queens Rd Ste 500, Charlotte, NC 28204-3215 2020-07-13
1982225983 William Bedard Michel Emergency Medicine Carolina Medical Center, 1000 Blythe Blvd, Charlotte, NC 28203 2020-04-30
1457988586 Morgan Mazakas Penzler Emergency Medicine 1000 Blythe Blvd Ste 600, Charlotte, NC 28203-5812 2020-03-26
1538620737 Andrew Yde Emergency Medicine Cmc/department of Emergency Medicine, 1000 Blythe Blvd., Charlotte, NC 28203-5812 2019-03-29
1780048348 Cornelius Powell IIi Emergency Medicine Gme1000 Blythe Blvd., Meb, Suite 157, Carolinas Medical Center, Charlotte, NC 28203-2861 2016-04-11
1417185125 Anil Kumar Chhabra Emergency Medicine 14714 Jockeys Ridge Dr, Charlotte, NC 28277-3717 2009-07-01
1669608709 Anthony L Fox Emergency Medicine 8800 N Tyron St, Carolinas Medical Center -university, Charlotte, NC 28262 2009-06-03
1821250697 Christopher Kirt Kessler Emergency Medicine 1133 Metropolitan Ave Unit 618, Charlotte, NC 28204-3401 2008-07-01
1265606784 Michael Craig Flanders Emergency Medicine 8800 North Tryon St, Emp, Charlotte, NC 28262 2008-04-16
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Competitor

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City CHARLOTTE
Zip Code 28203

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Dataset Information

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.

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