RICHARD SHUGOLL (NPI# 1063454049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063454049 |
Entity Type | Individual |
Full Name | RICHARD SHUGOLL |
Credential | MD |
Practice Address |
10650 Park Rd Ste 220 Charlotte NC 28210-8538 |
Mailing Address |
Po Box 19305 Charlotte NC 28219-9305 |
Practice Telephone | 7046673840 |
Enumeration Date | 2006-06-12 |
Last Update Date | 2020-09-25 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
15172 | SC | Allopathic & Osteopathic Physicians |
Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
9400353 | NC | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
1550 Faulk St, Ste 3100, Monroe, NC 281125086 | 7046673410 | |
1656 Riverchase Blvd, Suite 2500, Rock Hill, SC 297322084 | 8033273456 | |
1001 Blythe Blvd, Ste 300- Adult Cardiology, Charlotte, NC 282035866 | 7043730212 | |
1900 Brunswick Ave, Charlotte, NC 282071822 | 7043041110 | |
2550 Court Dr, Suite 202, Gastonia, NC 280542152 | 7048612290 |
Street Address |
10650 PARK RD STE 220 |
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 | 207RI0011X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Interventional Cardiology |
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508364886 | Cardiac Cin of Charlotte LLC | Internal Medicine | 15720 Brixham Hill Ave Ste 300c, Charlotte, NC 28277-4784 | 2018-01-31 |
1114171634 | Novant Medical Group, Inc. | Internal Medicine | 125 Baldwin Avenue, Suite 200, Charlotte, NC 28204-3370 | 2008-11-11 |
1043433634 | Presbyterian Regional Healthcare Laboratory Services LLC | Internal Medicine | 1851 E 3rd St, Charlotte, NC 28204-3205 | 2007-04-11 |
1841290525 | Emmett C Mathews Jr. | Internal Medicine | 1928 Randolph Rd, Ste 215, Charlotte, NC 28207-1105 | 2005-07-26 |
1720590185 | Novant Medical Group, Inc | Internal Medicine | 8201 Healthcare Loop Ste 201, Charlotte, NC 28215-7072 | 2017-10-25 |
1790927820 | Jonathan Schwartz | Internal Medicine | 1001 Blythe Blvd, Ste 300- Adult Cardiology, Charlotte, NC 28203-5866 | 2009-04-06 |
1265656094 | Glen Fandetti | Internal Medicine | 1900 Brunswick Ave, Charlotte, NC 28207-1822 | 2007-04-12 |
1922111905 | Bryan Wilson | Internal Medicine | 1001 Blythe Blvd, Ste 300- Adult Cardiology, Charlotte, NC 28203-5866 | 2006-08-16 |
1891708939 | Michael Rinaldi | Internal Medicine | 1001 Blythe Blvd, Ste 300- Adult Cardiology, Charlotte, NC 28203-5866 | 2006-08-13 |
1184636532 | Glen Kowalchuk | Internal Medicine | 1001 Blythe Blvd, Ste 300- Adult Cardiology, Charlotte, NC 28203-5866 | 2006-08-13 |
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.