IREDELL PHYSICIAN NETWORK (NPI# 1093105942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093105942 |
| Entity Type | Organization |
| Organization Name | IREDELL PHYSICIAN NETWORK |
| Other Organization Name | STOUT INTERNAL MEDICINE & WELLNESS |
| Practice Address |
544 Brawley School Rd Suite C Mooresville NC 28117-9392 |
| Practice Telephone | 7043609310 |
| Mailing Telephone | 7043609310 |
| Enumeration Date | 2015-01-30 |
| Last Update Date | 2015-01-30 |
| Authorized Official Name | SKIP SMITH (CFO) |
| Authorized Official Telephone | 7044953162 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| STOUT INTERNAL MEDICINE & WELLNESS | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780061424 | Iredell Physician Network | General Practice | 128 E Plaza Dr, Unit 3, Mooresville, NC 28115-8000 | 2015-05-01 |
| 1023402732 | Iredell Physician Network | Neurological Surgery | 774 Hartness Rd, Statesville, NC 28677-3376 | 2015-03-20 |
| 1750775466 | Iredell Physician Network | Family Medicine | 544 Brawley School Rd, Suite C, Mooresville, NC 28117-9392 | 2015-03-20 |
| Street Address |
544 BRAWLEY SCHOOL RD SUITE C |
| City | MOORESVILLE |
| State | NC |
| Zip Code | 28117-9392 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407860182 | Kristie D. Smith | Nurse Practitioner | 544 Brawley School Rd, Ste A, Mooresville, NC 28117-9393 | 2006-07-28 |
| 1750775466 | Iredell Physician Network | Family Medicine | 544 Brawley School Rd, Suite C, Mooresville, NC 28117-9392 | 2015-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891356648 | Teleoptometric Service, P.C. | Optometrist | 392 Talbert Rd, Mooresville, NC 28117 | 2019-06-24 |
| 1992268544 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 392 Talbert Rd., Mooresville, NC 28117 | 2019-04-10 |
| 1982178042 | Langtree Endoscopy Center, LLC | Clinic/Center | 106 Alexander Bank Drive, Suite 101, Mooresville, NC 28117 | 2019-01-11 |
| 1679044416 | May and Associates Therapy Center | Psychologist | 862 Brawley School Road, Suite 202, Mooresville, NC 28117 | 2018-12-05 |
| 1700360153 | Sabrina Chabot Hutchinson | Physical Therapist | 508 Williamson Rd, Suite 200, Mooresville, NC 28117 | 2018-09-21 |
| 1992284327 | Presbyterian Imaging Centers LLC | Radiology | 106 Langtree Village Dr # 201, Mooresville, NC 28117 | 2018-08-07 |
| 1073091310 | Jenelle Donzelli Nemeth | Registered Nurse | 102 Sapphire Drive, Mooresville, NC 28117 | 2018-07-30 |
| 1912497496 | Patsharx LLC | Pharmacy | 480 River Hwy, Suite A, Mooresville, NC 28117 | 2018-05-10 |
| 1427502434 | Counseling Service At Lake Norman, Pllc | Community/Behavioral Health | 18117 W. Catawba Avenue, Cornelius, NC 28117 | 2016-08-08 |
| 1447605928 | Renewal Counseling, Pllc | Counselor | 125 Commerce Park Rd., Suite 102, Mooresville, NC 28117 | 2016-05-03 |
| Find all providers in zip 28117 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750854303 | Piedmont Healthcare, Pa | Internal Medicine | 548 Williamson Rd Ste 6, Mooresville, NC 28117-9111 | 2019-01-07 |
| 1457853079 | Hospitalist Solution, Pllc | Internal Medicine | 112a Argus Ln # 210, Mooresville, NC 28117-6977 | 2018-02-28 |
| 1477891810 | Carolinas Physicians Network Inc | Internal Medicine | 119 Market Place Ave, Ste D, Mooresville, NC 28117-8189 | 2013-01-18 |
| 1457675241 | William Farnham Taylor | Internal Medicine | 175 Carriage Club Dr, 6-301, Mooresville, NC 28117-9003 | 2010-03-23 |
| 1376703330 | Peter Jay Enyeart | Internal Medicine | 400 E Statesville Ave Ste 300, Mooresville, NC 28115-2588 | 2008-06-12 |
| 1174729214 | Stephen Robert Giordano | Internal Medicine | 171 Fairview Road, Mooresville, NC 28117 | 2007-06-25 |
| 1073527339 | Khawaja A. Rehman | Internal Medicine | 107 Assembly Dr, Unit 112, Mooresville, NC 28117-5419 | 2006-07-29 |
| 1760408348 | Community Hospitals of Indiana Inc | Internal Medicine | 461 Town Center St N, Mooresville, IN 46158-2316 | 2006-07-15 |
| 1851332100 | Michael A. Rawlings | Internal Medicine | 820 N. Samuel Moore Pkwy., Ste A, Mooresville, IN 46158-1467 | 2006-06-09 |
| 1487694113 | Katharina M. Weber | Internal Medicine | 820 N Samuel Moore Pkwy, Suite A, Mooresville, IN 46158-1467 | 2006-06-08 |
| Find all providers in MOORESVILLE | ||||
| City | MOORESVILLE |
| Zip Code | 28117 |
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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.