NOVANT MEDICAL GROUP INC


Address: 1450 Matthews Township Parkway, Suite 355, Matthews, NC 28105-4300
Phone: 7045446920

NOVANT MEDICAL GROUP INC (NPI# 1114366994) 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) 1114366994
Entity Type Organization
Organization Name NOVANT MEDICAL GROUP INC
Other Organization Name NOVANT HEALTH TOTAL SPINE SPECIALISTS
Practice Address 1450 Matthews Township Parkway
Suite 355
Matthews
NC 28105-4300
Mailing Address Po Box 60447
Charlotte
NC 28260-0447
Practice Telephone 7045446920
Mailing Telephone 7043847840
Enumeration Date 2013-06-14
Last Update Date 2014-03-27
Authorized Official Name MR. GEOFFREY KEITH GARDNER (VP FINANCE)
Authorized Official Telephone 7045446920
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207T00000X Neurological Surgery Allopathic & Osteopathic Physicians
N 208100000X Physical Medicine & Rehabilitation Allopathic & Osteopathic Physicians
N 208VP0000X Pain Medicine
Specialization: Pain Medicine
Allopathic & Osteopathic Physicians
Y 207X00000X Orthopaedic Surgery Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NC 1114366994 05

Other Provider/Organization Names

Other Name Type Code
Novant Health Total Spine Specialists Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1700433711 Novant Medical Group Inc Psychiatry & Neurology 933 Rockford St Ste 2, Mount Airy, NC 27030-5323 2019-08-23
1205481009 Novant Medical Group Inc Dermatology 6324 Fairview Rd # 200, Charlotte, NC 28210-3271 2019-08-08
1033675079 Novant Medical Group Inc Psychiatry & Neurology 1918 Randolph Rd Ste 320, Charlotte, NC 28207-1109 2019-02-14
1205355799 Novant Medical Group Inc Family Medicine 16525 Holly Crest Ln Ste 250, Huntersville, NC 28078-4912 2017-09-15
1679090468 Novant Medical Group Inc Internal Medicine 12311 Copper Way Ste 100, Charlotte, NC 28277-3643 2017-08-23
1003332016 Novant Medical Group Inc Internal Medicine 10030 Gilead Rd Ste 344, Huntersville, NC 28078-7545 2017-08-22
1255709432 Novant Medical Group Inc Family Medicine 19485 Old Jetton Road, Suite 100, Cornelius, NC 28031-6583 2015-09-04
1215326665 Novant Medical Group Inc Surgery 819 N Atlantic Ave, Southport, NC 28461-3531 2015-01-22
1194113662 Novant Medical Group Inc Obstetrics & Gynecology 1730 Kernersville Medical Parkway, Suite 104, Kernersville, NC 27284-7198 2015-01-06
1437556594 Novant Medical Group Inc Internal Medicine 13 Medical Campus, Suite 102, Supply, NC 28462-4093 2014-12-04

Other Data Sources

Entity Type Entity Name Entity Address
North Carolina Corporations Novant Medical Group Inc. 2626 Glenwood Ave Ste 550, Raleigh, NC 27608
Virginia Business Entities Novant Medical Group Inc. 2085 Frontis Plaza Blvd, Winston Salem, North Carolina 27103

Office Location

Street Address 1450 MATTHEWS TOWNSHIP PARKWAY
SUITE 355
City MATTHEWS
State NC
Zip Code 28105-4300

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780614529 Eric L. Wallace Surgery 1450 Matthews Township Parkway, Suite 300, Matthews, NC 28105 2006-07-04
1639480569 Peter S Salib Obstetrics & Gynecology 1450 Matthews Township Parkway, Suite 300, Matthews, NC 28105-5332 2010-06-25
1497978837 Samuel Stuart Dupuy Jr. Urology 1450 Matthews Township Parkway, Matthews, NC 28105 2007-04-11
1417086935 Roy Joseph Friedman Family Medicine 1450 Matthews Township Parkway, Suite 450, Matthews, NC 28105-5343 2007-03-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750917407 Lauren Deasy Blackshaw Counselor 1163 Sam Newell Rd, Matthews, NC 28105 2020-03-13
1912549643 Monarch Community/Behavioral Health 10545 Paces Avenue 634, Matthews, NC 28105 2019-10-15
1326515768 Holly Harvey Heddleson Nurse Practitioner 1450 Matthews Township Pkwy Ste 280, Matthews, NC 28105 2018-10-24
1396241030 Erickson Health Medical Group of North Carolina, PC Internal Medicine 2030 Windsor Run Lane, Matthews, NC 28105 2018-04-02
1811406994 Lice Clinics of America of The Carolinas Technician, Other 3042 Suite C Senna Dr, Matthews, NC 28105 2017-09-21
1376065003 Carillon Assisted Living of Mint Hill, LLC Custodial Care Facility 5601 Margaret Wallace Road, Matthews, NC 28105 2017-07-14
1568906055 London Young Physical Therapy Assistant 11100- 11189 Berkley Square Ln, Charlotte, NC 28105 2016-12-19
1003363128 New Beginnings Community Counseling Center Community/Behavioral Health 5232 Maragaret Wallace Road, Matthews, NC 28105 2016-09-07
1275993149 Kristi Dougan Nurse Practitioner 434 N Trade St Ste 104, Matthews, NC 28105 2016-03-04
1205219896 Kalyani Vellanki Starr Dentist 1819 Matthews Township Pkwy Ste 200, Matthews, NC 28105 2015-07-01
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Taxonomy Information

Taxonomy Code 207X00000X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery

Taxonomy Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639431885 Paulvalery Roulette Orthopaedic Surgery 1401 Matthews Township Pkwy Ste 210, Matthews, NC 28105 2012-06-13
1861474603 David Norris Dupuy Orthopaedic Surgery 710 Park Center Dr, Suite 200, Matthews, NC 28105-5012 2005-11-17
1255689212 Novant Medical Group Orthopaedic Surgery 1401 Matthews Township Pkwy Ste 210, Matthews, NC 28105-5403 2012-08-23
1366763344 John Ryan Martin Orthopaedic Surgery 710 Park Center Dr, Suite 300, Matthews, NC 28105-5081 2010-06-14
1063622470 Orthocarolina Pa Orthopaedic Surgery 1450 Matthews Township Pkwy, Suite 230, Matthews, NC 28105-2387 2007-05-23
1003020694 Orthocarolina Pa Orthopaedic Surgery 1450 Matthews Township Pkwy, Suite 150, Matthews, NC 28105-2387 2007-05-10
1518938380 Matthew A Gullickson Orthopaedic Surgery 710 Park Center Dr, Ste 300, Matthews, NC 28105-5012 2006-01-30
1902888308 James Allen Pressly Orthopaedic Surgery 1450 Matthews Township Pkwy, Suite 250, Matthews, NC 28105-2387 2005-11-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1366042244 University of North Carolina At Chapel Hill Orthopaedic Surgery 6715 Mccrimmon Pkwy Ste 205a, Cary, NC 27519-1916 2020-10-29
1568075422 Carolinas Physicians Network Inc Orthopaedic Surgery 10660 Park Rd Ste 3100, Charlotte, NC 28210-8420 2020-08-28
1902429863 Carolinas Physicians Network Inc Orthopaedic Surgery 2700 Providence Rd S Ste 225, Waxhaw, NC 28173-6314 2020-05-26
1932750304 Orthocarolina, Pa - Bundle Payment Program Section 3 Orthopaedic Surgery 4601 Park Rd Ste 300, Charlotte, NC 28209-2290 2019-09-26
1376108522 Wakemed Specialists Group, LLC Orthopaedic Surgery 8001 T W Alexander Dr Ste 224, Raleigh, NC 27617-4884 2019-05-03
1710444294 Novant Medical Group, Inc Orthopaedic Surgery 167 Moore Rd Ste 202, King, NC 27021-8770 2019-02-21
1649737156 Mcpc-15, LLC Orthopaedic Surgery 2919 Beechtree Dr Ste 3100, Sanford, NC 27330-6934 2019-02-21
1528543295 Private Diagnostic Clinic Pllc Orthopaedic Surgery 1545 Orchard Villas Ave, Apex, NC 27502-4321 2018-09-28
1346722865 Wake Specialty Physicians, LLC Orthopaedic Surgery 120 Healthplex Way Ste 206, Apex, NC 27502-8403 2018-08-31
1760987911 Unc Rockingham Health Care, Inc. Orthopaedic Surgery 520 S Van Buren Rd Ste 2, Eden, NC 27288-5079 2018-03-29
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City MATTHEWS
Zip Code 28105

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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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