SAMUEL R BORSELLINO (NPI# 1174540173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174540173 |
| Entity Type | Individual |
| Full Name | SAMUEL R BORSELLINO |
| Credential | M.D. |
| Practice Address |
2801 Randolph Rd Suite 100 Charlotte NC 28211-1047 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 7043674800 |
| Practice Fax Number | 7043163025 |
| Mailing Telephone | 7043674800 |
| Mailing Fax Number | 7043163025 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2018-11-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 2016-02431 | NC | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
2016-02431 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
2801 RANDOLPH RD SUITE 100 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28211-1047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184628901 | Maxwell Greenman | Ophthalmology | 2801 Randolph Rd, Ste 200, Charlotte, NC 28211-1047 | 2005-06-09 |
| 1639621253 | Robert Christenbery IIi | Physician Assistant | 2801 Randolph Rd, Suite 100, Charlotte, NC 28211-1047 | 2016-10-31 |
| 1235479155 | Novant Medical Group, Inc | Psychiatry & Neurology | 2801 Randolph Rd, Suite 101, Charlotte, NC 28211-1051 | 2013-03-01 |
| 1336222900 | Eric Eskioglu | Neurological Surgery | 2801 Randolph Rd, Suite 100, Charlotte, NC 28211-1047 | 2006-10-24 |
| 1801853270 | Greenman Eye Associates Pllc | Ophthalmology | 2801 Randolph Rd, Suite 200, Charlotte, NC 28211-1047 | 2006-04-28 |
| 1801850342 | David B Greenman | Ophthalmology | 2801 Randolph Rd, Suite 200, Charlotte, NC 28211-1047 | 2006-04-13 |
| 1720041593 | Novant Medical Group, Inc. | Physical Medicine & Rehabilitation | 2801 Randolph Rd, Suite 100, Charlotte, NC 28211-1051 | 2006-04-11 |
| 1447236187 | Stephen W Hipp | Specialist | 2801 Randolph Rd, Suite 100, Charlotte, NC 28211-1047 | 2005-12-15 |
| 1083608384 | Thomas Hayes Woollen | Family Medicine | 2801 Randolph Rd, Suite 101, Charlotte, NC 28211-1047 | 2005-09-01 |
| 1053311282 | Kenneth D Weeks | Internal Medicine | 2801 Randolph Rd, Suite 101, Charlotte, NC 28211-1047 | 2005-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184277832 | I and J Wheelchair Transportation | Non-emergency Medical Transport (VAN) | 1512 Delane Avenue, Charlotte, NC 28211 | 2019-07-22 |
| 1922563923 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 447 Billingsley Rd, Cottage A, Charlotte, NC 28211 | 2019-02-04 |
| 1649798273 | Ally Home Care Charlotte LLC | In Home Supportive Care | 3711 Latrobe Drive Suite 520, Charlotte, NC 28211 | 2017-09-04 |
| 1154866770 | Vaibhav Bajaj | Dentist | 2809 Coltsgate Rd Ste 200, Charlotte, NC 28211 | 2017-01-05 |
| 1508254939 | Lindsay Marie Smits | Speech-Language Pathologist | 427 N. Wendover Rd., Charlotte, NC 28211 | 2015-01-08 |
| 1457755480 | Kristen Hammer | Physical Therapy Assistant | 4120 Providence Rd Apt D, Charlotte, NC 28211 | 2014-10-20 |
| 1669805610 | Carla Elizabeth Scott | Physical Therapist | 3500 Ellington Street, Dr. Carlton Watkins Center, Charlotte, NC 28211 | 2013-08-14 |
| 1760726368 | Jill Hensdale Shipp | Social Worker | 307 Hunter Lane, Charlotte, NC 28211 | 2012-11-20 |
| 1346592722 | Danielle Marie Benoit | Occupational Therapist | 3541 Randolph Road Suite 100 W, Charlotte, NC 28211 | 2012-10-09 |
| 1487910832 | John Joseph Marcel Jr. | Orthopaedic Surgery | 449 North Wendover Rd Ste A, Charlotte, NC 28211 | 2012-04-10 |
| Find all providers in zip 28211 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679898548 | Andrew Hall Marky | Neurological Surgery | 7825 Ballantyne Commons Pkwy Ste 150, Charlotte, NC 28277-3175 | 2010-04-02 |
| 1902058852 | Richard Paul Greenberg | Neurological Surgery | 3900 Colony Road Ste-c, Ageless Remedies, Charlotte, NC 28211-5022 | 2008-10-22 |
| 1619181898 | Erin N Kiehna | Neurological Surgery | 330 Billingsley Rd Ste 202, Charlotte, NC 28211-5020 | 2007-05-09 |
| 1467673723 | Sarah Crissey Jernigan | Neurological Surgery | 225 Baldwin Avenue, Charlotte, NC 28204-3109 | 2007-05-02 |
| 1336775535 | Novant Medical Group, Inc. | Neurological Surgery | 2711 Randolph Rd Ste 100, Charlotte, NC 28207-2027 | 2020-03-19 |
| 1346703865 | Novant Medical Group, Inc. | Neurological Surgery | 7825 Ballantyne Commons Pkwy Ste 150, Charlotte, NC 28277-3175 | 2019-04-11 |
| 1780145391 | Novant Medical Group, Inc. | Neurological Surgery | 8201 Healthcare Loop Ste 201, Charlotte, NC 28215-7072 | 2019-03-27 |
| 1073023503 | Novant Medical Group, Inc. | Neurological Surgery | 1900 Randolph Rd Ste 1010, Charlotte, NC 28207-1117 | 2017-10-11 |
| 1801329602 | David Richard Peters | Neurological Surgery | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2017-04-07 |
| 1013370089 | Vincent Jack Rossi | Neurological Surgery | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2016-03-29 |
| 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.