NORTHLAKE NEPHROLOGY PLLC (NPI# 1174548028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174548028 |
| Entity Type | Organization |
| Organization Name | NORTHLAKE NEPHROLOGY PLLC |
| Practice Address |
1665 Davie Ave Statesville NC 28677-3519 |
| Mailing Address |
125 Henry Ln Mooresville NC 28117-8767 |
| Practice Telephone | 7049780052 |
| Practice Fax Number | 7049780054 |
| Mailing Telephone | 7046608878 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2013-10-16 |
| Authorized Official Name | SINASI SALMAN (MEDICAL DOCTOR) |
| Authorized Official Telephone | 7049780052 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
200200166 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS | 89131MK | 01 |
| NC | RAILROAD MEDICARE | DF7259 | 01 |
| NC | 89131MK | 05 |
| Street Address |
1665 DAVIE AVE |
| City | STATESVILLE |
| State | NC |
| Zip Code | 28677-3519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306472311 | Crystal Medley Hopkins | Nurse Practitioner | 105 Summer Breeze Court, Statesville, NC 28677 | 2020-03-21 |
| 1922634484 | Tracey Holton | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Easterseals Ucp, 913 Carolina Ave N, Statesville, NC 28677 | 2020-03-17 |
| 1962069286 | Leap Child & Family Services LLC | Developmental Therapist | 119 North Tradd Street, Statesville, NC 28677 | 2019-05-22 |
| 1831604891 | Ingles Markets Inc | Pharmacy | 722 Sullivan Rd, Statesville, NC 28677 | 2017-12-12 |
| 1235663162 | Sandra Lorraine Scalese | Physical Therapy Assistant | 520 Valley Street, Brian Center Health and Rehabilitation, Statesville, NC 28677 | 2017-04-18 |
| 1437698891 | Sherry Blevins Hager | Pharmacist | 722 Sullivan Road, Statesville, NC 28677 | 2017-02-17 |
| 1063828507 | Susan Marie S Sheffield | Dentist | 518 Brookdale Drive, Statesville, NC 28677 | 2014-07-04 |
| 1659782449 | Easter Seals Ucp | Community/Behavioral Health | 913 Carolina Ave, Statesville, NC 28677 | 2014-05-14 |
| 1306268016 | Randall Scott Perry | Dentist | 1132 Davie Avenue, Statesville, NC 28677 | 2014-01-15 |
| 1215215876 | Silhouette Enterprises | Prosthetic/Orthotic Supplier | 909 Carolina Ave, Statesville, NC 28677 | 2011-08-01 |
| Find all providers in zip 28677 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 |
|---|---|---|---|---|
| 1730150459 | Jean-claude Hyppolite | Internal Medicine | 2603 Davie Ave, Statesville, NC 28625-8256 | 2006-01-30 |
| 1225059017 | Wolfgang Erich Lohrmann | Internal Medicine | 2603 Davie Ave, Statesville, NC 28625-8256 | 2006-07-21 |
| 1295780781 | Kidney Care, P.C. | Internal Medicine | 2603 Davie Ave, Statesville, NC 28625-8256 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982251492 | Renal Care, Pllc | Internal Medicine | 607 E Parker Rd Ste A, Morganton, NC 28655-8105 | 2019-08-20 |
| 1508360462 | North Carolina Nephrology Pa | Internal Medicine | 3604 Bush St Fl 2, Raleigh, NC 27609-7511 | 2018-03-23 |
| 1558865444 | North Carolina Nephrology Pa | Internal Medicine | 1006 N Arendell Ave, Zebulon, NC 27597-2352 | 2018-03-23 |
| 1932603800 | North Carolina Nephrology Pa | Internal Medicine | 2824 Rogers Rd Ste 104, Wake Forest, NC 27587-3896 | 2018-03-23 |
| 1760986608 | North Carolina Nephrology Pa | Internal Medicine | 160 Macgregor Pines Dr Ste 301, Cary, NC 27511-6037 | 2018-03-23 |
| 1083168181 | Private Diagnostic Clinic, Pllc | Internal Medicine | 10207 Cerny St Ste 306, Raleigh, NC 27617-4879 | 2016-08-08 |
| 1932596525 | Robert Lorch | Internal Medicine | 2 Genome Ct, Durham, NC 27710-3011 | 2015-04-21 |
| 1770991945 | Barbara Gillespie | Internal Medicine | 109 Linton Banks Pl, Cary, NC 27513-2051 | 2014-07-31 |
| 1902216757 | Evan Zeitler | Internal Medicine | 102 Mason Farm Road, Cb 7020, Chapel Hill, NC 27599-7020 | 2014-05-02 |
| 1649512583 | William Preston Nixon Jr. | Internal Medicine | 2 Jasmine Ct, Wrightsville Beach, NC 28480-1924 | 2013-03-18 |
| Find all providers with the same taxonomy | ||||
| City | STATESVILLE |
| Zip Code | 28677 |
Please comment or provide details below to improve the information on NORTHLAKE NEPHROLOGY PLLC.
| 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.