PRESBYTERIAN SAMEDAY SURGERY CENTER AT BALLANTYNE LLC (NPI# 1215061049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215061049 |
| Entity Type | Organization |
| Organization Name | PRESBYTERIAN SAMEDAY SURGERY CENTER AT BALLANTYNE LLC |
| Other Organization Name | NOVANT HEALTH BALLANTYNE OUTPATIENT SURGERY |
| Practice Address |
14215 Ballantyne Corporate Pl Ste 210 Charlotte NC 28277-3873 |
| Mailing Address |
2085 Frontis Plaza Blvd Winston-salem NC 27103 |
| Practice Telephone | 7043162650 |
| Practice Fax Number | 7043162653 |
| Mailing Telephone | 3362771065 |
| Mailing Fax Number | 3362779274 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2018-10-04 |
| Authorized Official Name | FRED M. HARGETT (EVP CFO) |
| Authorized Official Telephone | 7043845184 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Novant Health Ballantyne Outpatient Surgery | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154857662 | Presbyterian Sameday Surgery Center At Ballantyne LLC | Nurse Anesthetist, Certified Registered | 14215 Ballantyne Corporate Pl Ste 210, Charlotte, NC 28277-3873 | 2017-05-03 |
| Street Address |
14215 BALLANTYNE CORPORATE PL STE 210 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28277-3873 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093783722 | Teresa Gayle Mccormick | Nurse Anesthetist, Certified Registered | 14215 Ballantyne Corporate Pl Ste 210, Charlotte, NC 28277-3873 | 2006-03-09 |
| 1154857662 | Presbyterian Sameday Surgery Center At Ballantyne LLC | Nurse Anesthetist, Certified Registered | 14215 Ballantyne Corporate Pl Ste 210, Charlotte, NC 28277-3873 | 2017-05-03 |
| 1124066881 | Lisa Y Kimmerle | Nurse Anesthetist, Certified Registered | 14215 Ballantyne Corporate Pl Ste 210, Charlotte, NC 28277-3873 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949731 | New Life Peer Support and Coaching LLC | Clinic/Center | 3450 Toringdon Way, Suite 200, Charlotte, NC 28277 | 2020-07-21 |
| 1083256762 | Speak Life Counseling Services, Pllc | Counselor | 16147 Lacaster Hwy, Suite 110, Charlotte, NC 28277 | 2019-10-14 |
| 1275010019 | Jigneshkumar R Mistry | Pharmacist | 11805 Allforth Ln Apt 2105, Charlotte, NC 28277 | 2018-07-24 |
| 1255825410 | Novant Medical Group Inc. | Family Medicine | 15033 Balloncroft Parkway, Suite 200, Charlotte, NC 28277 | 2018-06-20 |
| 1447752316 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 11135 Golf Links Dr, Charlotte, NC 28277 | 2018-03-06 |
| 1932607595 | Charlotte Proactive Md PC | Clinic/Center | 11220 Golf Links Drive North, Charlotte, NC 28277 | 2018-01-30 |
| 1003331521 | Accela Spine and Pain, Pllc | Anesthesiology | 10120 Ivey Chase Lane, Apt 617, Charlotte, NC 28277 | 2017-08-04 |
| 1265961619 | Dominicka Whitaker | Counselor | 12365 Bluestem Ln., Charlotte, NC 28277 | 2017-06-08 |
| 1083143408 | Monika D Hayes | Counselor | 11330 Snapfinger Drive, Charlotte, NC 28277 | 2017-06-08 |
| 1225582984 | Danielle Mcdaniel | Occupational Therapist | 5113 Piper Station Dr Ste 103, Charlotte, NC 28277 | 2016-08-11 |
| Find all providers in zip 28277 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124594338 | Charlotte Surgery Center, LLC | Clinic/Center | 3621 Randolph Rd Ste 200, Charlotte, NC 28211-0027 | 2018-10-16 |
| 1770893497 | The Refine Institute | Clinic/Center | 7725 Ballantyne Commons Pkwy, Suite 101, Charlotte, NC 28277-2442 | 2010-10-15 |
| 1083751788 | Sameday Surgery Center | Clinic/Center | 1800 East Fourth Street, Charlotte, NC 28204-3536 | 2007-01-31 |
| 1760418917 | Waveco LLC | Clinic/Center | 1822 Brunswick Ave, Charlotte, NC 28207-1820 | 2006-06-22 |
| 1700837028 | Presbyterian Regional Healthcare Corp | Clinic/Center | 1800 E 4th St, Charlotte, NC 28204-3210 | 2006-05-12 |
| 1144652330 | University Surgery Center LLC | Clinic/Center | 9848 N Tryon St, Suite 200, Charlotte, NC 28262-5512 | 2013-07-30 |
| 1619124401 | Charlotte Gastroenterology & Hepatology, Pllc | Clinic/Center | 15830 Ballantyne Medical Place, Suite 175, Charlotte, NC 28277-3295 | 2008-08-22 |
| 1851548655 | Charlotte Gastroenterology & Hepatology, Pllc | Clinic/Center | 2015 Randolph Rd, Suite 101, Charlotte, NC 28207-1128 | 2008-08-22 |
| 1437221660 | Endoscopy Center - University, LLC | Clinic/Center | 101 E Wt Harris Blvd, Suite 3215, Charlotte, NC 28262-3485 | 2006-11-14 |
| 1063584415 | Carolina Digestive Endoscopy Center | Clinic/Center | 300 Billingsley Road, Suite 200b, Charlotte, NC 28211-3092 | 2006-11-14 |
| 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.