NOVANT MEDICAL GROUP INC (NPI# 1225291578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225291578 |
| Entity Type | Organization |
| Organization Name | NOVANT MEDICAL GROUP INC |
| Other Organization Name | SHERRILL-JACKSON ORTHOPEDIC CENTER |
| Practice Address |
131 Medical Park Rd Suite 2800 Mooresville NC 28117-8522 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 7046645633 |
| Practice Fax Number | 7046645631 |
| Mailing Telephone | 7043847840 |
| Mailing Fax Number | 7043847830 |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2008-08-14 |
| Authorized Official Name | MR. DINESH S PAI (VP OF OPERATIONS) |
| Authorized Official Telephone | 7043849113 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | NC | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Sherrill-Jackson Orthopedic Center | Doing Business As Name - Organization |
| 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 |
| 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 |
| Street Address |
131 MEDICAL PARK RD SUITE 2800 |
| City | MOORESVILLE |
| State | NC |
| Zip Code | 28117-8522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174593313 | James D Wilson | Obstetrics & Gynecology | 131 Medical Park Rd, Ste 102, Mooresville, NC 28117 | 2006-01-23 |
| 1659819001 | Coral Bruss | Nurse Practitioner | 131 Medical Park Rd, Suite 102, Mooresville, NC 28117-8522 | 2017-02-06 |
| 1003267469 | Erin Abbey Gray | Nurse Practitioner | 131 Medical Park Rd, Suite # 303, Mooresville, NC 28117-8522 | 2016-06-28 |
| 1669729349 | Arthur Lee Adcock II | Nurse Anesthetist, Certified Registered | 131 Medical Park Rd, Suite 308, Mooresville, NC 28117-8522 | 2012-08-13 |
| 1457621799 | Mooresville Ppm LLC | Surgery | 131 Medical Park Rd, Suite 303, Mooresville, NC 28117-8522 | 2012-01-04 |
| 1427344977 | Rosario Walter Bogart | Nurse Anesthetist, Certified Registered | 131 Medical Park Rd, 308, Mooresville, NC 28117-8522 | 2011-06-23 |
| 1366775298 | Laura Joan Arigo | Obstetrics & Gynecology | 131 Medical Park Rd, Suite 102, Mooresville, NC 28117-8522 | 2009-09-10 |
| 1730322843 | Andrew Francis Leigh Gross | Psychiatry & Neurology | 131 Medical Park Rd, Suite 308, Mooresville, NC 28117-8522 | 2009-04-20 |
| 1700028982 | Mooresville Ppm LLC | Pediatrics | 131 Medical Park Rd, Suite 302, Mooresville, NC 28117-8522 | 2009-04-02 |
| 1356500177 | Novant Medical Group, Inc. | Urology | 131 Medical Park Rd, Suite 305, Mooresville, NC 28117-8522 | 2008-06-06 |
| Find all providers in the same location | ||||
| 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 | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467785923 | Iredell Physician Network, LLC | Orthopaedic Surgery | 143 Joe Knox Ave Ste 100, Mooresville, NC 28117-9244 | 2009-09-15 |
| 1558549790 | Ben Javier Garrido | Orthopaedic Surgery | 517 Alcove Rd Ste 102, Mooresville, NC 28117-8574 | 2008-02-08 |
| 1902880743 | Edward M Keating | Orthopaedic Surgery | 1199 Hadley Rd, Mooresville, IN 46158-1788 | 2005-12-05 |
| 1700868106 | William Thomas Jackson | Orthopaedic Surgery | 131 Medical Park Road, Suite 204, Mooresville, NC 28117-8524 | 2005-11-19 |
| 1184616435 | David Curtis Hillsgrove | Orthopaedic Surgery | 124 Welton Way, Mooresville, NC 28117-9163 | 2005-08-22 |
| 1497032304 | Mooresville Ppm LLC | Orthopaedic Surgery | 170 Medical Park Rd, Suite 102, Mooresville, NC 28117-8540 | 2011-11-05 |
| 1467634758 | Charles Van Sikes IIi | Orthopaedic Surgery | 124 Welton Way, Mooresville, NC 28117-9163 | 2007-11-29 |
| 1386737534 | Rodney Jay Stanley | Orthopaedic Surgery | 124 Welton Way, Mooresville, NC 28117-9163 | 2006-10-02 |
| 1144238338 | Kevin J Stanley | Orthopaedic Surgery | 150 Fairview Rd, Suite 230, Mooresville, NC 28117-9504 | 2006-08-03 |
| 1831168392 | Northshore Orthopedic & Sports Medicine Center Pa | Orthopaedic Surgery | 124 Welton Way, Mooresville, NC 28117-9163 | 2006-03-16 |
| 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.