NOVANT MEDICAL GROUP, INC. (NPI# 1235380536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235380536 |
| Entity Type | Organization |
| Organization Name | NOVANT MEDICAL GROUP, INC. |
| Other Organization Name | CAPE FEAR OB/GYN |
| Practice Address |
1717 Shipyard Blvd Suite 200 Wilmington NC 28403-8023 |
| Practice Telephone | 9104528482 |
| Practice Fax Number | 9104523550 |
| Mailing Telephone | 9104528482 |
| Mailing Fax Number | 9104523550 |
| Enumeration Date | 2008-10-06 |
| Last Update Date | 2009-01-29 |
| Authorized Official Name | DINESH S. PAI (VP OPERATIONS) |
| Authorized Official Telephone | 9104528482 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Cape Fear OB/GYN | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033723531 | Novant Medical Group, Inc. | Surgery | 1450 Matthews Township Pkwy Ste 320, Matthews, NC 28105-2389 | 2020-09-02 |
| 1346868155 | Novant Medical Group, Inc. | Family Medicine | 106 Corporate Park Dr Ste 200, Mooresville, NC 28117-7134 | 2020-07-08 |
| 1861019150 | Novant Medical Group, Inc. | Family Medicine | 2701 Statesville Ave., Charlotte, NC 28206 | 2020-07-02 |
| 1932725124 | Novant Medical Group, Inc. | Internal Medicine | 125 Queens Rd Ste 510, Charlotte, NC 28204-3215 | 2020-06-23 |
| 1922645571 | Novant Medical Group, Inc. | Surgery | 6324 Fairview Rd Ste 420, Charlotte, NC 28210-3372 | 2019-12-03 |
| 1437706256 | Novant Medical Group, Inc. | Physical Therapist | 11202 Harris Rd, Huntersville, NC 28078-7633 | 2019-08-26 |
| 1336795137 | Novant Medical Group, Inc. | Surgery | 3515 W Market St Ste 310, Greensboro, NC 27403-4438 | 2019-08-16 |
| 1104472125 | Novant Medical Group, Inc. | Neurological Surgery | 3515 W Market St Ste 210, Greensboro, NC 27403-4442 | 2019-08-15 |
| 1649824954 | Novant Medical Group, Inc. | Family Medicine | 6555 Kee Lane, Harrisburg, NC 28075-7463 | 2019-07-25 |
| 1285287185 | Novant Medical Group, Inc. | Lactation Consultant, Non-RN | 6324 Fairview Rd Ste 435, Charlotte, NC 28210-4278 | 2019-07-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NOVANT MEDICAL GROUP, INC. | 200 Hawthorne Ln, Charlotte, NC 28204-2515 |
| Street Address |
1717 SHIPYARD BLVD SUITE 200 |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28403-8023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649274614 | Joseph F Huppmann | Dermatology | 1717 Shipyard Blvd, Suite 100, Wilmington, NC 28403 | 2005-06-08 |
| 1225636947 | Samantha Marie Dubay | Physician Assistant | 1717 Shipyard Blvd, Wilmington, NC 28403-8023 | 2020-10-14 |
| 1659889780 | Rhonda Harrelson | Radiologic Technologist | 1717 Shipyard Blvd, Wilmington, NC 28403-8023 | 2018-01-10 |
| 1083129050 | Jennifer Walker | Specialist/Technologist | 1717 Shipyard Blvd, Wilmington, NC 28403-8023 | 2017-12-12 |
| 1063927036 | Mariah Jacobs | Radiologic Technologist | 1717 Shipyard Blvd, Wilmington, NC 28403-8023 | 2017-12-12 |
| 1841705811 | Jennifer Hester | Radiologic Technologist | 1717 Shipyard Blvd, Wilmington, NC 28403-8023 | 2017-12-12 |
| 1346607066 | Summit Cosmetic Surgery Center | Specialist | 1717 Shipyard Blvd, Suite 100, Wilmington, NC 28403-8023 | 2016-01-26 |
| 1114300027 | Amber L. Smith | Radiologic Technologist | 1717 Shipyard Blvd, Suite 350, Wilmington, NC 28403 | 2015-07-09 |
| 1942694302 | Cynthia Markley Caster | Radiologic Technologist | 1717 Shipyard Blvd, #350, Wilmington, NC 28403 | 2015-03-24 |
| 1851685010 | Shoreline Physical Therapy, LLC | Physical Therapist | 1717 Shipyard Blvd, Suite 320, Wilmington, NC 28403-8023 | 2011-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902413875 | Ymca of Southeastern Nc | Health Educator | 2710 Market Street, Wilmington, NC 28403 | 2020-09-25 |
| 1659917334 | Noa Alper | Occupational Therapist | 5412 Old Garden Road, Wilmington, NC 28403 | 2019-11-18 |
| 1992346340 | Nancy Rosita Carson | Technician | 5608 Locke Str. Apt 108, Wilmington, NC 28403 | 2019-10-07 |
| 1912484585 | Jennifer Nicole Perry | Behavior Technician | 349 Campus Cv, Wilmington, NC 28403 | 2018-07-25 |
| 1386159929 | Monumental Foundations LLC | Clinic/Center | Plum Tree Plaza 925 South Kerr Ave Suite F4, Wilmington, NC 28403 | 2017-12-05 |
| 1114445731 | Jacqulyn Craichy | Speech-Language Pathologist | 75 Cavalier Drive, Wilmington, NC 28403 | 2017-09-04 |
| 1730638545 | Ashley Mcneil | Durable Medical Equipment & Medical Supplies | 3435 Wilshire Blvd Apt 203, Wilmington, NC 28403 | 2016-09-22 |
| 1306204276 | Valerie Pringle Jones | Physical Therapist | 1717 Shipyard Blvd. Ste 350, Wilmington, NC 28403 | 2016-02-05 |
| 1689039992 | Lifeline Treatment Center | Clinic/Center | 5710 Oleander Dr Ste 100, Wilmington, NC 28403 | 2015-12-31 |
| 1750758264 | Melissa Beatson | Speech-Language Pathologist | 4014 Oleander Drive, Ste. 3b, Coastal Speech & Language Pllc, Wilmington, NC 28403 | 2015-09-01 |
| Find all providers in zip 28403 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205105053 | Bohdan Malyk | Obstetrics & Gynecology | 1646 Verrazzano Dr, Wilmington, NC 28405-4224 | 2011-12-23 |
| 1447427943 | Marie E Pinizzotto | Obstetrics & Gynecology | 200 Campbell Rd, Wilmington, DE 19807-2008 | 2008-05-14 |
| 1457433500 | Coastline Gynecology Pa | Obstetrics & Gynecology | 1437 Military Cutoff Rd, Suite 206, Wilmington, NC 28403-3637 | 2006-10-19 |
| 1609978071 | Elias Mamberg | Obstetrics & Gynecology | 1301 N Harrison St, 104, Wilmington, DE 19806 | 2006-09-05 |
| 1700288776 | Seashore Women's Health, Pllc | Obstetrics & Gynecology | 3720 Shipyard Blvd, Wilmington, NC 28403-6147 | 2014-09-22 |
| 1730439290 | Uma Chatterjee, Md Pa | Obstetrics & Gynecology | 1941 Limestone Rd, Suite 212, Wilmington, DE 19808-5408 | 2012-09-12 |
| 1518216118 | Carolina Healthcare Associates Inc | Obstetrics & Gynecology | 1809 Glen Meade Rd, Wilmington, NC 28403-6022 | 2012-08-29 |
| 1558628883 | Coastal Womens Care PC | Obstetrics & Gynecology | 1721 Allens Ln, Suite 102, Wilmington, NC 28403-3661 | 2012-04-11 |
| 1558540559 | R. Henry Temple Md PC | Obstetrics & Gynecology | 1606 Physicians Dr, Suite 102, Wilmington, NC 28401-7361 | 2007-10-26 |
| 1689703084 | Estelle H Whitney Md Pa | Obstetrics & Gynecology | 1941 Limestone Rd, Suite 217, Wilmington, DE 19808-5400 | 2007-03-04 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28403 |
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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.