WALID ELTARABOULSI (NPI# 1245491083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245491083 |
Entity Type | Individual |
Full Name | WALID ELTARABOULSI |
Credential | MD |
Practice Address |
16817 Marvin Road Charlotte NC 28277 |
Mailing Address |
5950 Fairview Rd Ste 330 Charlotte NC 28210-2108 |
Practice Telephone | 7044956036 |
Mailing Telephone | 7044956334 |
Mailing Fax Number | 7048177219 |
Enumeration Date | 2008-06-24 |
Last Update Date | 2018-10-12 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
2011-01032 | NC | Allopathic & Osteopathic Physicians |
Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
2011-01032 | NC | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | NC LICENSE | 2011-01032 | 01 |
SC | NC2170 | 05 | |
NC | 1245491083 | 05 |
Street Address |
16817 MARVIN ROAD |
City | CHARLOTTE |
State | NC |
Zip Code | 28277 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083697908 | Allen P Tauro | Internal Medicine | 16817 Marvin Road, Charlotte, NC 28277 | 2005-11-23 |
1700359403 | Tryon Endoscopy Center, LLC | Clinic/Center | 16817 Marvin Road, Charlotte, NC 28277-2196 | 2019-01-04 |
1588955439 | Maya Dagher Fetter | Internal Medicine | 16817 Marvin Road, Charlotte, NC 28277 | 2011-04-27 |
1497052377 | Natasha Dumra | Internal Medicine | 16817 Marvin Road, Charlotte, NC 28277 | 2011-02-11 |
1760708853 | Adam Ligler | Internal Medicine | 16817 Marvin Road, Charlotte, NC 28277 | 2010-04-14 |
1992927305 | April Atkins Boswell | Dermatology | 16817 Marvin Road, Charlotte, NC 28277 | 2007-05-03 |
1710064985 | Kerry Patterson Briones | Internal Medicine | 16817 Marvin Road, Charlotte, NC 28277 | 2006-11-01 |
1043314461 | Maureen Rafferty | Internal Medicine | 16817 Marvin Road, Charlotte, NC 28277 | 2006-09-08 |
1679682181 | Richard F. Miller | Internal Medicine | 16817 Marvin Road, Charlotte, NC 28277 | 2006-08-29 |
1073528808 | Luis Arturo Bendezu | Family Medicine | 16817 Marvin Road, Charlotte, NC 28210 | 2006-07-30 |
Find all providers in the same location |
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 | 207RP1001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Pulmonary Disease |
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
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 |
---|---|---|---|---|
1962953877 | Novant Medical Group, Inc | Internal Medicine | 9550 Rocky River Rd Ste 100, Charlotte, NC 28215 | 2016-10-17 |
1740200047 | James B Jones | Internal Medicine | 6060 Piedmont Row Dr S Fl 10, Charlotte, NC 28287 | 2006-07-20 |
1962470666 | Estrelita Nancy Clavio-ziechmann | Internal Medicine | 10036 Park Cedar Dr, Suite A, Charlotte, NC 28210-8914 | 2006-03-09 |
1780974816 | Sailaja Allamneni | Internal Medicine | 1001 Blythe Blvd, Charlotte, NC 28203-5866 | 2011-04-11 |
1669779583 | Anil Jotwani | Internal Medicine | 1350 S Kings Dr, Charlotte, NC 28207-2134 | 2011-02-14 |
1649590324 | Joshua Davis | Internal Medicine | 1350 S Kings Dr, Charlotte, NC 28207-2134 | 2010-06-04 |
1619293701 | John Wynne | Internal Medicine | 1001 Blythe Blvd, Charlotte, NC 28203-5866 | 2010-04-14 |
1083843304 | Muhammad Rashad | Internal Medicine | 1001 Blythe Blvd, Charlotte, NC 28203-5866 | 2009-07-08 |
1962658856 | Alfred Papali | Internal Medicine | 10650 Park Rd, Ste 300, Charlotte, NC 28210-8538 | 2008-08-12 |
1235390691 | Joshua Smith | Internal Medicine | 1001 Blythe Blvd, Charlotte, NC 28203-5866 | 2008-06-18 |
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.