REBECCA L. LARK (NPI# 1295711554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295711554 |
| Entity Type | Individual |
| Full Name | REBECCA L. LARK |
| Credential | M.D. |
| Practice Address |
4539 Hedgemore Dr Suite 100 Charlotte NC 28209-3276 |
| Mailing Address |
Po Box 601888 Charlotte NC 28260-1888 |
| Practice Telephone | 7043319669 |
| Practice Fax Number | 7043310736 |
| Mailing Telephone | 7043319669 |
| Mailing Fax Number | 7043310736 |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2014-08-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
2000-00506 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1295711554 | 05 | |
| NC | 89126YR | 05 | |
| SC | N00507 | 05 |
| Street Address |
4539 HEDGEMORE DR SUITE 100 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28209-3276 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164408423 | Joseph Lang | Internal Medicine | 4539 Hedgemore Dr, Ste 100, Charlotte, NC 28209-3276 | 2005-12-19 |
| 1902452600 | Kelsey Linde | Physician Assistant | 4539 Hedgemore Dr, Ste 100, Charlotte, NC 28209-3276 | 2019-08-18 |
| 1164942892 | Wayne Wilkens Jr. | Nurse Practitioner | 4539 Hedgemore Dr, Ste 100, Charlotte, NC 28209-3276 | 2017-06-23 |
| 1326445040 | Dana Karp | Nurse Practitioner | 4539 Hedgemore Dr, Ste 100, Charlotte, NC 28209-3276 | 2014-11-24 |
| 1528486057 | Mindy Sampson | Internal Medicine | 4539 Hedgemore Dr, Ste 100, Charlotte, NC 28209-3276 | 2014-04-02 |
| 1003242876 | Carolinas Physicians Network Inc | Internal Medicine | 4539 Hedgemore Dr, Ste 100, Charlotte, NC 28209-3276 | 2013-09-24 |
| 1487945333 | Leigh Ann Medaris | Internal Medicine | 4539 Hedgemore Dr, Suite 100, Charlotte, NC 28209-3276 | 2011-04-27 |
| 1952626319 | Kaitlin Beckman | Internal Medicine | 4539 Hedgemore Dr, Ste 100, Charlotte, NC 28209-3276 | 2010-03-29 |
| 1619135092 | Anupama Neelakanta | Internal Medicine | 4539 Hedgemore Dr, Ste 100, Charlotte, NC 28209-3276 | 2008-06-02 |
| 1003006172 | Nestor Quezada | Internal Medicine | 4539 Hedgemore Dr, Ste 100, Charlotte, NC 28209-3276 | 2007-07-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194382200 | Christopher Joseph Malara | Occupational Therapy Assistant | 3600 Park Rd, Charlotte, 28209, Nc, Charlotte, NC 28209 | 2019-05-23 |
| 1982187571 | Elizabeth Black Smith | Dietitian, Registered | 5821 Fairview Road, Suite 216, Charlotte, NC 28209 | 2018-09-11 |
| 1235611690 | Shearer Counseling Services Pllc | Counselor | 5200 Park Road Ste 200-3, Charlotte, NC 28209 | 2018-09-02 |
| 1942796396 | Wade Medical Transportation Services, LLC | Non-emergency Medical Transport (VAN) | 4400 Park Rd Unit 315, Charlotte, NC 28209 | 2018-07-09 |
| 1750803672 | Stephanie Rindner | Behavior Technician | 716 Marsh Road, Charlotte, NC 28209 | 2017-07-12 |
| 1861939621 | Carolinas Healthcare System | General Acute Care Hospital | 3329 Weston St, Charlotte, NC 28209 | 2017-01-31 |
| 1275943011 | Cameron Cunningham | Anesthesiology | 1515 Mockingbird Ln Ste 680, Charlotte, NC 28209 | 2014-05-02 |
| 1013299205 | Digital Ultrasound Associates | Spec/Tech, Cardiovascular | 4450 South Blvd Suite 4, Charlotte, NC 28209 | 2011-09-13 |
| 1801117676 | Rosemary Nmi Lucas | Physical Therapist | 2910 Selwyn Ave #359, Charlotte, NC 28209 | 2010-06-16 |
| 1194049767 | Frances Massey Harley | Speech-Language Pathologist | 715 Hartford Avenue, Sedgefield Elementary School, Charlotte, NC 28209 | 2010-03-25 |
| Find all providers in zip 28209 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| 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 |
|---|---|---|---|---|
| 1205815701 | Id Consultants Pa | Internal Medicine | 4539 Hedgemore Drive, Suite 100, Charlotte, NC 28209 | 2006-01-12 |
| 1164408423 | Joseph Lang | Internal Medicine | 4539 Hedgemore Dr, Ste 100, Charlotte, NC 28209-3276 | 2005-12-19 |
| 1932675758 | Jason Lamarr Hardin | Internal Medicine | 6010 E W T Harris Blvd, Charlotte, NC 28215-4084 | 2018-10-18 |
| 1942703582 | Integrated Healthcare Innovation Inc. | Internal Medicine | 1313 N Tryon St, Charlotte, NC 28206-2721 | 2018-03-09 |
| 1912326331 | Siddhi Gupta | Internal Medicine | 1900 Randolph Rd Ste 216, Charlotte, NC 28207-1106 | 2014-04-14 |
| 1003235524 | Novant Medical Group Inc | Internal Medicine | 1900 Randolph Rd, Suite 216, Charlotte, NC 28207-1122 | 2014-04-11 |
| 1528486057 | Mindy Sampson | Internal Medicine | 4539 Hedgemore Dr, Ste 100, Charlotte, NC 28209-3276 | 2014-04-02 |
| 1063833424 | Novant Medical Group | Internal Medicine | 1718 E 4th St, Suite 401, Charlotte, NC 28204-3261 | 2014-01-02 |
| 1679994842 | Novant Medical Group Inc | Internal Medicine | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2013-12-13 |
| 1003242876 | Carolinas Physicians Network Inc | Internal Medicine | 4539 Hedgemore Dr, Ste 100, Charlotte, NC 28209-3276 | 2013-09-24 |
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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.