GLENCORA KHEIREDDINE (NPI# 1295864379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295864379 |
| Entity Type | Individual |
| Full Name | GLENCORA KHEIREDDINE |
| Credential | MD |
| Practice Address |
6060 Piedmont Row Dr S Fl 7 Charlotte NC 28287 |
| Mailing Address |
5950 Fairview Rd Ste 330 Charlotte NC 28210-2108 |
| Practice Telephone | 7044893094 |
| Mailing Telephone | 7044956334 |
| Mailing Fax Number | 7048177219 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2018-09-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 2009-00399 | NC | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 134019 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5913167 | 05 | |
| SC | N0039D | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4525 Cameron Valley Pkwy, Suite 3100, Charlotte, NC 282114369 | 7043029300 | 7043029305 |
| Street Address |
6060 PIEDMONT ROW DR S FL 7 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28287 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275552549 | Elizabeth A Dean | Internal Medicine | 6060 Piedmont Row Dr S Fl 7, Charlotte, NC 28287 | 2006-07-18 |
| 1144595380 | Althea Mascarenhas Cunningham | Internal Medicine | 6060 Piedmont Row Dr S Fl 7, Charlotte, NC 28287 | 2012-03-21 |
| 1144514894 | Melissa Ann James | Internal Medicine | 6060 Piedmont Row Dr S Fl 7, Charlotte, NC 28287-3884 | 2011-05-30 |
| 1528379609 | Robert Calvin Brownlee Iv | Internal Medicine | 6060 Piedmont Row Dr S Fl 7, Charlotte, NC 28287 | 2010-06-23 |
| 1720214281 | Christina Crabbe Kennelly | Internal Medicine | 6060 Piedmont Row Dr S Fl 7, Charlotte, NC 28287 | 2009-06-10 |
| 1366684854 | Ilhem Remmouche | Internal Medicine | 6060 Piedmont Row Dr S Fl 7, Charlotte, NC 28287 | 2009-03-30 |
| 1962605816 | Reshma Changappa Vora | Internal Medicine | 6060 Piedmont Row Dr S Fl 7, Charlotte, NC 28287 | 2007-06-07 |
| 1598984759 | Nicole Knight | Internal Medicine | 6060 Piedmont Row Dr S Fl 7, Charlotte, NC 28287 | 2007-04-25 |
| 1942329842 | Olga Yevseyevna Brooks | Internal Medicine | 6060 Piedmont Row Dr S Fl 7, Charlotte, NC 28287 | 2007-03-29 |
| 1669504957 | Melissa Camille Hennessey | Internal Medicine | 6060 Piedmont Row Dr S Fl 7, Charlotte, NC 28287 | 2007-03-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770826281 | Desaree Valerie Festa-dreher | Psychologist | 6060 Piedmont Row South, Suite 120, Charlotte, NC 28287 | 2013-04-03 |
| 1851567747 | Casey Jo Humbyrd | Orthopaedic Surgery | 601 N Caroline Street, Baltimore, MD 28287 | 2008-05-01 |
| 1740200047 | James B Jones | Internal Medicine | 6060 Piedmont Row Dr S Fl 10, Charlotte, NC 28287 | 2006-07-20 |
| 1902862303 | Meredith Leigh Dasher | Specialist | 6060 Piedmont Row Dr S Fl 6, Charlotte, NC 28287 | 2006-04-25 |
| 1336108455 | Hala J Webster | Internal Medicine | 6060 Piedmont Row Dr S Fl 8, Charlotte, NC 28287 | 2006-03-18 |
| 1720606403 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 6060 Piedmont Row Drive South, Suite 524, Charlotte, NC 28287 | 2020-07-09 |
| 1326528464 | Leia Ann Charnin | Psychologist | 6060 Piedmont Row Dr S Ste 120, Charlotte, NC 28287 | 2018-08-17 |
| 1528214780 | Uha Reddy | Internal Medicine | 6060 Piedmont Row Dr S Fl 6, Charlotte, NC 28287 | 2008-08-07 |
| 1912169905 | Amit Aravapalli | Internal Medicine | 6060 Piedmont Row Dr S Fl 6, Charlotte, NC 28287 | 2008-06-30 |
| 1184808305 | Harold Leon Springs, IIi | Internal Medicine | 6060 Piedmont Row Dr S Fl 6, Charlotte, NC 28287 | 2007-12-24 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1932722980 | Carolinas Physicians Network Inc | Internal Medicine | 2041 South Blvd, Ste 100, Charlotte, NC 28203-5062 | 2020-05-26 |
| 1538700745 | Geriatric Care of The Carolinas, Pllc | Internal Medicine | 6001 Graburns Ford Dr, Charlotte, NC 28269-7120 | 2019-09-30 |
| 1477100683 | Carolinas Physicians Network Inc | Internal Medicine | 9325 Jw Clay Blvd, Ste 221, Charlotte, NC 28262-5411 | 2019-08-22 |
| 1972169977 | Iora Health North Carolina, P.C. | Internal Medicine | 8332 Pineville Matthews Rd Ste 205, Charlotte, NC 28226-3765 | 2019-05-15 |
| 1700345105 | Carolinas Physicians Network Inc | Internal Medicine | 2109 Randolph Rd, Charlotte, NC 28207-1521 | 2019-03-15 |
| 1790256964 | Tele Phys Inc | Internal Medicine | 10035 Park Center Dr., Ste 100, Charlotte, NC 28210 | 2018-12-16 |
| 1053880518 | Low-t Physicians Professional Association | Internal Medicine | 10430 Park Road Suite 100a, Charlotte, NC 28210 | 2018-11-14 |
| 1033698527 | Novant Medical Group, Inc | Internal Medicine | 8201 Healthcare Loop Ste 304, Charlotte, NC 28215 | 2018-08-07 |
| 1588166060 | Allcare Medical Center,pllc | Internal Medicine | 7401 The Plaza, Charlotte, NC 28215 | 2018-03-01 |
| 1083137616 | Sc Med LLC | Internal Medicine | 10436 Winslet Dr, Charlotte, NC 28277-2956 | 2017-07-25 |
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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.