DR. DINO PETER KANELOS (NPI# 1306959705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306959705 |
| Entity Type | Individual |
| Full Name | DR. DINO PETER KANELOS |
| Credential | M.D. |
| Practice Address |
11220 Elm Ln Suite 102 Charlotte NC 28277-0715 |
| Practice Telephone | 7048474000 |
| Practice Fax Number | 7048474001 |
| Mailing Telephone | 7048474000 |
| Mailing Fax Number | 7048474001 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2013-10-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 9801330 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
11220 ELM LN SUITE 102 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28277-0715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790719359 | Priveer D Sharma | Dentist | 11220 Elm Ln, Suite 100, Charlotte, NC 28277-0715 | 2006-07-10 |
| 1588105795 | Erik Allen Osborne | Physician Assistant | 11220 Elm Ln, Suite 102, Charlotte, NC 28277-0715 | 2017-03-20 |
| 1497293773 | Invision Diagnostics, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 11220 Elm Ln, Suite 200, Charlotte, NC 28277-0715 | 2017-02-07 |
| 1902251978 | Carolina Family Healthcare, Pa | Pharmacy | 11220 Elm Ln, Suite 102, Charlotte, NC 28277-0715 | 2016-04-27 |
| 1437554367 | Sherry Smith | Marriage & Family Therapist | 11220 Elm Ln, Suite 203, Charlotte, NC 28277-0715 | 2014-11-04 |
| 1548529878 | Carolina Family Healthcare, Pa | Family Medicine | 11220 Elm Ln, Suite 120, Charlotte, NC 28277-0715 | 2012-05-07 |
| 1124264072 | Carissa Lynn Kuhn | Counselor | 11220 Elm Ln, Suite 203, Charlotte, NC 28277-0715 | 2008-12-24 |
| 1598929663 | Priveer D Sharma Dds Pa | Dentist | 11220 Elm Ln, Suite 100, Charlotte, NC 28277-0715 | 2008-07-17 |
| 1629262209 | Jennifer Cloos Bean | Dietitian, Registered | 11220 Elm Ln, Suite 102, Charlotte, NC 28277-0715 | 2007-08-28 |
| 1720134893 | Ballantyne Sleep Diagnostics | Clinical Medical Laboratory | 11220 Elm Ln, Suite 102, Charlotte, NC 28277-0715 | 2007-01-25 |
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| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235745985 | Alegis Care - North Carolina PC | Family Medicine | 11016 Rushmore Dr Ste 300, Charlotte, NC 28277-3651 | 2020-09-18 |
| 1902411077 | Carolina Medical Partners Pllc | Family Medicine | 10535 Flennigan Way, Charlotte, NC 28277-1417 | 2020-09-15 |
| 1083226906 | Relymd Medical Group Nc, Pllc | Family Medicine | 212 S Tryon St Ste 1000, Charlotte, NC 28281-0001 | 2020-08-21 |
| 1861019150 | Novant Medical Group, Inc. | Family Medicine | 2701 Statesville Ave., Charlotte, NC 28206 | 2020-07-02 |
| 1881223139 | Renew Health and Wellness | Family Medicine | 9010 Glenwater Dr Ste 102, Charlotte, NC 28262-8593 | 2020-04-07 |
| 1164052957 | Partners In Integrated Healthcare & Wellness Pllc | Family Medicine | 9414b Albemarle Rd, Charlotte, NC 28227-3346 | 2020-01-21 |
| 1578103636 | Madelyn Laine Eudy | Family Medicine | 15640 Don Lochman Ln Ste A, Charlotte, NC 28277-4793 | 2020-01-07 |
| 1518514686 | L'renda Arkie Adams | Family Medicine | 8724 Bodkin Ct, Charlotte, NC 28215-7356 | 2019-08-22 |
| 1952956419 | Heather Marie Anderson | Family Medicine | 6404 Albemarle Rd Ste J&k, Charlotte, NC 28212-3800 | 2019-08-01 |
| 1003460213 | Companion Health, Pllc | Family Medicine | 5029 Lady Fern Cir, Charlotte, NC 28211-4182 | 2019-07-25 |
| 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.