SHRUTI MITTAL (NPI# 1326393273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326393273 |
| Entity Type | Individual |
| Full Name | SHRUTI MITTAL |
| Credential | MD |
| Practice Address |
301 Medical Park Dr Ste 202b Concord NC 28025-2981 |
| Mailing Address |
Po Box 19305 Charlotte NC 28219-9305 |
| Practice Telephone | 7044032626 |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2020-08-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 2019-02087 | NC | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 709 N Dekalb St, Shelby, NC 281503911 | 7044032626 | |
| 2608 E 7th St, Suite B, Charlotte, NC 282044375 | 7044032626 | |
| 1901 W Harrison St, Chicago, IL 606123714 | 3128646000 |
| Street Address |
301 MEDICAL PARK DR STE 202B |
| City | CONCORD |
| State | NC |
| Zip Code | 28025-2981 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699741579 | Joseph Stegman | Pediatrics | 301 Medical Park Dr, Ste 202b, Concord, NC 28025-2981 | 2006-02-28 |
| 1629453162 | Alyssa Behnke | Social Worker | 301 Medical Park Dr, Ste 202b, Concord, NC 28025-2981 | 2015-07-27 |
| 1033546403 | The Charlotte-mecklenburg Hospital Authority | Pediatrics | 301 Medical Park Dr, Ste 202b, Concord, NC 28025-2981 | 2013-10-01 |
| 1205175288 | Shannon Lynn Bartlett | Counselor | 301 Medical Park Dr, Suite 202-b, Concord, NC 28025-2981 | 2013-02-11 |
| 1487948600 | Family Counseling Center | Social Worker | 301 Medical Park Dr, Suite 202-b, Concord, NC 28025-2981 | 2011-06-06 |
| 1053602003 | Kevin Burke Williams | Social Worker | 301 Medical Park Dr, Suite 202-b, Concord, NC 28025-2981 | 2011-04-26 |
| 1467694661 | Robert Nutt | Pediatrics | 301 Medical Park Dr, Suite 202b, Concord, NC 28025-2981 | 2009-04-02 |
| 1326240045 | Suzanne S Mchargue | Specialist | 301 Medical Park Dr, Northeast Internal and Integrative Medicine, Concord, NC 28025-2971 | 2007-06-04 |
| 1073696696 | Kimber Mork | Social Worker | 301 Medical Park Dr, Ste 202b, Concord, NC 28025-2981 | 2006-10-24 |
| 1225111560 | Angela Noone | Nurse Practitioner | 301 Medical Park Dr, Ste 202b, Concord, NC 28025-2981 | 2006-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910729 | Renewed Mindset Therapeutic Services, Pllc | Social Worker | 349 Copperfield Blvd Suite L #334, Concord, NC 28025 | 2020-10-22 |
| 1194284380 | Carolinas Physicians Network Inc | Internal Medicine | 610 Alfred Brown Jr. Court, Concord, NC 28025 | 2019-03-18 |
| 1164913596 | Damarius Raymond Faggart | Counselor | 503 Amhurst Drive, Concord, NC 28025 | 2018-05-22 |
| 1437677085 | Kathryn Emily Kanauer | Counselor | 280 Executive Park Dr Ne, Concord, NC 28025 | 2017-09-05 |
| 1649794439 | Foster Health & Homecare, LLC | Home Health | 363 Church Street North, Suite 260-i, Concord, NC 28025 | 2017-08-02 |
| 1326569336 | Jessie Leigh Tilley-compton | Social Worker | 371 Amhurst St Sw, Concord, NC 28025 | 2017-06-29 |
| 1609305663 | Sarah Katherine Thompson | Licensed Practical Nurse | 248 Executive Park Dr, Concord, NC 28025 | 2017-06-05 |
| 1023463098 | Kiera Brown | Social Worker | 219 Lephillip Court, Concord, NC 28025 | 2016-04-27 |
| 1992169445 | Brittiny N. Ingram Vanterpool | Counselor | 250 Branchview Dr Sw, Concord, NC 28025 | 2016-04-11 |
| 1215399852 | The Charlotte-mecklenburg Hospital Authority | Clinic/Center | 840 Warren C. Coleman Blvd, Concord, NC 28025 | 2016-03-23 |
| Find all providers in zip 28025 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497075402 | Nantucket Pediatrics | Pediatrics | 390 Westford Rd, Concord, MA 01742-5236 | 2010-06-02 |
| 1437385168 | Amy Schafer Boger | Pediatrics | 243 Old Pickard Rd, Concord, MA 01742-4727 | 2009-06-09 |
| 1811184088 | Candice K Smith | Pediatrics | 1699 Baywood Dr, Concord, CA 94521-1252 | 2007-10-01 |
| 1952507899 | George Alfred Engstrom | Pediatrics | 700 Williamsburg Ct Ne, Concord, NC 28025-2540 | 2007-06-26 |
| 1982727004 | Charlotte C Cowan | Pediatrics | 281 A Fairhaven Hill, Concord, MA 01742 | 2007-04-06 |
| 1679589212 | Concord Children's Clinic | Pediatrics | 1040 Vinehaven Dr, Concord, NC 28025 | 2006-08-01 |
| 1700802543 | Todd Michael Poret | Pediatrics | 253 Pleasant Street, Dept of Pediatrics, Concord, NH 03301 | 2006-07-14 |
| 1538192604 | Hemant Prakash | Pediatrics | 1040 Vinehaven Drive, Concord, NC 28025 | 2006-07-09 |
| 1225076524 | Lisa M Kelly | Pediatrics | 133 Ornac, Emerson Hospital, Concord, MA 01541 | 2006-06-02 |
| 1699741579 | Joseph Stegman | Pediatrics | 301 Medical Park Dr, Ste 202b, Concord, NC 28025-2981 | 2006-02-28 |
| Find all providers in CONCORD | ||||
Please comment or provide details below to improve the information on SHRUTI MITTAL.
| 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.