MRS. TRISHA ANN DMYTRUK (NPI# 1346760675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346760675 |
| Entity Type | Individual |
| Full Name | MRS. TRISHA ANN DMYTRUK |
| Credential | FNP |
| Practice Address |
11840 Southmore Dr Ste 100 Charlotte NC 28277-4821 |
| Mailing Address |
12615 Kane Alexander Dr Huntersville NC 28078-3753 |
| Practice Telephone | 7043164440 |
| Practice Fax Number | 7043164441 |
| Mailing Telephone | 7049477925 |
| Mailing Fax Number | 7043166773 |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2018-06-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
DMYT-D80B68 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
11840 SOUTHMORE DR STE 100 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28277-4821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114917929 | Dean Lawrence Moniot | Physical Therapist | 11840 Southmore Dr Ste 100, Charlotte, NC 28277-4466 | 2005-10-24 |
| 1255806030 | Eileen Catherine Frager | Registered Nurse | 11840 Southmore Dr Ste 100, Charlotte, NC 28277-4821 | 2018-10-09 |
| 1326527896 | Michael David Harrington II | Physical Therapist | 11840 Southmore Dr Ste 100, Charlotte, NC 28277-4821 | 2018-08-07 |
| 1982120879 | Randall Pifer | Physical Therapist | 11840 Southmore Dr Ste 100, Charlotte, NC 28277-4821 | 2017-08-22 |
| 1306361761 | Eleanor Rankin Pleasants | Physical Therapist | 11840 Southmore Dr Ste 100, Charlotte, NC 28277 | 2017-08-07 |
| 1922537612 | Carolina Medicorp Enterprises Inc | Clinic/Center | 11840 Southmore Dr Ste 100, Charlotte, NC 28277-4821 | 2017-06-07 |
| 1417497504 | Carolina Medicorp Enterprises Inc | Pediatrics | 11840 Southmore Dr Ste 100, Charlotte, NC 28277-4821 | 2017-03-08 |
| 1164823258 | Meghan Mckee | Physical Therapist | 11840 Southmore Dr Ste 100, Charlotte, NC 28277-4821 | 2014-09-09 |
| 1114289634 | Stephanie Lauren Lewis Hart | Physical Therapist | 11840 Southmore Dr Ste 100, Charlotte, NC 28277 | 2012-06-11 |
| 1134239098 | Susan Mcrae | Physical Therapist | 11840 Southmore Dr Ste 100, Charlotte, NC 28277-4821 | 2006-08-30 |
| 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 | 207VX0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Obstetrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679012660 | Novant Medical Group, Inc. | Obstetrics & Gynecology | 6324 Fairview Rd Ste 430, Charlotte, NC 28210-4278 | 2017-02-23 |
| 1366779928 | Eastover Obstetrics and Gynecology Associates Inc | Obstetrics & Gynecology | 7810 Providence Rd, Ste 105, Charlotte, NC 28226-2954 | 2009-11-03 |
| 1972707909 | Mercy Hospital Inc. | Obstetrics & Gynecology | 10628 Park Rd, Charlotte, NC 28210-8407 | 2007-06-13 |
| 1467496869 | John Matthew Mcdonald | Obstetrics & Gynecology | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942757034 | Stacie Walker | Obstetrics & Gynecology | 4414 Lake Boone Trl Ste 311, Raleigh, NC 27607 | 2016-09-06 |
| 1245599273 | Jessica Son | Obstetrics & Gynecology | 204 Oakwood Ct, Winston Salem, NC 27103-1955 | 2012-05-11 |
| 1124192737 | Peter F Mcilveen | Obstetrics & Gynecology | 942 Johnson Ridge Rd, Elkin, NC 28621-2212 | 2006-11-17 |
| 1487606943 | Kenneth Wade Jackson Jr. | Obstetrics & Gynecology | 22 Manningfield Dr, Fletcher, NC 28732-9457 | 2006-05-16 |
| 1689663999 | Charles Augustus Harper Jr. | Obstetrics & Gynecology | 706 Green Valley Road, Suite 506, Greensboro, NC 27408-7023 | 2005-10-19 |
| 1669474268 | Laurie May Marston | Obstetrics & Gynecology | 2304 Wesvill Ct, Ste 210, Raleigh, NC 27607-2973 | 2005-08-12 |
| 1861498354 | John Davis Hepler | Obstetrics & Gynecology | 300 W 27th St, Lumberton, NC 28358-3075 | 2005-06-21 |
| 1942766886 | Watina D Gibbs | Obstetrics & Gynecology | 501 E Green Dr, High Point, NC 27260-6707 | 2019-02-15 |
| 1972974509 | Cape Fear Physician Services, Inc. | Obstetrics & Gynecology | 2221 S 17th St, Wilmington, NC 28401-7542 | 2015-10-08 |
| 1497155857 | Green Valley Ob/gyn | Obstetrics & Gynecology | 719 Green Valley Rd, Suite 201, Greensboro, NC 27408-7014 | 2014-09-03 |
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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.