CHARLES RICHARD FOLLETTE (NPI# 1356899843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356899843 |
Entity Type | Individual |
Full Name | CHARLES RICHARD FOLLETTE |
Credential | C PED, CPOA |
Practice Address |
120 E Kingston Ave Charlotte NC 28203-4742 |
Practice Telephone | 7043752587 |
Practice Fax Number | 7043334429 |
Mailing Telephone | 7043752587 |
Mailing Fax Number | 7043334429 |
Enumeration Date | 2016-09-14 |
Last Update Date | 2017-01-31 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 224L00000X | Pedorthist | CPED4163 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
120 E KINGSTON AVE |
City | CHARLOTTE |
State | NC |
Zip Code | 28203-4742 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669520284 | George William Alford Sr. | Specialist | 120 E Kingston Ave, Charlotte, NC 28203-4742 | 2007-01-08 |
1407130891 | William Glenn Trock | Specialist | 120 E Kingston Ave, Charlotte, NC 28203-4742 | 2011-10-04 |
1003065368 | Jason Ralph Riffle | Specialist | 120 E Kingston Ave, Charlotte, NC 28203-4742 | 2008-09-11 |
1457409047 | Milton Kale Hinnant | Specialist | 120 E Kingston Ave, Charlotte, NC 28203-4742 | 2007-01-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982225983 | William Bedard Michel | Emergency Medicine | Carolina Medical Center, 1000 Blythe Blvd, Charlotte, NC 28203 | 2020-04-30 |
1922636927 | Paulina M Kriska | Dentist | Cmc Dental Clinic, 1000 Blythe Blvd, Charlotte, NC 28203 | 2020-03-27 |
1386271930 | Irina Maria Geiculescu | Pediatrics | 1000 Blythe Blvd Fl 4 Meb, Charlotte, NC 28203 | 2020-03-24 |
1205499316 | James C Winnek | Counselor | 1713 East Blvd., Charlotte, NC 28203 | 2019-04-16 |
1487114492 | Laurie Fford Counseling and Consulting Pllc | Counselor | 125 Remount Rd, Suite C-#391, Charlotte, NC 28203 | 2019-03-25 |
1184188815 | Sunday Money | Home Health | 2151 Hawkins St., Suite 201, Charlotte, NC 28203 | 2019-01-28 |
1164902706 | Lindsay Koonce Helton | Dietitian, Registered | 1218 East Blvd Ste G, Charlotte, NC 28203 | 2018-08-14 |
1376057406 | Veritas Collaborative Charlotte, LLC | Clinic/Center | 1900 Scott Avenue, Suite 101, Charlotte, NC 28203 | 2017-11-28 |
1043733306 | Kimberly Stripp | Pharmacist | 1300-b East Blvd, Charlotte, NC 28203 | 2017-07-19 |
1427570639 | Caroline Kaleel Fogleman | Optometrist | 1710 Kenilworth Ave Ste 210, Charlotte, NC 28203 | 2017-07-10 |
Find all providers in zip 28203 |
Taxonomy Code | 224L00000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Pedorthist |
An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices. |
Notes: Source: National Uniform Claim Committee [7/1/2010: new] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235694704 | John Savel Deguzman | Pedorthist | 3206 Heritage Trade Dr Ste 114, Wake Forest, NC 27587-4487 | 2019-02-08 |
1548626252 | Advanced Orthopedic Products & Services, Inc. | Pedorthist | 2708 Wooten Blvd Sw, Suite B, Wilson, NC 27893-4428 | 2016-01-11 |
1497935464 | G Martin Edwards | Pedorthist | 54 Singing Pines Dr, Candler, NC 28715-9634 | 2007-11-07 |
1043780703 | Steven Daniel Fletcher | Pedorthist | 443 Daniels St, Raleigh, NC 27605-1359 | 2018-11-26 |
1487089116 | Karen H Rose | Pedorthist | 309-b Nash St W, Wilson, NC 27893 | 2013-09-12 |
1033451042 | Penny C Tripp | Pedorthist | 1025 Wh Smith Blvd, Suite 108, Greenville, NC 27834-5052 | 2013-03-18 |
1043550148 | James Godfrey Mclelland Jr. | Pedorthist | 119 W Broad St, Statesville, NC 28677-5257 | 2013-02-26 |
1780669234 | Donald Earl Griffin | Pedorthist | 3010 Maplewood Ave, Suite 116, Winston Salem, NC 27103-4019 | 2005-12-07 |
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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.