MARY RENFRO (NPI# 1376957308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376957308 |
| Entity Type | Individual |
| Full Name | MARY RENFRO |
| Credential | CFM |
| Practice Address |
8310 Medical Plaza Dr Ste C Charlotte NC 28262-6701 |
| Mailing Address |
2800 Saint Leos St Greensboro NC 27405-3382 |
| Practice Telephone | 7045101300 |
| Practice Fax Number | 7045101311 |
| Mailing Telephone | 3366219500 |
| Mailing Fax Number | 3366210980 |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2014-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224900000X | Mastectomy Fitter | 02849 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538264320 | Mary Ann Renfro | Physical Therapist | 1660 S Columbian Way, Seattle, WA 98108-1532 | 2006-09-14 |
| Street Address |
8310 MEDICAL PLAZA DR STE C |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28262-6701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992761399 | David J Garchar | Podiatrist | 8310 Medical Plaza Dr, Ste E., Charlotte, NC 28262-6701 | 2006-04-25 |
| 1033529821 | Joshua L Parker | Orthotist | 8310 Medical Plaza Dr, Ste C, Charlotte, NC 28262 | 2014-05-01 |
| 1316138332 | J Todd Bullard Dds Pa | Dentist | 8310 Medical Plaza Dr, Suite A, Charlotte, NC 28262-6701 | 2007-08-05 |
| 1568667335 | Noel H Hite | Specialist | 8310 Medical Plaza Dr, Suite C, Charlotte, NC 28262-6701 | 2007-06-20 |
| 1235158247 | James Todd Bullard | Dentist | 8310 Medical Plaza Dr, Suite A, Charlotte, NC 28262-6701 | 2006-07-19 |
| 1972549186 | Michael Joseph Ryan | Podiatrist | 8310 Medical Plaza Dr, Charlotte, NC 28262-6701 | 2006-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366056913 | Aleta Michelle Johnson | Specialist | 9711 David Taylor Dr., Ste. 145, Charlotte, NC 28262 | 2020-09-01 |
| 1275161580 | Londyn Homecare Agency L.l.c | Home Health | 1914j.n. Place, Charlotte, NC 28262 | 2020-03-31 |
| 1154964914 | Abundant Love Home Care Service LLC | In Home Supportive Care | 1981 J.n. Pease Place, Ste 204, Charlotte, NC 28262 | 2019-10-24 |
| 1104399070 | Nattya S Pilgreen | Prosthetist | 410 E Mccullough Drive, Suite 103, Charlotte, NC 28262 | 2019-01-03 |
| 1114404506 | Laura Ida Anthony-getant | Social Worker | 10130 Mallard Creek Road, Ste 300 #333, Charlotte, NC 28262 | 2018-07-27 |
| 1720573587 | Carolinas Center for Ambulatory Dentistry LLC | Dentist | 8415 Medical Plaza Drice, Charlotte, NC 28262 | 2018-06-25 |
| 1598254799 | Cassandra Faye Harding | Nurse Practitioner | 1905 Jn Pease Place Suite 103, Charlotte, NC 28262 | 2018-05-03 |
| 1669960746 | Michael Riley | In Home Supportive Care | 8301 University Exec Park Dr Ste 120, Charlotte, NC 28262 | 2018-04-25 |
| 1568989804 | Bridget Coomber | Behavior Technician | 8420 University Executive Dr Ste 810, Charlotte, NC 28262 | 2017-08-28 |
| 1073037701 | Toshana Daley | Physical Therapist | 8801 Jm Keynes Blvd, Charlotte, NC 28262 | 2017-08-03 |
| Find all providers in zip 28262 | ||||
| Taxonomy Code | 224900000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Mastectomy Fitter |
| An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services. |
| 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 |
|---|---|---|---|---|
| 1497355036 | Tonyan Wilson Hunter | Mastectomy Fitter | 125 E Council St, Salisbury, NC 28144-5019 | 2020-10-30 |
| 1043784762 | Kathleen Wylie | Mastectomy Fitter | 4252 Arendell St Ste C, Morehead City, NC 28557-0015 | 2019-01-15 |
| 1609375310 | Teresa Medford | Mastectomy Fitter | 583 Asheville Hwy Ste 3, Sylva, NC 28779-5114 | 2018-02-08 |
| 1659801488 | Superior Home Medical, Inc | Mastectomy Fitter | 201 N Main St Ste 110, Monroe, NC 28112-4753 | 2017-06-14 |
| 1245615160 | Tiffani Ross | Mastectomy Fitter | 17436 Midnight Express Way, Cornelius, NC 28031-8180 | 2015-07-21 |
| 1558707661 | Kimberly Anne Twine | Mastectomy Fitter | 113 Baxter Ln Ste 8, Moyock, NC 27958-8792 | 2013-05-15 |
| 1811505068 | Tracy Lee Neily | Mastectomy Fitter | 3400 Executive Dr, Raleigh, NC 27609-7476 | 2020-07-14 |
| 1841827995 | Brittany Taylor White | Mastectomy Fitter | 106 Medical Dr, Elizabeth City, NC 27909-3361 | 2020-03-26 |
| 1518514041 | Cathy M Cliff | Mastectomy Fitter | 702 Jefferson St, Whiteville, NC 28472-3706 | 2019-08-20 |
| 1134689326 | Destiny S Davis | Mastectomy Fitter | 405 W 15th St, Washington, NC 27889-3524 | 2019-03-22 |
| Find all providers with the same taxonomy | ||||
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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.