DR. GREGORY JOHN DUELLMAN


Address: 14121 Lissadell Cir, Charlotte, NC 28277-3137
Phone: 7049759730

DR. GREGORY JOHN DUELLMAN (NPI# 1417029455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417029455
Entity Type Individual
Full Name DR. GREGORY JOHN DUELLMAN
Credential D.O.
Practice Address 14121 Lissadell Cir
Charlotte
NC 28277-3137
Mailing Address 336 Burtonwood Dr
Gastonia
NC 28054-4054
Practice Telephone 7049759730
Mailing Telephone 7048678021
Mailing Fax Number 7048644606
Enumeration Date 2006-11-14
Last Update Date 2019-06-20
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2085R0202X Radiology
Specialization: Diagnostic Radiology
2007-00979 NC Allopathic & Osteopathic Physicians
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
34.008149 OH Allopathic & Osteopathic Physicians

Office Location

Street Address 14121 LISSADELL CIR
City CHARLOTTE
State NC
Zip Code 28277-3137

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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003110677 Charlotte Radiology Pa Radiology 1025 Morehead Medical Dr Ste 150, Charlotte, NC 28204-2973 2010-12-22
1144477258 Presbyterian Imaging Centers LLC Radiology 13557 Steelecroft Parkway, Suite 1100, Charlotte, NC 28278 2008-08-20
1801097803 Orion Imaging, LLC Radiology 10420 Park Rd, Ste 100, Charlotte, NC 28210-8501 2007-05-29
1457561912 John D Wylie Radiology 3816 Latrobe Dr, Charlotte, NC 28211-1167 2007-05-23
1407926165 Metrolina Women's Breast Center Pllc Radiology 439 N Wendover Road, Charlotte, NC 28211 2006-11-09
1932286523 Charles Nicholas Pappas Radiology 609 Stockbridge Rd, Charlotte, VT 05445-9361 2006-11-01
1164439873 Kenneth Fox Radiology 9935d Rea Rd Ste 266, Charlotte, NC 28277-6710 2006-08-02
1265470421 Kevin W Carroll Radiology 3623 Latrobe Drive, Ste 216, Charlotte, NC 28211 2006-06-02
1528032604 Diane Huntington Conley Radiology 3815 Stoney Ridge Trl, Charlotte, NC 28210-6932 2006-02-15
1194796623 Pamela Jean Culp Radiology Mecklenburg Radiology Associates, P.a., 3623 Latrobe Dr, Suite 216, Charlotte, NC 28211 2006-02-01
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Competitor

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City CHARLOTTE
Zip Code 28277

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Dataset Information

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.

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