NORTHCROSS MEDICAL CENTER (NPI# 1437474244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437474244 |
| Entity Type | Organization |
| Organization Name | NORTHCROSS MEDICAL CENTER |
| Practice Address |
16511 Northcross Dr Suite A Huntersville NC 28078-5021 |
| Practice Telephone | 7048953415 |
| Practice Fax Number | 7048653416 |
| Mailing Telephone | 7048953415 |
| Mailing Fax Number | 7048953416 |
| Enumeration Date | 2010-04-05 |
| Last Update Date | 2010-04-05 |
| Authorized Official Name | MARK LE (SUPERVISOR/OWNER) |
| Authorized Official Telephone | 7048953415 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TR0400X |
Psychologist Specialization: Rehabilitation |
102875 (PROVISIO | NC | Behavioral Health & Social Service Providers |
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
102875 (PROVISIO | NC | Behavioral Health & Social Service Providers |
| Street Address |
16511 NORTHCROSS DR SUITE A |
| City | HUNTERSVILLE |
| State | NC |
| Zip Code | 28078-5021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417931213 | Mark Tuan Le | Internal Medicine | 16511 Northcross Dr, Huntersville, NC 28078-5021 | 2005-12-05 |
| 1538682216 | Pain Clinic of North Carolina, Pa | Clinic/Center | 16511 Northcross Dr, Suite A, Huntersville, NC 28078 | 2017-07-25 |
| 1780800102 | Joyce Battaglia | Chiropractor | 16511 Northcross Dr, Suite E, Huntersville, NC 28078-5021 | 2007-04-17 |
| 1043243777 | Peter C Fotinos | Family Medicine | 16511 Northcross Dr, Suite A, Huntersville, NC 28078-5021 | 2006-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538787718 | John M. Bakarich, Dds, Pllc | Dentist | 15810 Northcross Drive, Suite A, Huntersville, NC 28078 | 2020-07-14 |
| 1316587082 | Blake Allen Klessig | Chiropractor | 8936 Northpointe Executive Park Dr, Suite 195, Huntersville, NC 28078 | 2020-01-10 |
| 1922644830 | Steven James Underwood | Physical Therapist | Aldersgate Ccrc, 3800 Shamrock Drive, Charlotte, NC 28078 | 2019-11-26 |
| 1851856306 | Jessica Runnion | Behavior Technician | 14625 Reese Blvd, Apartment 208, Huntersville, NC 28078 | 2019-02-08 |
| 1568935401 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 111 Commerce Centre Drive, Suite 305, Huntersville, NC 28078 | 2019-01-03 |
| 1932691763 | Shakira Grier | Massage Therapist | 15905 Brookway Drive, Ste 4202, Huntersville, NC 28078 | 2018-06-06 |
| 1457850596 | Chudney Drew | Counselor | 10224 Hickorywood Hill Ave Ste 201, Huntersville, NC 28078 | 2018-02-05 |
| 1215457122 | Amy Nicole Castongia | Counselor | 10511 Drake Hill Dr, Huntersville, NC 28078 | 2017-06-21 |
| 1457714057 | Robin D Disbro | Registered Nurse | 6216 Colonial Garden Drive, Huntersville, NC 28078 | 2016-03-31 |
| 1144695545 | Huntersville H&r Ops Limited Partnership | Skilled Nursing Facility | 13835 Boren Street, Huntersville, NC 28078 | 2015-12-10 |
| Find all providers in zip 28078 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497268387 | Shabazz Jama Chelley | Psychologist | 7 Elsworth Ct, Mc Leansville, NC 27301-9308 | 2017-11-14 |
| 1982156386 | Jacqueline Hersh | Psychologist | 522 White Oak Rd, Boone, NC 28607-7660 | 2016-11-01 |
| 1568800845 | Janice Patrice Dodge | Psychologist | 245 E Main Ave, Gastonia, NC 28052-4142 | 2013-06-10 |
| 1972860021 | Laura Lee Freeman | Psychologist | 545 Amity Park Rd., Mt. View Correctional Institute, Spruce Pine, NC 28777 | 2012-04-13 |
| 1245502798 | Restorative Support Services,inc | Psychologist | 2818 Queen City Dr Ste E, 2818- E Queen City Drive, Charlotte, NC 28208-2736 | 2012-01-30 |
| 1598064917 | Megan Jamine Henrichsen | Psychologist | 269 Westlake Rd, Ste. 201, Fayetteville, NC 28314-4867 | 2011-03-24 |
| 1346552056 | Aspire Supportive & Counseling Services LLC | Psychologist | 130 E Morgan St, Raleigh, NC 27601-1410 | 2010-07-10 |
| 1598092538 | Stepping Stones Alternative Services | Psychologist | 4140 Ramsey St Ste 108, Fayetteville, NC 28311-7658 | 2009-11-12 |
| 1225271596 | Monica M. Glover | Psychologist | 5 Afton Pl, Durham, NC 27703-3797 | 2009-04-15 |
| 1164665873 | Murray Harold Merner | Psychologist | 626 Medical Dr, Greenville, NC 27834-7503 | 2009-04-10 |
| Find all providers with the same taxonomy | ||||
| City | HUNTERSVILLE |
| Zip Code | 28078 |
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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.