EMMETT C. MATHEWS, JR, MD PA (NPI# 1497995450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497995450 |
| Entity Type | Organization |
| Organization Name | EMMETT C. MATHEWS, JR, MD PA |
| Other Organization Name | RANDOLOPH CARDIOLOGY |
| Practice Address |
1928 Randolph Rd Suite 215 Charlotte NC 28207-1105 |
| Practice Telephone | 7043323632 |
| Practice Fax Number | 7043323891 |
| Mailing Telephone | 7043323632 |
| Mailing Fax Number | 7043323891 |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2009-03-26 |
| Authorized Official Name | DR. EMMETT C MATHEWS (OWNER) |
| Authorized Official Telephone | 7043323632 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 33089 | NC | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Randoloph Cardiology | Doing Business As Name - Organization |
| Street Address |
1928 RANDOLPH RD SUITE 215 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28207-1105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841290525 | Emmett C Mathews Jr. | Internal Medicine | 1928 Randolph Rd, Ste 215, Charlotte, NC 28207-1105 | 2005-07-26 |
| 1700296951 | First Family Medical LLP | Internal Medicine | 1928 Randolph Rd, Ste 206, Charlotte, NC 28207-1105 | 2014-04-28 |
| 1982978706 | Kingsley Cadmus | Pharmacist | 1928 Randolph Rd, Suite 102, Charlotte, NC 28207-1105 | 2012-02-24 |
| 1215102546 | Premier Sleep Services, LLC | Clinic/Center | 1928 Randolph Rd, Suite 111, Charlotte, NC 28207-1105 | 2008-04-28 |
| 1215107834 | Charlotte Womens Pavilion | Obstetrics & Gynecology | 1928 Randolph Rd, Suite 206, Charlotte, NC 28207-1105 | 2008-03-11 |
| 1356524037 | Comprehensive Foot and Ankle Center,pa | Podiatrist | 1928 Randolph Rd, Suite 214, Charlotte, NC 28207-1105 | 2007-12-17 |
| 1124061924 | Charles Chike Anikwue | Obstetrics & Gynecology | 1928 Randolph Rd, Ste. 206, Charlotte, NC 28207-1105 | 2006-06-13 |
| 1871551911 | Metrolina Surgical Specialists, Pllc | Specialist | 1928 Randolph Rd, Suite 312, Charlotte, NC 28207-1105 | 2006-05-01 |
| 1013984996 | William Sumner Logan | Specialist | 1928 Randolph Rd, Suite 316, Charlotte, NC 28207-1105 | 2006-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013560739 | Louis Roncaglione | Dentist | 8815 Christenbury Pkway, Concord, NC 28207 | 2019-07-22 |
| 1619430014 | Khrystyna Levytska | Student in an Organized Health Care Education/Training Program | Myers Park Clinic Ob/gyn, 1350 S. Kings Dr., Charlotte, NC 28207 | 2019-04-11 |
| 1649743584 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 1005 South Kings Drive, Charlotte, NC 28207 | 2019-01-03 |
| 1023584489 | Herron and Smith Associates, Pllc | Dentist | 135 Perrin Place, Suite 100, Charlotte, NC 28207 | 2018-10-23 |
| 1588161640 | Lauren Mogk | Student in an Organized Health Care Education/Training Program | Myers Park Clinical Internal Medicine, 1350 S. Kings Dr., 3rd Floor, Charlotte, NC 28207 | 2018-04-06 |
| 1518462241 | Sarah Hollyn Carlock | Student in an Organized Health Care Education/Training Program | Myers Park Clinic Internal Medicine, 1350 S Kings Dr, 3rd Floor, Charlotte, NC 28207 | 2018-03-26 |
| 1083118178 | Claire Milam | Student in an Organized Health Care Education/Training Program | Cmc/department of Emergency Medicine, 100 Blythe Blvd, Charlotte, NC 28207 | 2018-03-22 |
| 1811422256 | Complete Care At Dartmouth LLC | Skilled Nursing Facility | 300 Province Road, Charlotte, NC 28207 | 2017-04-24 |
| 1063945467 | Kaitlyn O'keefe | Internal Medicine | 1350 S. Kings Dr., 3rd Floor, Myers Park Clinic Internal Medicine, Charlotte, NC 28207 | 2017-04-04 |
| 1811432024 | Advanced Prosthetics of Easley, Inc | Durable Medical Equipment & Medical Supplies | 2310 Randolph Rd Ste A, Charlotte, NC 28207 | 2016-12-23 |
| Find all providers in zip 28207 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487270674 | Fall Forward Wellness Center | Clinic/Center | 12709 Caldwell Rd, Charlotte, NC 28213-3811 | 2020-06-23 |
| 1760024749 | Wellcomemd Charlotte Clinic, Inc | Clinic/Center | 8035 Providence Rd Ste 315, Charlotte, NC 28277-8909 | 2019-10-11 |
| 1255807251 | Melissa Martin | Clinic/Center | 4401 E Independence Blvd Ste 101, Charlotte, NC 28205-7442 | 2018-10-17 |
| 1104303635 | Greenbrook Tms Charlotte LLC | Clinic/Center | 1515 Mockingbird Ln Ste 340, Charlotte, NC 28209-3298 | 2018-07-27 |
| 1811474976 | Elev8 Md Wellness Center | Clinic/Center | 8000 Corporate Center Dr Ste 212, Charlotte, NC 28226-4205 | 2018-07-23 |
| 1053801936 | Charlotte Community Health Clinic, Inc. | Clinic/Center | 1225 S Caldwell St, Charlotte, NC 28203-4556 | 2018-05-16 |
| 1235642166 | Thrive Pediatric Therapy, Pllc | Clinic/Center | 3315 Springbank Ln Ste 206, Charlotte, NC 28226-3198 | 2017-11-14 |
| 1821501800 | 4 Life Lab | Clinic/Center | 11709 Fruehauf Dr Ste 103, Charlotte, NC 28273-7285 | 2017-11-13 |
| 1336595826 | North Carolina Neurodiagnostics, LLC | Clinic/Center | 10130 Perimeter Pwky, Ste. 200, Office 250, Charlotte, NC 28216 | 2016-05-13 |
| 1750673729 | Al-falah Group PC | Clinic/Center | 3118 Milton Rd, A, Charlotte, NC 28215 | 2011-05-10 |
| Find all providers in CHARLOTTE | ||||
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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.