PHUONG MAI (NPI# 1508384934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508384934 |
| Entity Type | Individual |
| Full Name | PHUONG MAI |
| Practice Address |
9915 Park Cedar Dr Charlotte NC 28210-8905 |
| Mailing Address |
2924 Alpine Forest Ct Charlotte NC 28270 |
| Practice Telephone | 8663892727 |
| Practice Fax Number | 8663892727 |
| Mailing Telephone | 9168737724 |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2017-09-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
5009815 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265439343 | Phuong Xuan Mai | Physical Medicine & Rehabilitation | 6620 Keene Dr, Springfield, VA 22152-2508 | 2005-07-05 |
| 1154840205 | Phuong Mai | Student in an Organized Health Care Education/Training Program | 456 Elm Ave, Long Beach, CA 90802-2426 | 2017-09-10 |
| 1679860456 | Phuong Mai | Pharmacist | 10301 New Guinea Rd, Fairfax, VA 22032-3268 | 2011-06-30 |
| 1811954480 | Phuong Mai | Internal Medicine | 300 Halket St, Suite 1651, Pittsburgh, PA 15213-3108 | 2006-04-27 |
| Street Address |
9915 PARK CEDAR DR |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28210-8905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437252137 | North Carolina Cvs Pharmacy LLC | Pharmacy | 9915 Park Cedar Dr, Charlotte, NC 28210-8905 | 2006-09-07 |
| 1831704337 | Christal Parker Cudd | Nurse Practitioner | 9915 Park Cedar Dr, Charlotte, NC 28210-8905 | 2020-09-10 |
| 1194339317 | Aoibheann Fallow Testerman | Nurse Practitioner | 9915 Park Cedar Dr, Charlotte, NC 28210-8905 | 2020-09-04 |
| 1184236218 | Heather Dawn Detrizio | Nurse Practitioner | 9915 Park Cedar Dr, Charlotte, NC 28210-8905 | 2020-08-19 |
| 1922610328 | Timothy Devin Kallam | Physician Assistant | 9915 Park Cedar Dr, Charlotte, NC 28210-8905 | 2020-08-18 |
| 1396369039 | Anne I Allison | Nurse Practitioner | 9915 Park Cedar Dr, Charlotte, NC 28210-8905 | 2020-05-28 |
| 1598285009 | Walter O'brian Parham | Pharmacist | 9915 Park Cedar Dr, Charlotte, NC 28210-8905 | 2017-06-26 |
| 1770018095 | Tiffany Brunson | Nurse Practitioner | 9915 Park Cedar Dr, Charlotte, NC 28210-8905 | 2017-04-24 |
| 1689042707 | Emily S Runge | Nurse Practitioner | 9915 Park Cedar Dr, Charlotte, NC 28210-8905 | 2015-09-04 |
| 1710396346 | Sarah Helms | Pharmacist | 9915 Park Cedar Dr, Charlotte, NC 28210-8905 | 2014-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952920860 | Rx Care 14 LLC | Pharmacy | 7701 Sharon Lakes Road, Suite H, Charlotte, NC 28210 | 2020-04-10 |
| 1427697622 | David Durant Dinsmore | Nurse Anesthetist, Certified Registered | Atrium Health Pineville, 10628 Park Road, Charlotte, NC 28210 | 2020-01-06 |
| 1790256964 | Tele Phys Inc | Internal Medicine | 10035 Park Center Dr., Ste 100, Charlotte, NC 28210 | 2018-12-16 |
| 1104395896 | Bridgett Williams | Behavior Technician | 7806 Andover Woods Drive, Charlotte, NC 28210 | 2018-11-26 |
| 1053880518 | Low-t Physicians Professional Association | Internal Medicine | 10430 Park Road Suite 100a, Charlotte, NC 28210 | 2018-11-14 |
| 1053895102 | Carolinas Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 7701 Sharon Lakes Blvd, Ste A., Charlotte, NC 28210 | 2018-09-24 |
| 1679066658 | Afc Urgent Care and Family Care of Wnc, Pllc | Clinic/Center | 10102 Johnston Rd, Charlotte, NC 28210 | 2018-06-13 |
| 1346777018 | Hopeway Foundation | Clinic/Center | 1717 Sharon Road West, Charlotte, NC 28210 | 2017-05-12 |
| 1891154688 | Jessie Lee Ogienko | Social Worker | 5960 Fairview Rd Ste 328, Charlotte, NC 28210 | 2016-02-22 |
| 1699151985 | Carolina Complete Psychiatry, Pllc | Physician Assistant | 5950 Fairview Road, Suite 708, Charlotte, NC 28210 | 2015-08-10 |
| Find all providers in zip 28210 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900268 | Jennifer Marie Wolfe | Nurse Practitioner | 831 E Morehead St Ste 900, Charlotte, NC 28202-2726 | 2020-10-19 |
| 1992312433 | Jean L. Caroline Clippard | Nurse Practitioner | 7149 Wessynton Dr, Charlotte, NC 28226-7548 | 2020-09-29 |
| 1790393676 | Alana Weldon | Nurse Practitioner | 10042 Park Cedar Dr, Charlotte, NC 28210-8916 | 2020-07-16 |
| 1114541455 | Kendra Jackson | Nurse Practitioner | 2809 Coltsgate Rd Ste 100, Charlotte, NC 28211-5583 | 2020-06-02 |
| 1740809599 | Nina Cherry Arnold | Nurse Practitioner | 8914 Cotton Press Rd, Charlotte, NC 28277-6676 | 2020-04-13 |
| 1619509197 | Clinica San Antonio Pllc | Nurse Practitioner | 416 Mccullough Dr Ste 110, Charlotte, NC 28262-4387 | 2020-02-12 |
| 1720626773 | Grace Barrosa Genetiano | Nurse Practitioner | 2503 Roswell Ave Unit 507, Charlotte, NC 28209-1685 | 2019-12-19 |
| 1376181081 | Crystal Delgado Calayag Frantilla | Nurse Practitioner | 4206 Craig Ave, Charlotte, NC 28211-3110 | 2019-12-12 |
| 1962059428 | Jerome Virgil Whitlow II | Nurse Practitioner | 6523 Dillard Ridge Dr, Charlotte, NC 28216-8845 | 2019-08-20 |
| 1053978213 | Katie Lynn Sass | Nurse Practitioner | 7004 Smith Corners Blvd Ste A, Charlotte, NC 28269-3827 | 2019-05-23 |
| 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.