ST MARY'S MEDICAL CLINIC,PC.


Address: 701 E Roosevelt Blvd, Bldg 800a, Monroe, NC 28112
Phone: 7042250211

ST MARY'S MEDICAL CLINIC,PC. (NPI# 1588859953) 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) 1588859953
Entity Type Organization
Organization Name ST MARY'S MEDICAL CLINIC,PC.
Practice Address 701 E Roosevelt Blvd
Bldg 800a
Monroe
NC 28112
Mailing Address 701 E Roosevelt Blvd, Bldg 800a
P.o.box 528
Monroe
NC 28111-0528
Practice Telephone 7042250211
Practice Fax Number 7042250221
Mailing Telephone 7042250211
Mailing Fax Number 7042250221
Enumeration Date 2007-09-10
Last Update Date 2007-09-10
Authorized Official Name DR. AWAWU E IGBINADOLOR (PRESIDENT)
Authorized Official Telephone 7042192147
Authorized Official Credential M.D
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
200001486832 NC Ambulatory Health Care Facilities

Office Location

Street Address 701 E ROOSEVELT BLVD
BLDG 800A
City MONROE
State NC
Zip Code 28112

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952385809 Sandra M King Orthopaedic Surgery 701 E Roosevelt Blvd, Bldg 600, Monroe, NC 28112-5170 2005-12-05
1932589512 Chelsea Nicole Foster Physical Therapist 701 E Roosevelt Blvd, Suite 600, Monroe, NC 28112-5170 2015-06-09
1487959110 Atlas Medical Group, Pa Family Medicine 701 E Roosevelt Blvd, Suite 320, Monroe, NC 28112-5170 2011-01-11
1295043966 Janet Kimberly Selz Nurse Practitioner 701 E Roosevelt Blvd, Monroe, NC 28112-5170 2010-09-16
1700053170 Anne Mcclellan Hudson Physical Therapist 701 E Roosevelt Blvd, Suite 600, Monroe, NC 28112-5170 2008-05-14
1407022064 Racine E Johnson Physical Therapist 701 E Roosevelt Blvd, Suite 600, Monroe, NC 28112-5170 2008-05-05
1669651667 Rasheed A Onafuye Psychiatry & Neurology 701 E Roosevelt Blvd, Suite 320, Monroe, NC 28112-5170 2007-10-26
1760504971 Crystal Elliott Specialist 701 E Roosevelt Blvd, Building 200 Suite B, Monroe, NC 28112-5170 2007-04-06
1932293792 Julianna B Brookshire Physical Therapist 701 E Roosevelt Blvd, Suite 200a, Monroe, NC 28112-5170 2006-10-03
1932189545 Carolina Bone & Joint Pa Internal Medicine 701 E Roosevelt Blvd, Bulding 600, Monroe, NC 28112-5170 2006-01-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376000620 Paladina Health, LLC Family Medicine Paladina Health Monroe Campus Park, 1640 A Campus Park Drive, Monroe, NC 28112 2019-02-22
1073078408 Sharelle Monique Hatley Social Worker 501 North Charlotte Ave, Suite C-214, Monroe, NC 28112 2019-02-11
1740762509 Fox Counseling and Consulting, Pllc Social Worker 311 W Jefferson Street, Monroe, NC 28112 2018-08-29
1760976062 Kinena J Dent-smith Community/Behavioral Health 207 Raymond St, Monroe, NC 28112 2018-06-20
1093225468 Healthstat Onsite Clinic Parkdale Plant 21 Preventive Medicine 5005 Waxhaw Highway 75, Monroe, NC 28112 2017-10-11
1871026567 H.o.p.e. Advancement, Inc. Counselor 349 Venus Street, Monroe, NC 28112 2017-04-10
1508304650 Monroe Dental Clinic General Partnership Dentist 102 E Windsor Street, Monroe, NC 28112 2017-02-09
1073062865 Garahetta Robin Sell Massage Therapist 600 West End Drive, Monroe, NC 28112 2016-09-22
1700280765 Katherine Hartness Massage Therapist 205 N. Hayne St., Monroe, NC 28112 2014-10-20
1346655586 Gaurav Chand Internal Medicine 1663 Campus Park Dr., Suite D, Monroe, NC 28112 2014-06-26
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649619750 Bright Healthcare Services, LLC Clinic/Center 3480 Hwy 165 Sth, Monroe, LA 71202 2013-06-21
1730464041 Tanvir I Qureshi Md PC Clinic/Center 5290 W Brookshire St, Monroe, MI 48161-3798 2011-10-18
1437433190 Tree of Life Health Alliance LLC Clinic/Center 333 Alcovy St Ste 10, Monroe, GA 30655-2180 2011-09-29
1376830869 Richwood Rural Health Center Clinic/Center 5713 Bon Aire Dr, Monroe, LA 71203-3226 2011-07-05
1285943670 Dovetail Family Practice Clinic/Center 636 Borgess Ave, Monroe, MI 48162-2713 2010-10-01
1407947740 Bhavin H. Jani Md PC Clinic/Center 868 Michael Etchison Rd, Suite A, Monroe, GA 30655-8204 2006-09-28
1225141989 Monroe Family Medicine, LLC Clinic/Center 375 Butler Street, Monroe, WA 98272 2006-08-16
1851340954 Cottage Hospital Clinic/Center 152 Woodsville Rd, Monroe, NH 03771-0180 2006-05-08
1659836559 Paraclete Health Solutions, LLC Clinic/Center 1401 Hudson Ln Ste 205, Monroe, LA 71201-6038 2019-02-05
1679042287 Nightingail Healthcare Resources Clinic/Center 1910 Jackson St, Monroe, LA 71202-2532 2018-11-13
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Competitor

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City MONROE
Zip Code 28112

Improve Information

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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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