CHARLES KANYO AGUNOBI (NPI# 1609864446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609864446 |
| Entity Type | Individual |
| Full Name | CHARLES KANYO AGUNOBI |
| Credential | M.D. |
| Practice Address |
401 S Marietta St Gastonia NC 28052-4331 |
| Mailing Address |
Po Box 550457 Gastonia NC 28055-0457 |
| Practice Telephone | 7048668030 |
| Practice Fax Number | 7048668717 |
| Mailing Telephone | 7048668030 |
| Mailing Fax Number | 7048668717 |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2019-11-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 9400694 | NC | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 9400694 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8910429 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 601 N Elm St, High Point, NC 272624331 | 3367162255 |
| Street Address |
401 S MARIETTA ST |
| City | GASTONIA |
| State | NC |
| Zip Code | 28052-4331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215165659 | Marietta Medical Clinic Pa | Clinic/Center | 401 S Marietta St, Gastonia, NC 28052-4331 | 2009-06-24 |
| 1912142167 | Marietta Medical Clinic, Pa | Specialist | 401 S Marietta St, Gastonia, NC 28052-4331 | 2008-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053859488 | Aa Plus Family Care Services, LLC | Custodial Care Facility | 190- B South Street, Gastonia, NC 28052 | 2017-02-06 |
| 1487028098 | Stefanie Mann | Counselor | 165 West Franklin Blvd., Gastonia, NC 28052 | 2015-11-19 |
| 1659771343 | Latisha Marsh | Pharmacist | 233 North Myrtle School, Gastonia, NC 28052 | 2014-08-29 |
| 1730598616 | Erin Flitt | Nurse Practitioner | 425 North Marietta Street, Gastoni, NC 28052 | 2014-08-05 |
| 1568877199 | Ebony Kyerra Kennedy | Pharmacist | 2206 West Franklin Blvd, Gastonia, NC 28052 | 2014-06-23 |
| 1821364209 | Harcharan Singh | Ophthalmology | 111 E.third Avenue, Gaston Family Medical Center, Gastonia, NC 28052 | 2012-03-29 |
| 1437475365 | Evelyn B Mcgill | Counselor | 102 N Yates Street, Gastonia, NC 28052 | 2010-04-16 |
| 1568696680 | Fafli Inc | Community/Behavioral Health | 175 W. Main Avenue, Gaston County, NC 28052 | 2009-05-04 |
| 1558570630 | Peggy May Currie | Physical Therapist | 710 Marietta St., Suite B, Gastonia, NC 28052 | 2007-05-22 |
| 1275753352 | John Theodore Fox | Dentist | 601 S York St, Gastonia, NC 28052 | 2007-04-30 |
| Find all providers in zip 28052 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861051591 | Modern Medical Group Pllc | Internal Medicine | 936 Cox Rd Ste A, Gastonia, NC 28054-3456 | 2019-06-06 |
| 1093230336 | Gastonia Wellness & Long Term Care Pa | Internal Medicine | 1021 X Ray Dr Ste B, Gastonia, NC 28054-7489 | 2017-08-08 |
| 1639559180 | Anna Marshall | Internal Medicine | 2544 Court Dr Ste F, Gastonia, NC 28054-3450 | 2015-05-30 |
| 1801275706 | Bankim Udayan Patel | Internal Medicine | 2711 X Ray Dr Ste 3106, Gastonia, NC 28054-7491 | 2015-05-26 |
| 1013313519 | Vance Internal Medicine | Internal Medicine | 3624 Easthampton Dr, Gastonia, NC 28056-8944 | 2014-11-10 |
| 1003131020 | Robert Barringer | Internal Medicine | 3021 Village Ridge Dr, Gastonia, NC 28056-7945 | 2010-04-01 |
| 1891956819 | Union Medical Clinic, PC | Internal Medicine | 1574 Union Rd, Suite A, Gastonia, NC 28054-5633 | 2008-06-23 |
| 1164610580 | Bc Wall Medical Group Pa | Internal Medicine | 1574 Union Road, A, Gastonia, NC 28054-5633 | 2007-10-10 |
| 1740314053 | Guhapriya Palaniswamy | Internal Medicine | 442 E Long Ave, Pulmonary Clinic of The Carolinas, Gastonia, NC 28054-2527 | 2007-03-16 |
| 1447382379 | Rodger W Lefler | Internal Medicine | 660 Summit Crossing Pl Ste 301, Gastonia, NC 28054-2181 | 2007-03-09 |
| Find all providers in GASTONIA | ||||
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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.