ADVANCED SPORTS & SPINE, PLLC (NPI# 1629422738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629422738 |
Entity Type | Organization |
Organization Name | ADVANCED SPORTS & SPINE, PLLC |
Practice Address |
8035 Providence Rd #340 Charlotte NC 28277-9716 |
Mailing Address |
8035 Providence Rd Ste 340 Charlotte NC 28277-9717 |
Practice Telephone | 7045423988 |
Mailing Telephone | 7045423988 |
Mailing Fax Number | 7045423912 |
Enumeration Date | 2016-04-15 |
Last Update Date | 2018-04-12 |
Authorized Official Name | DR. USMAN FAYYAZ AHMAD (SOLE MEMBER) |
Authorized Official Telephone | 7045423988 |
Authorized Official Credential | D.O. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
2015-01401 | NC | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 1629422738 | 05 |
Street Address |
8035 PROVIDENCE RD #340 |
City | CHARLOTTE |
State | NC |
Zip Code | 28277-9716 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497728174 | Matthew D. Acampora | Internal Medicine | 8035 Providence Rd, Suite 315, Charlotte, NC 28277-9716 | 2006-02-11 |
1083165799 | Carolina Pharmacy | Pharmacy | 8035 Providence Rd, Ste 300, Charlotte, NC 28277-9716 | 2016-10-18 |
1750707154 | Partnermd North Carolina PC | Internal Medicine | 8035 Providence Rd, Suite 315, Charlotte, NC 28277-9716 | 2014-03-10 |
1477829729 | Comprehensive Pain & Spine Associates Pllc | Non-Pharmacy Dispensing Site | 8035 Providence Rd, Suite 340, Charlotte, NC 28277-9716 | 2012-03-30 |
1437441292 | Comprehensive Pain & Spine Associates, Pllc | Physical Medicine & Rehabilitation | 8035 Providence Rd, 340, Charlotte, NC 28277-9716 | 2011-05-11 |
1558676692 | Usman Ahmad | Physical Medicine & Rehabilitation | 8035 Providence Rd, Suite 340, Charlotte, NC 28277-9716 | 2010-08-13 |
1811201353 | Hands for Health Chiropractic and Massage Center Pllc | Chiropractor | 8035 Providence Rd, Suite 305, Charlotte, NC 28277-9716 | 2010-07-26 |
1306967179 | Susan Monbarren | Chiropractor | 8035 Providence Rd, Suite 305, Charlotte, NC 28277-9716 | 2007-04-02 |
1851412548 | Monbarren Chiropractic Center | Chiropractor | 8035 Providence Rd, Suite 305, Charlotte, NC 28277-9716 | 2007-04-02 |
1497884654 | Adam M Berliner | Physical Medicine & Rehabilitation | 8035 Providence Rd, Suite 340, Charlotte, NC 28277-9716 | 2007-03-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255949731 | New Life Peer Support and Coaching LLC | Clinic/Center | 3450 Toringdon Way, Suite 200, Charlotte, NC 28277 | 2020-07-21 |
1083256762 | Speak Life Counseling Services, Pllc | Counselor | 16147 Lacaster Hwy, Suite 110, Charlotte, NC 28277 | 2019-10-14 |
1275010019 | Jigneshkumar R Mistry | Pharmacist | 11805 Allforth Ln Apt 2105, Charlotte, NC 28277 | 2018-07-24 |
1255825410 | Novant Medical Group Inc. | Family Medicine | 15033 Balloncroft Parkway, Suite 200, Charlotte, NC 28277 | 2018-06-20 |
1447752316 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 11135 Golf Links Dr, Charlotte, NC 28277 | 2018-03-06 |
1932607595 | Charlotte Proactive Md PC | Clinic/Center | 11220 Golf Links Drive North, Charlotte, NC 28277 | 2018-01-30 |
1003331521 | Accela Spine and Pain, Pllc | Anesthesiology | 10120 Ivey Chase Lane, Apt 617, Charlotte, NC 28277 | 2017-08-04 |
1265961619 | Dominicka Whitaker | Counselor | 12365 Bluestem Ln., Charlotte, NC 28277 | 2017-06-08 |
1083143408 | Monika D Hayes | Counselor | 11330 Snapfinger Drive, Charlotte, NC 28277 | 2017-06-08 |
1225582984 | Danielle Mcdaniel | Occupational Therapist | 5113 Piper Station Dr Ste 103, Charlotte, NC 28277 | 2016-08-11 |
Find all providers in zip 28277 |
Taxonomy Code | 2081P2900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Physical Medicine & Rehabilitation |
Specialization | Pain Medicine |
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093753329 | Edward Anthony Overton | Physical Medicine & Rehabilitation | 10310 Mallard Creek Rd, Ste 101-c, Charlotte, NC 28262-9771 | 2006-06-02 |
1770815300 | Premier Spine Pain & Rehabilitation | Physical Medicine & Rehabilitation | 8401 Medical Plaza Dr, Charlotte, NC 28262-8797 | 2010-02-07 |
1366428740 | Alexander Walter Chasnis | Physical Medicine & Rehabilitation | 2001 Randolph Rd, Charlotte, NC 28207-1215 | 2005-12-19 |
1629050034 | James Robert Alexander | Physical Medicine & Rehabilitation | 2001 Randolph Rd, Charlotte, NC 28207-1215 | 2005-11-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659836591 | Advanced Regenerative Care, Pllc | Physical Medicine & Rehabilitation | 504 C Red Banks Road, Greenville, NC 27858 | 2019-02-05 |
1992160659 | Carolina Sports and Spine | Physical Medicine & Rehabilitation | 1700 Forest Hills Rd W, Wilson, NC 27893-3411 | 2015-12-23 |
1811399850 | Mitchell Bloom | Physical Medicine & Rehabilitation | Oak Branch Drive, Suite 7e, Greensboro, NC 27407-2380 | 2014-09-22 |
1881619005 | Fan Xi | Physical Medicine & Rehabilitation | 2800 Ashton Drive, Suite 100, Wilmington, NC 28412-2486 | 2006-07-12 |
1487632881 | Mark Allen Goodson | Physical Medicine & Rehabilitation | 114 Welton Way Ste A, Mooresville, NC 28117-9251 | 2006-01-05 |
1083696892 | Ronald Vandernoord | Physical Medicine & Rehabilitation | 710 Park Center Dr Ste 300, Matthews, NC 28105-5082 | 2005-11-17 |
1922095520 | Angelo Tellis | Physical Medicine & Rehabilitation | 2111 Neuse Blvd. Suite J, New Bern, NC 28560-4317 | 2005-09-29 |
1578569166 | Thomas Francis Florian | Physical Medicine & Rehabilitation | 4901 Dawn Dr, Suite 3300, Lumberton, NC 28360-8287 | 2005-06-28 |
1619524097 | Novant Medical Group Inc | Physical Medicine & Rehabilitation | 3515 W Market St Ste 210, Greensboro, NC 27403-4442 | 2019-08-21 |
1467006197 | Southeastern Medical, Pa | Physical Medicine & Rehabilitation | 830 Sunset Blvd N, Sunset Beach, NC 28468-4262 | 2019-07-31 |
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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.