ADVANCED SPORTS & SPINE, PLLC


Address: 8035 Providence Rd, #340, Charlotte, NC 28277-9716
Phone: 7045423988

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2081P2900X Physical Medicine & Rehabilitation
Specialization: Pain Medicine
2015-01401 NC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NC 1629422738 05

Office Location

Street Address 8035 PROVIDENCE RD
#340
City CHARLOTTE
State NC
Zip Code 28277-9716

Providers in the same location

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
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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
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Taxonomy Information

Taxonomy Code 2081P2900X
Grouping Allopathic & Osteopathic Physicians
Classification Physical Medicine & Rehabilitation
Specialization Pain Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City CHARLOTTE
Zip Code 28277

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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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