DR. WALTER LEE FANNING JR. (NPI# 1639146780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639146780 |
Entity Type | Individual |
Full Name | DR. WALTER LEE FANNING JR. |
Credential | M.D. |
Practice Address |
200 Medical Park Dr Ste 280 Carolinas Medical Center North East Concord NC 28025-0935 |
Mailing Address |
200 Medical Arts Drive Suite 280 Carolinas Medical Center North East Concord NC 28025-0935 |
Practice Telephone | 7044031766 |
Practice Fax Number | 7044031096 |
Mailing Telephone | 7044031766 |
Mailing Fax Number | 7044031096 |
Enumeration Date | 2006-03-07 |
Last Update Date | 2010-07-13 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
2006-00672 | NC | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | RAILROAD MEDICARE | 00339806 | 01 |
NC | AETNA | 4302912 | 01 |
NC | CIGNA | 1527547 | 01 |
NC | PARTNERS MEDICARE CHOICE | 808032 | 01 |
NC | MEDCOST | 190800 | 01 |
NC | BCBSNC | 142K2 | 01 |
NC | 5903747 | 05 | |
NC | MEDICARE PTAN, INDIVIDUAL | 2055819A | 01 |
NC | MEDICARE PTAN, GROUP | 232009 | 01 |
Street Address |
200 MEDICAL PARK DR STE 280 CAROLINAS MEDICAL CENTER NORTH EAST |
City | CONCORD |
State | NC |
Zip Code | 28025-0935 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124465976 | Erin Roach | Pharmacist | 200 Medical Park Dr Ste 280, Concord, NC 28025-0935 | 2013-06-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053910729 | Renewed Mindset Therapeutic Services, Pllc | Social Worker | 349 Copperfield Blvd Suite L #334, Concord, NC 28025 | 2020-10-22 |
1194284380 | Carolinas Physicians Network Inc | Internal Medicine | 610 Alfred Brown Jr. Court, Concord, NC 28025 | 2019-03-18 |
1164913596 | Damarius Raymond Faggart | Counselor | 503 Amhurst Drive, Concord, NC 28025 | 2018-05-22 |
1437677085 | Kathryn Emily Kanauer | Counselor | 280 Executive Park Dr Ne, Concord, NC 28025 | 2017-09-05 |
1649794439 | Foster Health & Homecare, LLC | Home Health | 363 Church Street North, Suite 260-i, Concord, NC 28025 | 2017-08-02 |
1326569336 | Jessie Leigh Tilley-compton | Social Worker | 371 Amhurst St Sw, Concord, NC 28025 | 2017-06-29 |
1609305663 | Sarah Katherine Thompson | Licensed Practical Nurse | 248 Executive Park Dr, Concord, NC 28025 | 2017-06-05 |
1023463098 | Kiera Brown | Social Worker | 219 Lephillip Court, Concord, NC 28025 | 2016-04-27 |
1992169445 | Brittiny N. Ingram Vanterpool | Counselor | 250 Branchview Dr Sw, Concord, NC 28025 | 2016-04-11 |
1215399852 | The Charlotte-mecklenburg Hospital Authority | Clinic/Center | 840 Warren C. Coleman Blvd, Concord, NC 28025 | 2016-03-23 |
Find all providers in zip 28025 |
Taxonomy Code | 207RI0200X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Infectious Disease |
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
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 |
---|---|---|---|---|
1487843942 | Nimisha Mishra-shukla | Internal Medicine | 2485 High School Ave Ste 208, Concord, CA 94520-1817 | 2007-10-22 |
1104909530 | Contra Costa Infectious Disease Medical Group Inc. | Internal Medicine | 3301 Clayton Rd, Concord, CA 94519-2820 | 2006-10-21 |
1477980050 | The Charlotte-mecklenburg Hospital Authority | Internal Medicine | 200 Medical Park Dr, Ste 280, Concord, NC 28025-2982 | 2013-09-27 |
1487979712 | Stephanie Strollo | Internal Medicine | 200 Medical Park Dr, Ste 280, Concord, NC 28025-2982 | 2010-03-30 |
1710114046 | Sara Zulfiqar | Internal Medicine | 200 Medical Park Dr, Ste 280, Concord, NC 28025-2982 | 2009-06-12 |
1659533982 | Aye T Khyne | Internal Medicine | 2485 High School Ave, # 208, Concord, CA 94520-1817 | 2008-06-27 |
1407017684 | Joshua Andrew White | Internal Medicine | 246 Pleasant St, Memorial Building Suite 104, Concord, NH 03301-2548 | 2008-06-20 |
1194914622 | Janice K Louie | Internal Medicine | 2000 Sierra Road, Concord, CA 94518 | 2007-10-22 |
1588872642 | Tedra Claytor | Internal Medicine | 200 Medical Park Dr, Ste 280, Concord, NC 28025-2982 | 2007-05-20 |
1386788776 | Yvonne Carter | Internal Medicine | 200 Medical Park Dr, Ste 280, Concord, NC 28025-2982 | 2007-02-18 |
Find all providers in CONCORD |
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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.