DR. WALTER LEE FANNING JR.


Address: 200 Medical Park Dr Ste 280, Carolinas Medical Center North East, Concord, NC 28025-0935
Phone: 7044031766

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RI0200X Internal Medicine
Specialization: Infectious Disease
2006-00672 NC Allopathic & Osteopathic Physicians

Other Provider Identifier

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

Office Location

Street Address 200 MEDICAL PARK DR STE 280
CAROLINAS MEDICAL CENTER NORTH EAST
City CONCORD
State NC
Zip Code 28025-0935

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124465976 Erin Roach Pharmacist 200 Medical Park Dr Ste 280, Concord, NC 28025-0935 2013-06-03

Providers in the same zip code

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 Information

Taxonomy Code 207RI0200X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Infectious Disease

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City CONCORD
Zip Code 28025

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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