CHARLOTTE RADIOLOGY PA (NPI# 1649220443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649220443 |
| Entity Type | Organization |
| Organization Name | CHARLOTTE RADIOLOGY PA |
| Practice Address |
700 E Morehead St Ste 300 Charlotte NC 28202 |
| Mailing Address |
700 E Morehead St Ste 300 Charlotte NC 28202-2742 |
| Practice Telephone | 7043625391 |
| Practice Fax Number | 7044147512 |
| Mailing Telephone | 7043347800 |
| Mailing Fax Number | 7044147512 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2019-04-12 |
| Authorized Official Name | JANE LUTZ (MANAGER PAYER ENROLLMENT & AUDIT SP) |
| Authorized Official Telephone | 7043347800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003110677 | Charlotte Radiology Pa | Radiology | 1025 Morehead Medical Dr Ste 150, Charlotte, NC 28204-2973 | 2010-12-22 |
| Street Address |
700 E MOREHEAD ST STE 300 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225033426 | Chien-chung Peter Chang | Radiology | 700 E Morehead St Ste 300, Charlotte, NC 28202-2742 | 2005-06-15 |
| 1881124980 | Lisa Kelly | Nurse Practitioner | 700 E Morehead St Ste 300, Charlotte, NC 28202-2742 | 2017-06-13 |
| 1679976476 | Taylor Elaine Maxwell | Physician Assistant | 700 E Morehead St Ste 300, Charlotte, NC 28202-2742 | 2014-10-07 |
| 1316359912 | Katherine Nystrom | Physician Assistant | 700 E Morehead St Ste 300, Charlotte, NC 28202-2742 | 2014-05-30 |
| 1689092587 | Megan B Comer | Physician Assistant | 700 E Morehead St Ste 300, Charlotte, NC 28202-2742 | 2014-03-29 |
| 1558788323 | Laura Schulenborg Pratt | Physician Assistant | 700 E Morehead St Ste 300, Charlotte, NC 28202-2742 | 2014-03-18 |
| 1518382811 | Caroline Dana Chamberlain | Physician Assistant | 700 E Morehead St Ste 300, Charlotte, NC 28202-2742 | 2014-02-23 |
| 1477999274 | Brian Alan Perry | Radiology | 700 E Morehead St Ste 300, Charlotte, NC 28202 | 2013-05-20 |
| 1255777678 | Vaughn Braxton | Radiology | 700 E Morehead St Ste 300, Charlotte, NC 28202-2742 | 2013-05-13 |
| 1760825350 | Jeremy Inkwon Kim | Radiology | 700 E Morehead St Ste 300, Charlotte, NC 28202 | 2013-04-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609418425 | Monarch | Community/Behavioral Health | 215 North Pine Street Unit 705, Charlotte, NC 28202 | 2019-10-14 |
| 1396211892 | Brooke Graham | Behavior Technician | 107 New Edition Court Carey, Raleigh, NC 28202 | 2018-10-23 |
| 1740704352 | Targetcare, Inc. | Health Educator | 831 E. Morehead Street, Suite 900, Charlotte, NC 28202 | 2017-07-26 |
| 1659828291 | Reserve Health, PC | Family Medicine | 135 W 10th St, Charlotte, NC 28202 | 2016-09-01 |
| 1275905887 | Tameka Wade Brewington | Counselor | 615 E 6th St Ste 112, Charlotte, NC 28202 | 2015-10-22 |
| 1962815159 | Teisha Miller | Social Worker | 700 N. Tryon Street, Charlotte, NC 28202 | 2014-06-05 |
| 1699193672 | Elizabeth Ann Peterson-vita | Psychologist | 700 East Stonewall Street, Suite 714, Charlotte, NC 28202 | 2014-04-07 |
| 1942631437 | Avery Sales | Durable Medical Equipment & Medical Supplies | 103 W Morehead St, Charlotte, NC 28202 | 2013-12-09 |
| 1801236484 | Annette Goodman | Counselor | 415 E. Trade Street, Charlotte, NC 28202 | 2013-06-27 |
| 1174960181 | Jennifer D'silva | Dentist | 210 E Trade St # 484, Charlotte, NC 28202 | 2013-05-30 |
| Find all providers in zip 28202 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598252207 | Kim Dudley | Specialist | 9208 Ardrey Kell Rd Ste 14, Charlotte, NC 28277-0786 | 2018-04-18 |
| 1568828994 | Darla Lilleberg | Specialist | 428 E 4th St, Suite 333, Charlotte, NC 28202-2434 | 2016-01-14 |
| 1508222175 | Candy Sue Benish | Specialist | 3349 Chilham Pl, Charlotte, NC 28226-3000 | 2016-01-12 |
| 1245614874 | Joseph Franklin Cline | Specialist | 8133 Ardrey Kell Rd Ste 203, Charlotte, NC 28277-5723 | 2015-07-14 |
| 1689055147 | James Salfia | Specialist | 9608 Rainbow Forest Dr, Charlotte, NC 28277-8773 | 2015-06-10 |
| 1811384720 | Diabetes and Metabolism Care Group Pllc | Specialist | 10344 Park Rd, Charlotte, NC 28210-8470 | 2015-04-17 |
| 1730579657 | Queen Charlotte Hair Replacement Center | Specialist | 5729 Cedars East Ct Apt 6, Charlotte, NC 28212-0192 | 2015-01-30 |
| 1285046573 | Said Yousef | Specialist | 8706 Holly Creek Ct, Charlotte, NC 28216-2666 | 2014-05-21 |
| 1235564758 | Barbara Jo Halton-bailey | Specialist | 231 Old Bell Rd, Charlotte, NC 28270-2792 | 2013-09-04 |
| 1508206061 | Amalia Cisneros | Specialist | 5800 N Sharon Amity Rd Ste B, Charlotte, NC 28215-5081 | 2013-06-28 |
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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.