MOHAMMAD R. BOLOURI (NPI# 1659322691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659322691 |
| Entity Type | Individual |
| Full Name | MOHAMMAD R. BOLOURI |
| Credential | MD |
| Practice Address |
7809 Sardis Rd Charlotte NC 28270-2757 |
| Practice Telephone | 7043644000 |
| Practice Fax Number | 7043644005 |
| Mailing Telephone | 7043644000 |
| Mailing Fax Number | 7043644005 |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2015-05-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
200400301 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
7809 SARDIS RD |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28270-2757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093131112 | Becky Lou Parker | Nurse Practitioner | 7809 Sardis Rd, Charlotte, NC 28270-2757 | 2014-03-13 |
| 1003096934 | Joanna Beth Wisotsky | Physician Assistant | 7809 Sardis Rd, Charlotte, NC 28270-2757 | 2007-11-08 |
| 1457530057 | Ani Neurology Pllc | Contractor | 7809 Sardis Rd, Charlotte, NC 28270-2757 | 2007-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265902837 | Gregory David Lineberger Sr. | Counselor | 1811 Sardis Road North Suite 207, Charlotte, NC 28270 | 2018-11-27 |
| 1174093751 | Lineberger Christian Counseling, Pllc | Clinic/Center | 1811 Sardis Road North, Suite 207, Charlotte, NC 28270 | 2018-11-27 |
| 1922524818 | Danielle Jean Whittington | Social Worker | 7309 Harrisonwoods Pl, Charlotte, NC 28270 | 2017-08-22 |
| 1588185508 | Mary Wennen | Social Worker | 801 Lansdowne Road, Charlotte, NC 28270 | 2017-06-29 |
| 1982089595 | Jessica Davis | Pharmacist | 1021 Morehead Medical Drive, Charlotte, NC 28270 | 2015-07-24 |
| 1275958399 | Matthews Psychological and Family Services, Pllc | Psychologist | 1811 Sardis Road North, Suite 207, Charlotte, NC 28270 | 2014-02-26 |
| 1467886978 | G Abrams R Cohen Vii PC | Dentist | 1605 Galleria Blvd., Suite 110, Charlotte, NC 28270 | 2013-09-03 |
| 1093148041 | Shari Howie | Lactation Consultant, Non-RN | 4400 Bellwood Lane, Charlotte, NC 28270 | 2013-08-14 |
| 1225477052 | L Richardson Home | Psychiatric Residential Treatment Facility | 9828 Addison Gray Lane, Charlotte, NC 28270 | 2013-06-14 |
| 1619287083 | Linda Virginia Stewart | Social Worker | 9314 Valley Road, Charlotte, NC 28270 | 2010-10-19 |
| Find all providers in zip 28270 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578056057 | Novant Medical Group, Inc. | Psychiatry & Neurology | 15033 Ballancroft Pkwy Ste 200, Charlotte, NC 28277-4944 | 2018-06-11 |
| 1477992063 | Neil Ghanshyam Patel | Psychiatry & Neurology | 2801 Randolph Rd Ste 101, Charlotte, NC 28211-1051 | 2013-06-18 |
| 1437444346 | Megan Tudor Donnelly | Psychiatry & Neurology | 2801 Randolph Road Suite 101, Charlotte, NC 28211 | 2011-06-20 |
| 1992983589 | Sheela Myers | Psychiatry & Neurology | 10660 Park Road, Suite 4400, Charlotte, NC 28210 | 2008-02-05 |
| 1720161011 | Michael M Amiri | Psychiatry & Neurology | 1300 Baxter St Ste 114, Charlotte, NC 28204-3806 | 2006-10-23 |
| 1144321373 | Henry Joseph Horacek Jr. | Psychiatry & Neurology | 10716 Carmel Commons Blvd, Suite 120, Charlotte, NC 28226-3783 | 2006-09-26 |
| 1013968858 | Richard David Jacobson | Psychiatry & Neurology | 4228 Brookfield Dr, Charlotte, NC 28210 | 2006-05-15 |
| 1306896592 | Kenneth Todd Ashkin | Psychiatry & Neurology | 8045 Providence Rd Ste 200, Charlotte, NC 28277-9724 | 2006-05-11 |
| 1336199587 | Thor Erik Borresen | Psychiatry & Neurology | 1900 Scott Ave, Charlotte, NC 28203-6046 | 2006-05-10 |
| 1437108826 | Kurt Richard Washburn | Psychiatry & Neurology | 300 Billingsley Rd Ste 300, Charlotte, NC 28211-1075 | 2006-05-10 |
| Find all providers in CHARLOTTE | ||||
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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.