DR. NIZAR D NOUREDDINE (NPI# 1659334530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659334530 |
| Entity Type | Individual |
| Full Name | DR. NIZAR D NOUREDDINE |
| Credential | M.D. |
| Practice Address |
694 Riverside Dr Mount Airy NC 27030-3117 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 3367197892 |
| Practice Fax Number | 3367197898 |
| Mailing Telephone | 3367197892 |
| Mailing Fax Number | 3367197898 |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2020-10-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 121755 | NC | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
2005-01959 | NC | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
2005-01959 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1659334530 | 05 |
| Street Address |
694 RIVERSIDE DR |
| City | MOUNT AIRY |
| State | NC |
| Zip Code | 27030-3117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760483432 | Daniel L Schwartz | Physician Assistant | 694 Riverside Dr, Mount Airy, NC 27030-3117 | 2005-08-03 |
| 1093089575 | Mallory Williams Grose | Nurse Practitioner | 694 Riverside Dr, Mount Airy, NC 27030 | 2012-03-01 |
| 1184929796 | Nmg Affiliate Practice I LLC | Internal Medicine | 694 Riverside Dr, Mount Airy, NC 27030-3117 | 2011-01-13 |
| 1134339104 | Saeed Payvar | Internal Medicine | 694 Riverside Dr, Mount Airy, NC 27030-3117 | 2007-05-22 |
| 1134191273 | Charles W. Harris Jr. | Internal Medicine | 694 Riverside Dr, Mount Airy, NC 27030-3117 | 2006-02-03 |
| 1043294200 | Bt Heart and Vascular Center, Pllc | Internal Medicine | 694 Riverside Dr, Mount Airy, NC 27030-3117 | 2005-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124475017 | Jeffrey Lynn Hunter | Podiatrist | 367 S Andy Griffith Pkwy # 200, Mount Airy, NC 27030 | 2016-05-20 |
| 1376984880 | Shari York | Counselor | 847 Westlake Dr, Mount Airy, NC 27030 | 2013-07-12 |
| 1861745069 | Surry-yadkin Residential Services, Inc | Intermediate Care Facility, Mentally Retarded | 1305 Park Dr, Mount Airy, NC 27030 | 2012-10-25 |
| 1346592169 | Debra Lynn Campbell | Physician Assistant | 709 West Independence Blvd., Mount Airy, NC 27030 | 2012-10-03 |
| 1720217680 | Lena Anderson Ferris | Nurse Practitioner | 708 S South St Ste 400, Mount Airy, NC 27030 | 2009-07-13 |
| 1013104520 | Tong Li-masters | Internal Medicine | 830 Rockford Street, Winston Salem, NC 27030 | 2007-09-28 |
| 1336261528 | Thomas R Jackson Dds Pa | Dentist | 1007 Rockford Street, Mount Airy, NC 27030 | 2007-04-06 |
| 1467585422 | Ridgecrest Ritirement Community | Assisted Living Facility | Ridgecrest Retirement, LLC, 1000 Ridgecrest Ln., Mount Airy, NC 27030 | 2007-03-13 |
| 1568516755 | Lou Urmos | Family Medicine | 805 Merita Street, Mt Airy, NC 27030 | 2007-01-23 |
| 1568516391 | Mark Lee Appler | Internal Medicine | 708 S South St Ste 100, Mount Airy, NC 27030 | 2007-01-22 |
| Find all providers in zip 27030 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497378855 | Champion Heart and Vascular Center, Oxford Pllc | Internal Medicine | 1614 Williamsboro Street, Oxford, NC 27565 | 2020-05-20 |
| 1508364886 | Cardiac Cin of Charlotte LLC | Internal Medicine | 15720 Brixham Hill Ave Ste 300c, Charlotte, NC 28277-4784 | 2018-01-31 |
| 1972001246 | Cardiac Cin of Raleigh LLC | Internal Medicine | 555 Fayetteville St Ste 201-279, Raleigh, NC 27601-3030 | 2018-01-31 |
| 1568973360 | Novant Medical Group Inc. | Internal Medicine | 1622 Highwoods Blvd Unit G105, Greensboro, NC 27410 | 2017-10-19 |
| 1174965826 | Valley Cardiology, Pa | Internal Medicine | 6562 Stone Mountain Farm Rd, Fayetteville, NC 28311-1183 | 2013-07-23 |
| 1477839108 | Caldwell Memorial Hospital, Inc | Internal Medicine | 401 Mulberry St Sw Ste 207, Lenoir, NC 28645-5463 | 2011-10-26 |
| 1700184108 | Richard Sean Stack | Internal Medicine | 1414 Raleigh Rd Ste 415, Chapel Hill, NC 27517-8834 | 2011-03-09 |
| 1114171634 | Novant Medical Group, Inc. | Internal Medicine | 125 Baldwin Avenue, Suite 200, Charlotte, NC 28204-3370 | 2008-11-11 |
| 1043433634 | Presbyterian Regional Healthcare Laboratory Services LLC | Internal Medicine | 1851 E 3rd St, Charlotte, NC 28204-3205 | 2007-04-11 |
| 1740395029 | Damian Brezinski | Internal Medicine | 1328 Lake Park Blvd N, Ste 103, Carolina Beach, NC 28428-3906 | 2006-08-20 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT AIRY |
| Zip Code | 27030 |
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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.