CATAWBA VALLEY MEDICAL CENTER (NPI# 1689611220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689611220 |
| Entity Type | Organization |
| Organization Name | CATAWBA VALLEY MEDICAL CENTER |
| Other Organization Name | PET CT SCANNING CENTER |
| Practice Address |
235 18th St Se Hickory NC 28602-1364 |
| Practice Telephone | 8283263809 |
| Mailing Telephone | 8283263809 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DAVID J BOONE (VP OF FINANCE) |
| Authorized Official Telephone | 8283263809 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| PET CT SCANNING CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497792469 | Catawba Valley Medical Center | Psychiatry & Neurology | 1120 Fairgrove Church Rd, Hickory, NC 28602-9630 | 2006-05-31 |
| 1972550945 | Catawba Valley Medical Center | Family Medicine | 212 29th Ave Ne, Hickory, NC 28601-1130 | 2006-05-27 |
| 1265483556 | Catawba Valley Medical Center | Family Medicine | 2890 S Lookout St, Claremont, NC 28610-9528 | 2006-05-12 |
| 1174574495 | Catawba Valley Medical Center | Family Medicine | 2386 Springs Rd Ne, Hickory, NC 28601-3066 | 2006-05-12 |
| 1184675472 | Catawba Valley Medical Center | Family Medicine | 200 Rosenwald School Street, Catawba, NC 28609-8811 | 2006-05-12 |
| 1518524818 | Catawba Valley Medical Center | Health Educator | 810 Fairgrove Church Rd, Hickory, NC 28602-9617 | 2019-05-22 |
| 1952832941 | Catawba Valley Medical Center | Physical Medicine & Rehabilitation | 3246 6th Ave Se, Hickory, NC 28602-8335 | 2017-03-22 |
| 1609222462 | Catawba Valley Medical Center | Psychiatry & Neurology | 810 Fairgrove Church Rd, Hickory, NC 28602-9617 | 2016-05-11 |
| 1447655147 | Catawba Valley Medical Center | Pharmacy | 810 Fairgrove Church Rd Se, Hickory, NC 28602-9643 | 2014-10-24 |
| 1790194322 | Catawba Valley Medical Center | General Acute Care Hospital | 810 Fairgrove Church Rd, Hickory, NC 28602-9617 | 2014-08-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CATAWBA VALLEY MEDICAL CENTER | 810 Fairgrove Church Rd Se, Hickory, NC 28602-9617 |
| Street Address |
235 18TH ST SE |
| City | HICKORY |
| State | NC |
| Zip Code | 28602-1364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063983286 | Ivan Ortega | Health Educator | 810 Fairgrove Church Road Se, Hickory, NC 28602 | 2018-12-16 |
| 1578078895 | Zachary Chad Greer | Physician Assistant | 1927 3rd Ave Ln Se, Hickory, NC 28602 | 2017-12-08 |
| 1952842015 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 2264 Us Highway 70 Se, Hickory, NC 28602 | 2017-03-09 |
| 1013456318 | Juanita Brown | Counselor | 306 4th St Sw, Hickory, NC 28602 | 2017-02-20 |
| 1639616725 | Francisca Blanco | Clinic/Center | 5276 0lde School Dr, Hickory, NC 28602 | 2017-01-26 |
| 1982155263 | Livanta Medical Center | Physician Assistant | 2105 Catawba Valley Blvd Se, Hickory, NC 28602 | 2016-10-20 |
| 1225588817 | Melike Demirozu | Social Worker | 738 4th St. Sw, Hickory, NC 28602 | 2016-10-07 |
| 1528411592 | April Prout | Social Worker | 1053 13th St Se, Hickory, NC 28602 | 2016-07-14 |
| 1457706921 | Maitry Parikh | Dentist | 2535 Us Highway 70 Se Ste 112, Hickory, NC 28602 | 2016-05-03 |
| 1245614510 | Doran Stilwell | Physical Therapy Assistant | 4161 South Fork Avenue, Hickory, NC 28602 | 2015-07-16 |
| Find all providers in zip 28602 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538249735 | Thomas Russell Whyte | Radiology | 830 8th Street Dr Nw, Hickory, NC 28601-3563 | 2006-10-16 |
| 1821034968 | Grady Shue Jr. | Radiology | 2134 14th Avenue Cir Nw, Hickory, NC 28601-7357 | 2006-06-20 |
| 1538428081 | Morgan C Eckerd | Radiology | 18 13th Ave Ne, Hickory, NC 28601-3748 | 2012-05-03 |
| 1578842035 | Blue Ridge Healthcare Medical Group, Inc. | Radiology | 2134 14th Avenue Cir Nw, Hickory, NC 28601-7357 | 2011-08-15 |
| 1427379379 | Dennis Ray Williams Jr. | Radiology | 18 13th Ave Ne, Hickory, NC 28601-3748 | 2010-06-15 |
| 1982880936 | Eric M Meredith | Radiology | 18 13th Ave Ne, Hickory, NC 28601-3748 | 2008-01-20 |
| 1306057047 | Eric Von Johnson | Radiology | 18 13th Ave Ne, Hickory, NC 28601-3748 | 2007-05-24 |
| 1184832230 | John J Battiston Jr. | Radiology | 18 13th Ave Ne, Hickory, NC 28601-3748 | 2007-05-21 |
| 1073728697 | Matthew D Dyson | Radiology | 18 13th Ave Ne, Hickory, NC 28601-3748 | 2007-05-14 |
| 1821023813 | Stephen L Farris | Radiology | 18 13th Ave Ne, Hickory, NC 28603-0308 | 2006-07-11 |
| Find all providers in HICKORY | ||||
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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.