MATTHEW WELLS MCCONNELL (NPI# 1699018044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699018044 |
Entity Type | Individual |
Full Name | MATTHEW WELLS MCCONNELL |
Credential | MD |
Practice Address |
1300 Baxter St Ste 114 Charlotte NC 28204-3806 |
Mailing Address |
16405 Northcross Dr Ste G2 Huntersville NC 28078-5005 |
Practice Telephone | 7043359794 |
Practice Fax Number | 7043322329 |
Mailing Telephone | 7043359794 |
Mailing Fax Number | 7043322329 |
Enumeration Date | 2013-04-04 |
Last Update Date | 2019-05-14 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
2019-00380 | NC | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | VA | Student, Health Care |
Address | Telephone Number | Fax Number |
---|---|---|
1215 Lee St, Box 800394, Charlottesville, VA 229080816 | 4349245306 | 4349821064 |
16507 Northcross Dr Ste B, Huntersville, NC 280785082 | 7043359794 | 7043322329 |
1707 Berwick Dr Ste A, Laurinburg, NC 283525543 | 7043359794 | 7043322329 |
70 Lake Concord Rd Ne, Concord, NC 280253057 | 7043359794 | 7043322329 |
8001 N Tryon St, Charlotte, NC 282623410 | 7043359794 | 7043322329 |
Unc Department of Neurology Cb#7025, 170 Manning Drive, Chapel Hill, NC 27599 | 9849744401 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457899569 | Matthew James Mcconnell | Nurse Anesthetist, Certified Registered | 1009 Lark St, Suite 2, Johnson City, TN 37604-8217 | 2017-02-09 |
1003182023 | Matthew Joseph Mcconnell | Internal Medicine | 333 Cedar St, Ynhh Internal Medicine-gi,section of Digestive Diseases, New Haven, CT 06510-3206 | 2012-03-23 |
1215238332 | Matthew J Mcconnell | Nurse Practitioner | 12635 W Rudasill Rd, Tucson, AZ 85743-9724 | 2010-11-04 |
1457665143 | Matthew Mcconnell | Anesthesiology | 320 E North Ave, Pittsburgh, PA 15212-4756 | 2010-08-05 |
Street Address |
1300 BAXTER ST STE 114 |
City | CHARLOTTE |
State | NC |
Zip Code | 28204-3806 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720161011 | Michael M Amiri | Psychiatry & Neurology | 1300 Baxter St Ste 114, Charlotte, NC 28204-3806 | 2006-10-23 |
1679129639 | Drew Morgan Bolyard | Nurse Practitioner | 1300 Baxter St Ste 114, Charlotte, NC 28204-3806 | 2019-08-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285263582 | Precise Home Care Service LLC | In Home Supportive Care | 1935 Baxter Street, Unit 101, Charlotte, NC 28204 | 2020-04-07 |
1285276253 | Shannon Miller | Counselor | 1432 E Seventh Street, Charlotte, NC 28204 | 2019-10-11 |
1194282202 | Madison Joann Mcgarrigle | Behavior Technician | 1401 East 7th Street, Charlotte, NC 28204 | 2019-02-25 |
1255802674 | Stacey D. Alston, Dds, Pa | Dentist | 1020 E. 10th St., Suite 1, Charlotte, NC 28204 | 2018-12-11 |
1972082097 | Kim Webb Talbert | Nurse Practitioner | Novant Health Presbyterian Medical Center Charlotte, 200 Hawthorne Lane, Charlotte, NC 28204 | 2018-08-09 |
1164910535 | Jesse Elijah Roberts | Counselor | 1801 E 5th Street, #208, Charlotte, NC 28204 | 2018-05-01 |
1336696848 | Eight Healthcare | Exclusive Provider Organization | 2455 Weddington Ave, 2110, Charlotte, NC 28204 | 2016-09-01 |
1225480551 | Kathleen Quintana Bradley | Physician Assistant | 1523 Elizabeth Ave., Suite 200, Charlotte, NC 28204 | 2016-07-11 |
1184049777 | Della Franklin | Speech-Language Pathologist | 1021 Morehead Medical Dr Ste 3300, Charlotte, NC 28204 | 2014-02-19 |
1225459845 | Healing Arts Medical, Pa | Family Medicine | 335 N. Caswell Rd., Charlotte, NC 28204 | 2013-12-27 |
Find all providers in zip 28204 |
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 |
1659322691 | Mohammad R. Bolouri | Psychiatry & Neurology | 7809 Sardis Rd, Charlotte, NC 28270-2757 | 2006-05-15 |
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 |
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.