MR. FRED R. NEW JR.


Address: 140 Gateway Blvd, Mooresville, NC 28117-5540
Phone: 7046649638

MR. FRED R. NEW JR. (NPI# 1710173018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710173018
Entity Type Individual
Full Name MR. FRED R. NEW JR.
Credential NP
Practice Address 140 Gateway Blvd
Mooresville
NC 28117-5540
Practice Telephone 7046649638
Practice Fax Number 7046641859
Mailing Telephone 7046649638
Mailing Fax Number 7046641859
Enumeration Date 2007-09-20
Last Update Date 2014-05-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
0050-02175 NC Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 140 GATEWAY BLVD
City MOORESVILLE
State NC
Zip Code 28117-5540

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306870902 Lake Norman Ears Nose and Throat Pa Otolaryngology 140 Gateway Blvd, Mooresville, NC 28117 2006-07-10
1154742336 Del Hawk Audiologist 140 Gateway Blvd, Mooresville, NC 28117-5540 2013-12-14
1558534149 Kathryn R. Curtis Audiologist 140 Gateway Blvd, Mooresville, NC 28117-5540 2008-04-04
1386715639 Thomas B Warren Otolaryngology 140 Gateway Blvd, Mooresville, NC 28117-8522 2006-11-10
1215008545 Herb L Wettreich Otolaryngology 140 Gateway Blvd, Mooresville, NC 28117-8522 2006-11-10
1407927759 Keith Adam Meetze Otolaryngology 140 Gateway Blvd, Mooresville, NC 28117-5540 2006-11-10
1275649865 Megan Lane Mathis-webb Audiologist 140 Gateway Blvd, Mooresville, NC 28117-5540 2006-08-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891356648 Teleoptometric Service, P.C. Optometrist 392 Talbert Rd, Mooresville, NC 28117 2019-06-24
1992268544 Costco Wholesale Corporation Eyewear Supplier (Equipment, not the service) 392 Talbert Rd., Mooresville, NC 28117 2019-04-10
1982178042 Langtree Endoscopy Center, LLC Clinic/Center 106 Alexander Bank Drive, Suite 101, Mooresville, NC 28117 2019-01-11
1679044416 May and Associates Therapy Center Psychologist 862 Brawley School Road, Suite 202, Mooresville, NC 28117 2018-12-05
1700360153 Sabrina Chabot Hutchinson Physical Therapist 508 Williamson Rd, Suite 200, Mooresville, NC 28117 2018-09-21
1992284327 Presbyterian Imaging Centers LLC Radiology 106 Langtree Village Dr # 201, Mooresville, NC 28117 2018-08-07
1073091310 Jenelle Donzelli Nemeth Registered Nurse 102 Sapphire Drive, Mooresville, NC 28117 2018-07-30
1912497496 Patsharx LLC Pharmacy 480 River Hwy, Suite A, Mooresville, NC 28117 2018-05-10
1427502434 Counseling Service At Lake Norman, Pllc Community/Behavioral Health 18117 W. Catawba Avenue, Cornelius, NC 28117 2016-08-08
1447605928 Renewal Counseling, Pllc Counselor 125 Commerce Park Rd., Suite 102, Mooresville, NC 28117 2016-05-03
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033149349 Gaynell S Pierson Nurse Practitioner 115 Fields St, Mooresville, IN 46158-1492 2006-07-03
1801860325 Gina M Saylor Nurse Practitioner 1001 Hadley Rd Ste Ll100, Mooresville, IN 46158 2006-02-13
1447625322 Ann Cowen Nurse Practitioner 548 Williamson Rd, Suite 6, Mooresville, NC 28117-8194 2015-12-03
1447267182 Brenda F Heinen Nurse Practitioner 1199 Hadley Rd, Mooresville, IN 46158-1788 2006-08-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1487260451 Jo Ellen Inman-puckett Nurse Practitioner 31 Swiss Pine Ct, Spruce Pine, NC 28777-8704 2020-09-16
1558975417 Marguerite Swick Nurse Practitioner 15900 Riverpointe Dr, Charlotte, NC 28278-8886 2020-09-08
1134730864 Blueh Iv Health Services Pllc Nurse Practitioner 9625 David Taylor Dr, Charlotte, NC 28262-2362 2020-08-14
1255959573 Kathryn Allman Nurse Practitioner 104 Brighton Ct, Chapel Hill, NC 27516-9005 2020-07-13
1326665142 Mary Ann Todd Nurse Practitioner 5508 7 Lks W, West End, NC 27376-9336 2020-06-27
1538785118 Amanda S. Morgan Nurse Practitioner 600 Hospital Dr Ste 9, Clyde, NC 28721-8046 2020-06-19
1508480823 Lauren Elizabeth Barkley Nurse Practitioner 10207 Cerny St Ste 200, Raleigh, NC 27617-4880 2020-06-02
1265055271 Pamela Duncan Nurse Practitioner 120 N Medical Dr Unc-ch Son: Carrington Hall, Chapel Hill, NC 27599-7460 2020-05-26
1689297715 Heather Bryce Futrell Nurse Practitioner 115 Joe Kanaris Rd, Rockingham, NC 28379-8063 2020-05-23
1871116103 Lynn Chanell Hicks Nurse Practitioner 3221 Nontucket Ln, Hope Mills, NC 28348-9054 2020-05-20
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Competitor

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City MOORESVILLE
Zip Code 28117

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Dataset Information

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.

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