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).
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 |
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 |
Street Address |
140 GATEWAY BLVD |
City | MOORESVILLE |
State | NC |
Zip Code | 28117-5540 |
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 |
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 |
Find all providers in zip 28117 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
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 |
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 |
Find all providers with the same taxonomy |
City | MOORESVILLE |
Zip Code | 28117 |
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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.