MOORESVILLE PPM LLC (NPI# 1710384466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710384466 |
| Entity Type | Organization |
| Organization Name | MOORESVILLE PPM LLC |
| Other Organization Name | LAKESHORE ENDOCRINOLOGY |
| Practice Address |
134 Medical Park Rd Suite 108 Mooresville NC 28117-8526 |
| Practice Telephone | 7046604669 |
| Practice Fax Number | 7046604295 |
| Mailing Telephone | 7046604669 |
| Mailing Fax Number | 7046604295 |
| Enumeration Date | 2014-11-24 |
| Last Update Date | 2014-11-24 |
| Authorized Official Name | JAMES P WRIGHT (DIRECTOR) |
| Authorized Official Telephone | 6154657470 |
| Is Organization Subpart | Y |
| Parent Organization Name | CHS-COMMUNITY HEALTH SYSTEMS, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Lakeshore Endocrinology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851678767 | Mooresville Ppm LLC | Family Medicine | 128 Argus Ln, Suite G, Mooresville, NC 28117-6972 | 2011-11-05 |
| 1588941496 | Mooresville Ppm LLC | Family Medicine | 16630 Northcross Dr, Huntersville, NC 28078-5048 | 2011-11-05 |
| 1518361914 | Mooresville Ppm LLC | Psychiatry & Neurology | 131 Medical Park Rd Ste 308, Mooresville, NC 28117-8525 | 2014-10-14 |
| 1790110146 | Mooresville Ppm LLC | Surgery | 123 Professional Park Dr Ste 101, Mooresville, NC 28117-5516 | 2013-09-04 |
| 1457621799 | Mooresville Ppm LLC | Surgery | 131 Medical Park Rd, Suite 303, Mooresville, NC 28117-8522 | 2012-01-04 |
| 1598032849 | Mooresville Ppm LLC | Surgery | 123 Professional Park Dr, Suite 200, Mooresville, NC 28117-5524 | 2011-11-30 |
| 1225305576 | Mooresville Ppm LLC | Family Medicine | 396 Williamson Rd, Mooresville, NC 28117-5935 | 2011-11-30 |
| 1740557008 | Mooresville Ppm LLC | Pediatrics | 171 Fairview Rd, Mooresville, NC 28117-9500 | 2011-11-30 |
| 1861769119 | Mooresville Ppm LLC | Family Medicine | 202 Williamson Rd, Suite 100, Mooresville, NC 28117-7610 | 2011-11-30 |
| 1679850580 | Mooresville Ppm LLC | Family Medicine | 5732 Highway 150 E, Denver, NC 28037-6770 | 2011-11-05 |
| Street Address |
134 MEDICAL PARK RD SUITE 108 |
| City | MOORESVILLE |
| State | NC |
| Zip Code | 28117-8526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730156001 | Andrew Marcus Ball | Physical Therapist | 134 Medical Park Rd, Suite 105, Mooresville, NC 28117-8526 | 2006-03-04 |
| 1922464601 | Poonam Gupta | Nurse Practitioner | 134 Medical Park Rd, Ste 111 - Adult Cardiology, Mooresville, NC 28117-8526 | 2016-01-11 |
| 1477878981 | Carolinas Physicians Network Inc | Pediatrics | 134 Medical Park Rd, Ste 111 - Adult Cardiology, Mooresville, NC 28117-8526 | 2010-03-29 |
| 1346491578 | Swapna Samatam | Internal Medicine | 134 Medical Park Rd, Suite 108, Mooresville, NC 28117 | 2008-10-07 |
| 1639349822 | Michael M Haahs Md Pa | Internal Medicine | 134 Medical Park Rd, Suite 100, Mooresville, NC 28117-8526 | 2008-03-04 |
| 1538337688 | Lake Norman Neurological and Spinal Surgery, P.a. | Neurological Surgery | 134 Medical Park Rd, Suite 108, Mooresville, NC 28117-8526 | 2008-02-12 |
| 1366642928 | Shomeet Patel | Internal Medicine | 134 Medical Park Rd, Ste 111 - Adult Cardiology, Mooresville, NC 28117-8526 | 2007-07-23 |
| 1841203122 | Richard Scherczinger | Internal Medicine | 134 Medical Park Rd, Ste 111 - Adult Cardiology, Mooresville, NC 28117-8526 | 2006-08-15 |
| 1720090384 | Stephen Iuliano | Internal Medicine | 134 Medical Park Rd, Ste 111 - Adult Cardiology, Mooresville, NC 28117-8526 | 2006-08-12 |
| 1841257516 | Michael M Haahs | Legal Medicine | 134 Medical Park Rd, Suite 100, Mooresville, NC 28117-8526 | 2006-04-27 |
| Find all providers in the same location | ||||
| 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 | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114205457 | Lake Norman Endocrinology & Diabetes, PC | Internal Medicine | 143 Joe Knox Ave, Suite 100, Mooresville, NC 28117-9243 | 2011-08-03 |
| 1346491578 | Swapna Samatam | Internal Medicine | 134 Medical Park Rd, Suite 108, Mooresville, NC 28117 | 2008-10-07 |
| 1003081175 | Iredell Physician Network LLC | Internal Medicine | 143 Joe Knox Ave, Suite 100, Mooresville, NC 28117-9243 | 2008-04-29 |
| 1699754127 | Micahel Witkin | Internal Medicine | 930 W Wilson Ave, Mooresville, NC 28117-8811 | 2006-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184030595 | Eric Lewis | Internal Medicine | 306 Parkridge Ave, Chapel Hill, NC 27517-8137 | 2014-07-07 |
| 1588077176 | Greensboro Endocrinology Pllc | Internal Medicine | 7 Corporate Center Ct Ste C, Greensboro, NC 27408-3839 | 2014-06-11 |
| 1043656770 | Thomas Cary Cameron | Internal Medicine | Division of Endocrinology & Metabolism, 8025 Burnett Womack Building, Chapel Hill, NC 27599-7170 | 2013-05-21 |
| 1033489216 | Tesfaye D Fanta Md Pllc | Internal Medicine | 910 W Harrison St, Reidsville, NC 27320-3324 | 2012-01-05 |
| 1548556749 | Leah Elizabeth Kang-oh | Internal Medicine | 755 Highland Oaks Dr Suite 201, Winston-salem, NC 27103 | 2011-06-26 |
| 1558656702 | Diabetes Management Solutions | Internal Medicine | 1100 Navaho Dr Ste 249, Raleigh, NC 27609-7364 | 2011-06-16 |
| 1174813570 | Chinenyenwa Usoh | Internal Medicine | 4610 Country Club Rd, Winston Salem, NC 27104-3520 | 2011-04-19 |
| 1366745259 | Carolinas Physicians Network Inc | Internal Medicine | 908 Donita Drive, Lincolnton, NC 28092-3643 | 2010-12-15 |
| 1982916342 | Vengamamba Polu | Internal Medicine | 701 Doctors Dr Ste D, Kinston, NC 28501-1584 | 2010-07-13 |
| 1073838132 | Alexandria Atuahene Opata | Internal Medicine | 16525 Holly Crest Ln Ste 230, Huntersville, NC 28078-4912 | 2010-04-01 |
| 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.