NOVANT MEDICAL GROUP INC (NPI# 1720228158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720228158 |
Entity Type | Organization |
Organization Name | NOVANT MEDICAL GROUP INC |
Other Organization Name | NOVANT HEALTH METCALF RHEUMATOLGY |
Practice Address |
1900 S Hawthorne Rd Suite 652 Winston Salem NC 27103-3901 |
Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
Practice Telephone | 3367686161 |
Practice Fax Number | 3362770366 |
Mailing Telephone | 3362770361 |
Mailing Fax Number | 3362770366 |
Enumeration Date | 2009-02-25 |
Last Update Date | 2013-07-03 |
Authorized Official Name | GEOFFREY K. GARDNER (VP OF FINANCE) |
Authorized Official Telephone | 7043849094 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Novant Health Metcalf Rheumatolgy | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700433711 | Novant Medical Group Inc | Psychiatry & Neurology | 933 Rockford St Ste 2, Mount Airy, NC 27030-5323 | 2019-08-23 |
1205481009 | Novant Medical Group Inc | Dermatology | 6324 Fairview Rd # 200, Charlotte, NC 28210-3271 | 2019-08-08 |
1033675079 | Novant Medical Group Inc | Psychiatry & Neurology | 1918 Randolph Rd Ste 320, Charlotte, NC 28207-1109 | 2019-02-14 |
1205355799 | Novant Medical Group Inc | Family Medicine | 16525 Holly Crest Ln Ste 250, Huntersville, NC 28078-4912 | 2017-09-15 |
1679090468 | Novant Medical Group Inc | Internal Medicine | 12311 Copper Way Ste 100, Charlotte, NC 28277-3643 | 2017-08-23 |
1003332016 | Novant Medical Group Inc | Internal Medicine | 10030 Gilead Rd Ste 344, Huntersville, NC 28078-7545 | 2017-08-22 |
1255709432 | Novant Medical Group Inc | Family Medicine | 19485 Old Jetton Road, Suite 100, Cornelius, NC 28031-6583 | 2015-09-04 |
1215326665 | Novant Medical Group Inc | Surgery | 819 N Atlantic Ave, Southport, NC 28461-3531 | 2015-01-22 |
1194113662 | Novant Medical Group Inc | Obstetrics & Gynecology | 1730 Kernersville Medical Parkway, Suite 104, Kernersville, NC 27284-7198 | 2015-01-06 |
1437556594 | Novant Medical Group Inc | Internal Medicine | 13 Medical Campus, Suite 102, Supply, NC 28462-4093 | 2014-12-04 |
Entity Type | Entity Name | Entity Address |
---|---|---|
North Carolina Corporations | Novant Medical Group Inc. | 2626 Glenwood Ave Ste 550, Raleigh, NC 27608 |
Virginia Business Entities | Novant Medical Group Inc. | 2085 Frontis Plaza Blvd, Winston Salem, North Carolina 27103 |
Street Address |
1900 S HAWTHORNE RD SUITE 652 |
City | WINSTON SALEM |
State | NC |
Zip Code | 27103-3901 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760483689 | Thomas Paul Mutton | Specialist | 1900 S Hawthorne Rd, Suite 480, Winston Salem, NC 27103-3913 | 2005-08-02 |
1730564691 | Mary Lomberk | Pharmacist | 1900 S Hawthorne Rd, Suite 504, Winston Salem, NC 27103-3913 | 2015-07-21 |
1861870198 | Janelle Fitzjohn | Dietitian, Registered | 1900 S Hawthorne Rd, Suite 170, Winston Salem, NC 27103-3913 | 2015-05-06 |
1447672639 | Jennifer Bailiff | Dietitian, Registered | 1900 S Hawthorne Rd, Suite 170, Winston Salem, NC 27103-3913 | 2014-01-08 |
1669806477 | Alice Christine Smith | Dietitian, Registered | 1900 S Hawthorne Rd, Suite 170, Winston Salem, NC 27103-3913 | 2013-08-28 |
1376976043 | Novant Medical Group Inc | Surgery | 1900 S Hawthorne Rd, Suite 480, Winston Salem, NC 27103-3913 | 2013-08-16 |
1902195761 | Community Care Center | Voluntary or Charitable | 1900 S Hawthorne Rd, Suite 564, Winston Salem, NC 27103-3913 | 2011-04-01 |
1033418710 | Delip Vikram Patel | Radiology | 1900 S Hawthorne Rd, Winston Salem, NC 27103-3913 | 2011-03-21 |
1881841856 | Cutaneous Pathology, P.a. | Pathology | 1900 S Hawthorne Rd, Suite 366, Winston Salem, NC 27103-3913 | 2008-08-21 |
1740447465 | Edward G. Burnett Jr. D.d.s.,p.a. | Clinic/Center | 1900 S Hawthorne Rd, Ste 552, Winston Salem, NC 27103-3913 | 2008-05-20 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
Find all providers in zip 27103 |
Taxonomy Code | 207RR0500X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Rheumatology |
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
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 |
---|---|---|---|---|
1285824193 | Forsyth Memorial Hospital Inc | Internal Medicine | 1551 Westbrook Plaza Dr Ste 200, Winston Salem, NC 27103-1355 | 2007-07-26 |
1104801232 | Nilamadhab Mishra | Internal Medicine | 275 Executive Park Blvd Ste 601, Winston Salem, NC 27103 | 2005-12-13 |
1205830734 | Douglas Lee Metcalf | Internal Medicine | 1551 Westbrook Plaza Dr, Suite 200, Winston Salem, NC 27103-1355 | 2005-06-13 |
1306478763 | Salem Rheumatology Pa | Internal Medicine | 751 Bethesda Rd, Winston Salem, NC 27103-3300 | 2020-02-04 |
1124571229 | Forsyth Memorial Hospital, Inc | Internal Medicine | 1551 Westbrook Plaza Dr, Suite 200, Winston Salem, NC 27103-1355 | 2016-07-26 |
1194173633 | Lancet Rheumatology and Sara Lupus Clinic, Pllc | Internal Medicine | 275 Executive Park Blvd Ste 601, Winston Salem, NC 27103 | 2016-05-25 |
1497183206 | Forsyth Memorial Hospital Inc | Internal Medicine | 250 Charlois Blvd, Winston Salem, NC 27103-1508 | 2013-10-15 |
1437470903 | Rachel Mathilda Wolfe | Internal Medicine | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2010-06-18 |
1427281542 | Hajra Zehra Shah | Internal Medicine | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2009-08-25 |
1639308646 | Bilal Muzaffar | Internal Medicine | 1551 Westbrook Plaza Dr Ste 200, Winston Salem, NC 27103-1355 | 2009-07-11 |
Find all providers in WINSTON SALEM |
City | WINSTON SALEM |
Zip Code | 27103 |
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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.