NOVANT MEDICAL GROUP, INC (NPI# 1720590185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720590185 |
| Entity Type | Organization |
| Organization Name | NOVANT MEDICAL GROUP, INC |
| Other Organization Name | NOVANT HEALTH HEART AND VASCULAR INSTITUTE |
| Practice Address |
8201 Healthcare Loop Ste 201 Charlotte NC 28215-7072 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 7043163024 |
| Practice Fax Number | 9803022110 |
| Mailing Telephone | 7043163024 |
| Mailing Fax Number | 9803022110 |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2019-04-05 |
| Authorized Official Name | GEOFFREY K GARDNER (VP FINANCE) |
| Authorized Official Telephone | 7043847840 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Novant Health Heart and Vascular Institute | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962048512 | Novant Medical Group, Inc | Family Medicine | 1400 Westgate Ctr Dr Ste 110, Winston Salem, NC 27103-3104 | 2019-11-19 |
| 1710444294 | Novant Medical Group, Inc | Orthopaedic Surgery | 167 Moore Rd Ste 202, King, NC 27021-8770 | 2019-02-21 |
| 1033698527 | Novant Medical Group, Inc | Internal Medicine | 8201 Healthcare Loop Ste 304, Charlotte, NC 28215 | 2018-08-07 |
| 1114411139 | Novant Medical Group, Inc | Internal Medicine | 8201 Healthcare Loop Ste 202, Charlotte, NC 28215-7072 | 2018-06-22 |
| 1649786575 | Novant Medical Group, Inc | Physical Therapist | 8045 Providence Rd Ste 100, Charlotte, NC 28277-8916 | 2017-12-14 |
| 1962953877 | Novant Medical Group, Inc | Internal Medicine | 9550 Rocky River Rd Ste 100, Charlotte, NC 28215 | 2016-10-17 |
| 1063963080 | Novant Medical Group, Inc | Urology | 1730 Kernersville Medical Pkwy Ste 303, Kernersville, NC 27284-7198 | 2016-10-14 |
| 1265807937 | Novant Medical Group, Inc | Orthopaedic Surgery | 1420 Us Highway 52, Suite B, Albemarle, NC 28001 | 2015-12-07 |
| 1881096907 | Novant Medical Group, Inc | Internal Medicine | 17810 Statesville Rd Ste 311, Cornelius, NC 28031-8149 | 2014-09-19 |
| 1548661606 | Novant Medical Group, Inc | Orthopaedic Surgery | 7138 Village Medical Circle, Clemmons, NC 27012 | 2014-09-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NOVANT MEDICAL GROUP, INC. | 200 Hawthorne Ln, Charlotte, NC 28204-2515 |
| Street Address |
8201 HEALTHCARE LOOP STE 201 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28215-7072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417046343 | Jennifer Lauren Dallas | Internal Medicine | 8201 Healthcare Loop Ste 201, Charlotte, NC 28215-7072 | 2006-10-11 |
| 1780145391 | Novant Medical Group, Inc. | Neurological Surgery | 8201 Healthcare Loop Ste 201, Charlotte, NC 28215-7072 | 2019-03-27 |
| 1538653555 | Novant Medical Group, Inc | Psychiatry & Neurology | 8201 Healthcare Loop Ste 201, Charlotte, NC 28215-7072 | 2018-06-22 |
| 1063906089 | Novant Medical Group, Inc | Internal Medicine | 8201 Healthcare Loop Ste 201, Charlotte, NC 28215-7072 | 2018-06-22 |
| 1225522246 | Novant Medical Group, Inc | Psychiatry & Neurology | 8201 Healthcare Loop Ste 201, Charlotte, NC 28215-7072 | 2018-06-22 |
| 1093228827 | Meghan Leigh Mcinnis | Nurse Practitioner | 8201 Healthcare Loop Ste 201, Charlotte, NC 28215-7072 | 2017-11-15 |
| 1265878680 | Kristina May Shaffer | Surgery | 8201 Healthcare Loop Ste 201, Charlotte, NC 28215-7072 | 2013-05-13 |
| 1821264169 | Lilian M. Harris | Specialist | 8201 Healthcare Loop Ste 201, Charlotte, NC 28215-7072 | 2008-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679111769 | Lawana Ussery Hill | Case Management | 1740 Misty Morn Drive, Charlotte, NC 28215 | 2019-12-19 |
| 1053961110 | Tonya Anita Brown | Behavior Technician | 10230 White Oak Rd, Charlotte, NC 28215 | 2019-09-19 |
| 1780242412 | Mikhail A Rybin | Registered Nurse | 7502 Malden Park Drive, Charlotte, NC 28215 | 2019-05-29 |
| 1033698527 | Novant Medical Group, Inc | Internal Medicine | 8201 Healthcare Loop Ste 304, Charlotte, NC 28215 | 2018-08-07 |
| 1538646088 | Andrew Simpson | Pharmacist | 3805 Rocky River Rd, Charlotte, NC 28215 | 2018-07-26 |
| 1154818425 | Korinne A Umlauft | Specialist/Technologist | 8618 Terra Cotta Dr, Charlotte, NC 28215 | 2018-04-22 |
| 1477058196 | Harmony Health Pllc | Community/Behavioral Health | 8633 Pine Circle, Charlotte, NC 28215 | 2018-03-26 |
| 1639671357 | Total Renal Care of North Carolina LLC | Clinic/Center | 9562 Rocky River Rd, Charlotte, NC 28215 | 2018-03-08 |
| 1588166060 | Allcare Medical Center,pllc | Internal Medicine | 7401 The Plaza, Charlotte, NC 28215 | 2018-03-01 |
| 1851891774 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 3211 Bishops Way Lane, Charlotte, NC 28215 | 2018-02-16 |
| Find all providers in zip 28215 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1700385846 | The Presbyterian Hospital | Internal Medicine | 1918 Randolph Rd Ste 820, Charlotte, NC 28207-1119 | 2018-02-05 |
| 1982069928 | Four Jewels Healthways | Internal Medicine | 320 Lillington Ave Ste 201, Charlotte, NC 28204-3189 | 2015-12-17 |
| 1578706685 | Sandy Charles | Internal Medicine | 6324 Fairview Rd Ste 400, Charlotte, NC 28210-4278 | 2009-04-20 |
| 1083652705 | Dominique Falewee | Internal Medicine | 1900 Brunswick Ave, Charlotte, NC 28207-1822 | 2006-06-03 |
| 1295772903 | Mecklenburg Heart Specialists, P.a. | Internal Medicine | 2711 Randolph Road, Suite 305, Charlotte, NC 28207-2027 | 2006-06-01 |
| 1043266943 | Aamer A Qureshi | Internal Medicine | 2711 Randolph Rd Ste 305, Charlotte, NC 28207-2027 | 2006-05-25 |
| 1205820289 | William S Roberts | Internal Medicine | 125 Baldwin Ave, Suite 200, Charlotte, NC 28204-3364 | 2005-09-07 |
| 1841298239 | Kevin Hsu | Internal Medicine | 1718 E 4th St, Ste 501, Charlotte, NC 28204-3260 | 2005-07-11 |
| 1699771790 | Markus Scherer | Internal Medicine | 1001 Blythe Blvd, Ste 300- Adult Cardiology, Charlotte, NC 28203-5866 | 2005-06-23 |
| 1982600201 | David Beard | Internal Medicine | 1718 E 4th St Ste 501, Charlotte, NC 28204-3197 | 2005-06-22 |
| 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.