CHARLOTTE GASTROENTEROLOGY & HEPATOLOGY, PLLC (NPI# 1730100801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730100801 |
| Entity Type | Organization |
| Organization Name | CHARLOTTE GASTROENTEROLOGY & HEPATOLOGY, PLLC |
| Practice Address |
2015 Randolph Rd Suite 208 Charlotte NC 28207-1128 |
| Practice Telephone | 7043774009 |
| Practice Fax Number | 7048151655 |
| Mailing Telephone | 7043774009 |
| Mailing Fax Number | 7048151655 |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2007-11-27 |
| Authorized Official Name | DR. JOHN STEPHEN HANSON (PRESIDENT) |
| Authorized Official Telephone | 7043774009 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619124401 | Charlotte Gastroenterology & Hepatology, Pllc | Clinic/Center | 15830 Ballantyne Medical Place, Suite 175, Charlotte, NC 28277-3295 | 2008-08-22 |
| 1851548655 | Charlotte Gastroenterology & Hepatology, Pllc | Clinic/Center | 2015 Randolph Rd, Suite 101, Charlotte, NC 28207-1128 | 2008-08-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CHARLOTTE GASTROENTEROLOGY & HEPATOLOGY, PLLC | 15830 John J Delany Dr Ste 175, Charlotte, NC 28277-3295 |
| Street Address |
2015 RANDOLPH RD SUITE 208 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28207-1128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962493239 | William Alfred Walker | Colon & Rectal Surgery | 2015 Randolph Rd, Suite 201, Charlotte, NC 28207-1200 | 2005-11-04 |
| 1508294687 | Jacquelyn Chandler Rupp | Dietitian, Registered | 2015 Randolph Rd, Suite 208, Charlotte, NC 28207-1128 | 2013-10-28 |
| 1356779169 | Charlotte Gastroenterology & Hepatology | Dietitian, Registered | 2015 Randolph Rd, Suite 208, Charlotte, NC 28207-1128 | 2013-10-15 |
| 1083959282 | Novant Medical Group, Inc | Surgery | 2015 Randolph Rd, Suite 201, Charlotte, NC 28207-1200 | 2012-11-29 |
| 1851548655 | Charlotte Gastroenterology & Hepatology, Pllc | Clinic/Center | 2015 Randolph Rd, Suite 101, Charlotte, NC 28207-1128 | 2008-08-22 |
| 1902934755 | Robert Stevens | Surgery | 2015 Randolph Rd, Suite 201, Charlotte, NC 28207-1128 | 2007-03-02 |
| 1073603486 | Jason A Wilson | Internal Medicine | 2015 Randolph Rd, Suite 208, Charlotte, NC 28207-1128 | 2006-10-14 |
| 1003854860 | Marcie Lynne Pickett | Nurse Practitioner | 2015 Randolph Rd, Ste 208, Charlotte, NC 28207-1200 | 2006-06-03 |
| 1285682443 | David G Scholz | Internal Medicine | 2015 Randolph Rd, Suite 208, Charlotte, NC 28207-1200 | 2006-05-04 |
| 1619925419 | John Gardiner R Roddey Jr. | Internal Medicine | 2015 Randolph Rd, Suite 208, Charlotte, NC 28207-1200 | 2006-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013560739 | Louis Roncaglione | Dentist | 8815 Christenbury Pkway, Concord, NC 28207 | 2019-07-22 |
| 1619430014 | Khrystyna Levytska | Student in an Organized Health Care Education/Training Program | Myers Park Clinic Ob/gyn, 1350 S. Kings Dr., Charlotte, NC 28207 | 2019-04-11 |
| 1649743584 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 1005 South Kings Drive, Charlotte, NC 28207 | 2019-01-03 |
| 1023584489 | Herron and Smith Associates, Pllc | Dentist | 135 Perrin Place, Suite 100, Charlotte, NC 28207 | 2018-10-23 |
| 1588161640 | Lauren Mogk | Student in an Organized Health Care Education/Training Program | Myers Park Clinical Internal Medicine, 1350 S. Kings Dr., 3rd Floor, Charlotte, NC 28207 | 2018-04-06 |
| 1518462241 | Sarah Hollyn Carlock | Student in an Organized Health Care Education/Training Program | Myers Park Clinic Internal Medicine, 1350 S Kings Dr, 3rd Floor, Charlotte, NC 28207 | 2018-03-26 |
| 1083118178 | Claire Milam | Student in an Organized Health Care Education/Training Program | Cmc/department of Emergency Medicine, 100 Blythe Blvd, Charlotte, NC 28207 | 2018-03-22 |
| 1811422256 | Complete Care At Dartmouth LLC | Skilled Nursing Facility | 300 Province Road, Charlotte, NC 28207 | 2017-04-24 |
| 1063945467 | Kaitlyn O'keefe | Internal Medicine | 1350 S. Kings Dr., 3rd Floor, Myers Park Clinic Internal Medicine, Charlotte, NC 28207 | 2017-04-04 |
| 1811432024 | Advanced Prosthetics of Easley, Inc | Durable Medical Equipment & Medical Supplies | 2310 Randolph Rd Ste A, Charlotte, NC 28207 | 2016-12-23 |
| Find all providers in zip 28207 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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 |
|---|---|---|---|---|
| 1356778567 | The Charlotte-mecklenburg Hospital Authority | Internal Medicine | 101 E W T Harris Blvd Bldg 3000, Ste 3301e, Charlotte, NC 28262-3485 | 2013-10-02 |
| 1528086980 | Ronnie Cyzner | Internal Medicine | 10370 Park Rd Ste 102, Charlotte, NC 28210-8509 | 2006-07-17 |
| 1326066705 | Fred Charles Fowler | Internal Medicine | 101 E Wt Harris Blvd Ste 3111, Charlotte, NC 28262-7002 | 2006-07-17 |
| 1124052444 | Carolina Digestive Health Associates, Pa | Internal Medicine | 300 Billingsley Road, Suite 200, Charlotte, NC 28211 | 2006-07-11 |
| 1275566283 | Preston Pemberton Purdum IIi | Internal Medicine | 300 Billingsley Rd Ste 200, Charlotte, NC 28211-1084 | 2006-07-10 |
| 1407814999 | Dennis D Kokenes | Internal Medicine | 15830 John J Delaney Dr, Suite 175, Charlotte, NC 28277-3294 | 2006-05-03 |
| 1881007540 | Nicolas Labarre | Internal Medicine | 1025 Morehead Medical Dr, Ste 300, Charlotte, NC 28204-2963 | 2014-06-10 |
| 1316365067 | Victoria Maldonado Rothwell | Internal Medicine | 300 Billingsley Rd Ste 200, Charlotte, NC 28211-1180 | 2014-03-31 |
| 1053671586 | Olanrewaju Yusuf Jimoh | Internal Medicine | 300 Billingsley Rd Ste 200, Charlotte, NC 28211 | 2012-05-17 |
| 1407144744 | David Olson | Internal Medicine | 10502 Park Rd, Ste 150, Charlotte, NC 28210-8479 | 2011-07-20 |
| 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.