WAVECO LLC (NPI# 1760418917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760418917 |
| Entity Type | Organization |
| Organization Name | WAVECO LLC |
| Other Organization Name | CAROLINA CENTER FOR SPECIALTY SURGERY |
| Practice Address |
1822 Brunswick Ave Charlotte NC 28207-1820 |
| Practice Telephone | 7048314400 |
| Practice Fax Number | 7048314401 |
| Mailing Telephone | 7048314400 |
| Mailing Fax Number | 7048314401 |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2015-04-30 |
| Authorized Official Name | MRS. MARY S CLONINGER (MEMBER BOARD OF DIRECTORS) |
| Authorized Official Telephone | 7043761605 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
AS0058 | NC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1760418917 | 05 |
| Other Name | Type Code |
|---|---|
| Carolina Center for Specialty Surgery | Doing Business As Name - Organization |
| Street Address |
1822 BRUNSWICK AVE |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28207-1820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023323128 | Perioperative Services, LLC | Nurse Anesthetist, Certified Registered | 1822 Brunswick Ave, Charlotte, NC 28207-1820 | 2010-08-12 |
| 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 | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124594338 | Charlotte Surgery Center, LLC | Clinic/Center | 3621 Randolph Rd Ste 200, Charlotte, NC 28211-0027 | 2018-10-16 |
| 1770893497 | The Refine Institute | Clinic/Center | 7725 Ballantyne Commons Pkwy, Suite 101, Charlotte, NC 28277-2442 | 2010-10-15 |
| 1083751788 | Sameday Surgery Center | Clinic/Center | 1800 East Fourth Street, Charlotte, NC 28204-3536 | 2007-01-31 |
| 1700837028 | Presbyterian Regional Healthcare Corp | Clinic/Center | 1800 E 4th St, Charlotte, NC 28204-3210 | 2006-05-12 |
| 1144652330 | University Surgery Center LLC | Clinic/Center | 9848 N Tryon St, Suite 200, Charlotte, NC 28262-5512 | 2013-07-30 |
| 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 |
| 1215061049 | Presbyterian Sameday Surgery Center At Ballantyne LLC | Clinic/Center | 14215 Ballantyne Corporate Pl Ste 210, Charlotte, NC 28277-3873 | 2007-03-15 |
| 1437221660 | Endoscopy Center - University, LLC | Clinic/Center | 101 E Wt Harris Blvd, Suite 3215, Charlotte, NC 28262-3485 | 2006-11-14 |
| 1063584415 | Carolina Digestive Endoscopy Center | Clinic/Center | 300 Billingsley Road, Suite 200b, Charlotte, NC 28211-3092 | 2006-11-14 |
| 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.