GRACE CRUZ PAMINTUAN (NPI# 1790837342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790837342 |
| Entity Type | Individual |
| Full Name | GRACE CRUZ PAMINTUAN |
| Credential | M.D. |
| Practice Address |
10616 Metromont Pkwy Suite 104 Charlotte NC 28269 |
| Practice Telephone | 7049216659 |
| Practice Fax Number | 7049216698 |
| Mailing Telephone | 7049216659 |
| Mailing Fax Number | 7049216698 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2014-03-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 9700121 | NC | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 891070P | 05 |
| Street Address |
10616 METROMONT PKWY SUITE 104 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28269 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710988670 | Vincent Francis Hillman | Family Medicine | 10616 Metromont Pkwy, Suite 104, Charlotte, NC 28269-7656 | 2005-08-02 |
| 1144779083 | U.S. Healthworks Medical Group of North Carolina, PC | Preventive Medicine | 10616 Metromont Pkwy, Suite 102, Charlotte, NC 28269-7656 | 2016-10-03 |
| 1164809679 | Caitlyn Kerins | Specialist/Technologist | 10616 Metromont Pkwy, 106, Charlotte, NC 28269-7656 | 2015-05-04 |
| 1790116457 | Ashton Hutchins | Specialist/Technologist | 10616 Metromont Pkwy, Charlotte, NC 28269-7656 | 2013-12-06 |
| 1699039180 | Craig Robert Campbell | Specialist/Technologist | 10616 Metromont Pkwy, Suite 102, Charlotte, NC 28269-7656 | 2012-06-28 |
| 1013289099 | Alicia Durante Clifford | Physical Therapy Assistant | 10616 Metromont Pkwy, Charlotte, NC 28269-7656 | 2012-02-06 |
| 1457674269 | Grace Family Care, PC | Clinic/Center | 10616 Metromont Pkwy, Suite 104, Charlotte, NC 28269-7657 | 2010-03-08 |
| 1366684771 | Charlotte Sports Medicine Institute, P.a. | Orthopaedic Surgery | 10616 Metromont Pkwy, Suite 106, Charlotte, NC 28269-7656 | 2009-03-31 |
| 1962655787 | Huntersville Family Practice, PC | Family Medicine | 10616 Metromont Pkwy, Suite 104, Charlotte, NC 28269-7656 | 2008-10-23 |
| 1417018474 | Leah Racz | Physical Therapist | 10616 Metromont Pkwy, Suite 102, Charlotte, NC 28269-7656 | 2006-12-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124664438 | Alluring Occupational Therapy Services, Pllc | Occupational Therapy Assistant | 3020-i Prosperity Church Rd, Ste 523, Charlotte, NC 28269 | 2019-11-21 |
| 1366085094 | Crystal R Currie | Counselor | 8824 Cliff Cameron Drive, Uint 107, Charlotte, NC 28269 | 2019-10-25 |
| 1477102879 | Apryl N. Davis | Occupational Therapy Assistant | 3020-i Prosperity Church Rd., Charlotte, NC 28269 | 2019-09-09 |
| 1730744202 | Christopher Paige | Driver | 9805 Statesville Rd., Suite 6198, Charlotte, NC 28269 | 2019-05-09 |
| 1619532892 | Krb Support Services | Prevention Professional | 11634 Oak Street, Charlotte, NC 28269 | 2019-05-03 |
| 1184186769 | Kimberly M Lynch | Local Education Agency (LEA) | 11634 Oat Street, Charlotte, NC 28269 | 2019-04-03 |
| 1356802318 | Arleen M Blythe | Physical Therapy Assistant | 1521 Bucklebury Ct, Charlotte, NC 28269 | 2019-03-30 |
| 1174089064 | Quality Behavioral Health Services, Pllc | Social Worker | 9805 Statesville Rd, # 6095, Charlotte, NC 28269 | 2019-02-15 |
| 1326517855 | Mary Frances Pickens-wilson | Behavior Technician | 4628 Quinton Lane, Charlotte, NC 28269 | 2018-11-14 |
| 1548746605 | Tiffany Michelle Graham | Counselor | 9823 Cooper Run Ln, Charlotte, NC 28269 | 2018-07-12 |
| Find all providers in zip 28269 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598252207 | Kim Dudley | Specialist | 9208 Ardrey Kell Rd Ste 14, Charlotte, NC 28277-0786 | 2018-04-18 |
| 1568828994 | Darla Lilleberg | Specialist | 428 E 4th St, Suite 333, Charlotte, NC 28202-2434 | 2016-01-14 |
| 1508222175 | Candy Sue Benish | Specialist | 3349 Chilham Pl, Charlotte, NC 28226-3000 | 2016-01-12 |
| 1245614874 | Joseph Franklin Cline | Specialist | 8133 Ardrey Kell Rd Ste 203, Charlotte, NC 28277-5723 | 2015-07-14 |
| 1689055147 | James Salfia | Specialist | 9608 Rainbow Forest Dr, Charlotte, NC 28277-8773 | 2015-06-10 |
| 1811384720 | Diabetes and Metabolism Care Group Pllc | Specialist | 10344 Park Rd, Charlotte, NC 28210-8470 | 2015-04-17 |
| 1730579657 | Queen Charlotte Hair Replacement Center | Specialist | 5729 Cedars East Ct Apt 6, Charlotte, NC 28212-0192 | 2015-01-30 |
| 1285046573 | Said Yousef | Specialist | 8706 Holly Creek Ct, Charlotte, NC 28216-2666 | 2014-05-21 |
| 1235564758 | Barbara Jo Halton-bailey | Specialist | 231 Old Bell Rd, Charlotte, NC 28270-2792 | 2013-09-04 |
| 1508206061 | Amalia Cisneros | Specialist | 5800 N Sharon Amity Rd Ste B, Charlotte, NC 28215-5081 | 2013-06-28 |
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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.