CHARLES T. UPCHURCH (NPI# 1831246636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831246636 |
| Entity Type | Individual |
| Full Name | CHARLES T. UPCHURCH |
| Credential | M.D. |
| Practice Address |
201 S College St Fl 12 Charlotte NC 28244 |
| Mailing Address |
5950 Fairview Rd Ste 330 Charlotte NC 28210-2108 |
| Practice Telephone | 7044893010 |
| Mailing Telephone | 7044956334 |
| Mailing Fax Number | 7048177219 |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2018-09-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
2012-01215 | NC | Allopathic & Osteopathic Physicians |
| N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
0101250247 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1831246636 | 05 | |
| NC | 5921192 | 05 | |
| SC | NC1651 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3030 Randolph Rd, Suite 200, Mmg Museum, Charlotte, NC 282111368 | 7043028200 | 7043028201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013400092 | Charles Luther Upchurch | Counselor | 121 E 2nd St, Beardstown, IL 62618-1263 | 2018-06-13 |
| Street Address |
201 S COLLEGE ST FL 12 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588698567 | Wanda Spolnicki Robinson | Internal Medicine | 201 S College St Fl 12, Charlotte, NC 28244 | 2006-07-10 |
| 1588113641 | Olivia Garcia | Nurse Practitioner | 201 S College St Fl 12, Charlotte, NC 28244-0002 | 2016-09-29 |
| 1518377860 | Jennifer Womack | Internal Medicine | 201 S College St Fl 12, Charlotte, NC 28244 | 2014-05-07 |
| 1093125585 | Claire Evans Wilder | Internal Medicine | 201 S College St Fl 12, Charlotte, NC 28244 | 2014-05-06 |
| 1073749156 | Meredith Faulkner | Internal Medicine | 201 S College St Fl 12, Charlotte, NC 28244 | 2009-06-03 |
| 1548436199 | Marianne Carim | Internal Medicine | 201 S College St Fl 12, Charlotte, NC 28244 | 2008-05-05 |
| 1245433291 | Andrew J Avery | Internal Medicine | 201 S College St Fl 12, Charlotte, NC 28244 | 2007-06-07 |
| 1093733404 | Anne Elizabeth Barnard | Internal Medicine | 201 S College St Fl 12, Charlotte, NC 28244 | 2006-07-17 |
| 1578581989 | Jeffrey Charles Constantine | Internal Medicine | 201 S College St Fl 12, Charlotte, NC 28244 | 2006-07-17 |
| 1518985811 | Caroline Case Pierce | Internal Medicine | 201 S College St Fl 12, Charlotte, NC 28244 | 2006-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316062342 | Mark Abraham Keith | Technician, Other | 4907 Boone Trail Road, Independence Unlimited, Duffield, VA 28244 | 2007-03-20 |
| 1295897692 | Kalons and Glidewell Dds Pa | Dentist | 201 S College St, Suite 1465, Charlotte, NC 28244-0002 | 2006-12-14 |
| 1912958901 | Johanna Shubert Kalons | Dentist | 201 S College St, Suite 1465, Charlotte, NC 28244-0002 | 2006-05-13 |
| 1285601625 | Kristina Simmons Glidewell | Dentist | 201 S College St, Suite 1465, Charlotte, NC 28244-0002 | 2006-03-03 |
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| 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 |
|---|---|---|---|---|
| 1114927399 | Mercy Rossana Bayot Moore | Internal Medicine | 1918 Randolph Rd Ste 220, Suite 220, Charlotte, NC 28207-1109 | 2005-07-28 |
| 1659376051 | Godwin Obinna Uzomba | Internal Medicine | 4456 Central Ave, Charlotte, NC 28205-5702 | 2005-06-14 |
| 1518405257 | Carolinas Physicians Network Inc | Internal Medicine | 4525 Cameron Valley Pkwy, Ste 4100, Charlotte, NC 28211-4369 | 2017-02-02 |
| 1467900977 | Novant Medical Group, Inc | Internal Medicine | 330 Billingsley Rd, Suite 101, Charlotte, NC 28211-5020 | 2016-09-13 |
| 1245627991 | Nicolas Mungo | Internal Medicine | 4525 Cameron Valley Pkwy, Charlotte, NC 28211-4369 | 2015-04-21 |
| 1487081063 | The Charlotte-mecklenburg Hospital Authority | Internal Medicine | 101 E W T Harris Blvd, Bldg 3000 Suite 3301f, Charlotte, NC 28262-3485 | 2013-09-27 |
| 1053754341 | Carolinas Medical Center-northeast | Internal Medicine | 101 E Wt Harris Blvd, Bldg 3000, Suite 3301-f, Charlotte, NC 28262-7000 | 2013-04-17 |
| 1760724983 | Adva Tal Eisenberg | Internal Medicine | 1918 Randolph Rd Ste 220, Charlotte, NC 28207-1109 | 2013-03-26 |
| 1396007704 | Victoria Rollins | Internal Medicine | 4525 Cameron Valley Pkwy, Ste 4100, Charlotte, NC 28211-4369 | 2012-06-12 |
| 1992078901 | Francisco E Bautista Vitiello | Internal Medicine | 6060 Piedmont Row Dr S Fl 6, Charlotte, NC 28287-3884 | 2012-02-22 |
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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.