DR. JOHN ELLIOT BOURGEOIS (NPI# 1942258991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942258991 |
| Entity Type | Individual |
| Full Name | DR. JOHN ELLIOT BOURGEOIS |
| Credential | MD |
| Practice Address |
6035 Fairview Rd Charlotte NC 28210-3256 |
| Practice Telephone | 7042953000 |
| Practice Fax Number | 7042953121 |
| Mailing Telephone | 7042953000 |
| Mailing Fax Number | 7042953121 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2015-10-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 25883 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | UNITED HEALTHCARE | 0841480 | 01 |
| NC | WELLNESS | 100706 | 01 |
| NC | COVENTRY | 141004 | 01 |
| NC | CIGNA PRIMEVISION | 1533931002 | 01 |
| NC | MEDCOST | 21170 | 01 |
| SC | CHCCARES OF SC | 80783 | 01 |
| NC | 8917059 | 05 | |
| SC | WELLCARE | 777013 | 01 |
| NC | CIGNA | 1533931002 | 01 |
| NC | BCBS | 17059 | 01 |
| SC | SELECT HEALTH OF SC/FIRST CHOICE | 20094032 | 01 |
| RAILROAD MEDICARE | 180019848 | 01 | |
| NC | PARTNERS | 6872 | 01 |
| SC | UNISON HEALTH PLAN OF SC | 000000282479 | 01 |
| NC | AETNA | 4068491 | 01 |
| SC | N25883 | 05 | |
| NC | KANAWHA | 10482 | 01 |
| NC | WELLPATH | 11125 | 01 |
| NC | BCBS MEDPOINT | 10610 | 01 |
| NC | DOCTORS HEALTH PLAN | 1963 | 01 |
| NC | MAMSI | 376565 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245424712 | John Armas Bourgeois | Ophthalmology | 24313 Orchard Park Dr, Gulfport, MS 39503 | 2007-08-28 |
| 1902814247 | John J Bourgeois | Chiropractor | 134 Garner Rd, Suite D, Spartanburg, SC 29303-3132 | 2006-08-03 |
| Street Address |
6035 FAIRVIEW RD |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28210-3256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437154093 | Jennifer Marie Hull | Physician Assistant | 6035 Fairview Rd, Charlotte, NC 28210-3256 | 2005-06-20 |
| 1134747637 | Jeremy Clinton Schwartz | Audiologist | 6035 Fairview Rd, Charlotte, NC 28210-3256 | 2020-07-10 |
| 1316564701 | Jessica Dawn Noblitt | Audiologist | 6035 Fairview Rd, Charlotte, NC 28210-3256 | 2020-07-01 |
| 1699392381 | Tyler Patrick Ellis | Audiologist | 6035 Fairview Rd, Charlotte, NC 28210-3256 | 2020-06-29 |
| 1124645916 | Allison M Loehrke | Audiologist | 6035 Fairview Rd, Charlotte, NC 28210-3256 | 2020-06-29 |
| 1710440086 | Greer Mckenzie Bailey | Audiologist | 6035 Fairview Rd, Charlotte, NC 28210-3256 | 2019-04-12 |
| 1801359336 | Alexander Luck | Audiologist | 6035 Fairview Rd, Charlotte, NC 28210-3256 | 2019-04-11 |
| 1437612959 | Kyndal Gray | Audiologist | 6035 Fairview Rd, Charlotte, NC 28210-3256 | 2019-04-11 |
| 1386118354 | Meredyth Blair Hall | Nurse Practitioner | 6035 Fairview Rd, Charlotte, NC 28210-3256 | 2019-01-14 |
| 1518451798 | Shelby Swafford | Audiologist | 6035 Fairview Rd, Charlotte, NC 28210-3256 | 2018-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952920860 | Rx Care 14 LLC | Pharmacy | 7701 Sharon Lakes Road, Suite H, Charlotte, NC 28210 | 2020-04-10 |
| 1427697622 | David Durant Dinsmore | Nurse Anesthetist, Certified Registered | Atrium Health Pineville, 10628 Park Road, Charlotte, NC 28210 | 2020-01-06 |
| 1790256964 | Tele Phys Inc | Internal Medicine | 10035 Park Center Dr., Ste 100, Charlotte, NC 28210 | 2018-12-16 |
| 1104395896 | Bridgett Williams | Behavior Technician | 7806 Andover Woods Drive, Charlotte, NC 28210 | 2018-11-26 |
| 1053880518 | Low-t Physicians Professional Association | Internal Medicine | 10430 Park Road Suite 100a, Charlotte, NC 28210 | 2018-11-14 |
| 1053895102 | Carolinas Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 7701 Sharon Lakes Blvd, Ste A., Charlotte, NC 28210 | 2018-09-24 |
| 1679066658 | Afc Urgent Care and Family Care of Wnc, Pllc | Clinic/Center | 10102 Johnston Rd, Charlotte, NC 28210 | 2018-06-13 |
| 1346777018 | Hopeway Foundation | Clinic/Center | 1717 Sharon Road West, Charlotte, NC 28210 | 2017-05-12 |
| 1891154688 | Jessie Lee Ogienko | Social Worker | 5960 Fairview Rd Ste 328, Charlotte, NC 28210 | 2016-02-22 |
| 1699151985 | Carolina Complete Psychiatry, Pllc | Physician Assistant | 5950 Fairview Road, Suite 708, Charlotte, NC 28210 | 2015-08-10 |
| Find all providers in zip 28210 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114572534 | Charlotte Eye Ear Nose & Throat Associates, Pa | Ophthalmology | 400 E Stonewall St Unit F, Charlotte, NC 28202-3601 | 2019-08-02 |
| 1518351493 | Lee Angelo Wiley | Ophthalmology | 10512 Park Rd Ste 200, Charlotte, NC 28210-8476 | 2015-03-27 |
| 1710271507 | Charlotte Eye Ear Nose & Throat Associates, Pa | Ophthalmology | 2614 E 7th St, Charlotte, NC 28204-4375 | 2011-06-09 |
| 1760633812 | Pedro Cervantes Fanning | Ophthalmology | 13532 Steelecroft Parkway, Charlotte, NC 28278-7545 | 2008-10-07 |
| 1548290562 | Reza Michael Mozayeni | Ophthalmology | 3025 Springbank Lane, Ste 200, Charlotte, NC 28226-3362 | 2006-07-04 |
| 1821026980 | Thomas K Mundorf | Ophthalmology | 1718 E. Fourth St., Ste 703, Charlotte, NC 28204 | 2006-06-29 |
| 1720027543 | Cleve Wilson Howard | Ophthalmology | 7530 Whistlestop Rd, Charlotte, NC 28210-6914 | 2006-06-06 |
| 1669428975 | Galen Grayson | Ophthalmology | 817 E Morehead St, Ste 200, Charlotte, NC 28202-2700 | 2006-05-26 |
| 1013963719 | Genesis Eye Center | Ophthalmology | 817 East Morehead Street, Suite 200, Charlotte, NC 28202-2767 | 2006-05-25 |
| 1851354724 | Wesley Dobbs Clement Sr. | Ophthalmology | 230 E Wt Harris Blvd, Suite C-13, Charlotte, NC 28262-3492 | 2006-04-10 |
| 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.