HEALTHSTAT ON-SITE CLINIC/TRUIST CHARLOTTE (NPI# 1972943447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972943447 |
| Entity Type | Organization |
| Organization Name | HEALTHSTAT ON-SITE CLINIC/TRUIST CHARLOTTE |
| Practice Address |
5130 Parkway Plaza Blvd Charlotte NC 28217-1964 |
| Mailing Address |
4651 Charlotte Park Dr Suite 300 Charlotte NC 28217-1956 |
| Practice Telephone | 7045296161 |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2020-02-06 |
| Authorized Official Name | WARREN HUTTON (COO) |
| Authorized Official Telephone | 7045296161 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
5130 PARKWAY PLAZA BLVD |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28217-1964 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962017798 | Kelby Rae Hurlocker | Specialist/Technologist | 500 Center Park Dr, Charlotte, NC 28217 | 2020-09-09 |
| 1356967749 | Optum Pharmacy 701, LLC | Pharmacy | 4015 Shopton Rd, Suite 600, Charlotte, NC 28217 | 2020-06-22 |
| 1598302937 | Brigit Boyce | Occupational Therapist | 8848 Red Oak Blvd, Ste Aa, Charlotte, NC 28217 | 2019-12-04 |
| 1275016933 | Zarah Pulfrey | Physician Assistant | Womack Medical Center, 2817 Riley Road, Fort Bragg, NC 28217 | 2018-09-10 |
| 1972085918 | Dynamic Health Medical Group Pllc | Pain Medicine | 4705 South Blvd, Charlotte, NC 28217 | 2018-09-06 |
| 1184102048 | Charday Caple | Counselor | 735 Echodale Dr, Charlotte, NC 28217 | 2018-08-02 |
| 1326532250 | Dupont Livery LLC | Non-emergency Medical Transport (VAN) | 4200 S Tryon St, Charlotte, NC 28217 | 2018-06-14 |
| 1891215232 | Lakesha Shamise Welch | Counselor | 5709 South Hampton R., Charlotte, NC 28217 | 2017-06-27 |
| 1245768282 | Allison Harris Lafone | Counselor | 515 Clanton Road, Charlotte, NC 28217 | 2017-06-02 |
| 1619416906 | Charlie Randolph Taylor Jr. | Counselor | 517 Clanton Road, Charlotte, NC 28217 | 2017-02-20 |
| Find all providers in zip 28217 | ||||
| Taxonomy Code | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568073161 | Healthstat Inc National Gypsum Charlotte | Preventive Medicine | 2001 Rexford Rd, Charlotte, NC 28211-3415 | 2020-08-17 |
| 1518578111 | Healthstat Inc Coca Cola Corporate | Preventive Medicine | 4115 Coca Cola Plz, Charlotte, NC 28211-3400 | 2020-08-17 |
| 1073124673 | Healthstat Inc Coca Cola Charlotte | Preventive Medicine | 4901 Chesapeake Dr, Charlotte, NC 28216-2905 | 2020-08-17 |
| 1164033767 | Healthstat Inc Ccbcc Charlotte Mini | Preventive Medicine | 801 Black Satchel Rd, Charlotte, NC 28216-3453 | 2020-08-17 |
| 1275173510 | Healthstat-truist | Preventive Medicine | 214 N Tryon St Ste 200, Charlotte, NC 28202-3027 | 2020-01-15 |
| 1720446370 | Healthstat Onsite Clinic Coca Cola Harris Blvd | Preventive Medicine | 5020 West Wt Harris Blvd, Charlotte, NC 28269 | 2016-02-10 |
| 1396189478 | Healthstat On-site Clinic/pgi Charlotte | Preventive Medicine | 9335 Harris Corners Pkwy, Suite 300, Charlotte, NC 28269-3818 | 2013-04-19 |
| 1851303168 | Carolinas Integrative Health | Preventive Medicine | 1408 East Blvd Ste B, Charlotte, NC 28203-5875 | 2006-08-13 |
| 1548279458 | Sushil K Mankani | Preventive Medicine | 13830 Balntyn Corp Pl, Suite 100, Charlotte, NC 28277-3803 | 2006-08-07 |
| 1235104365 | Keith James Baugh | Preventive Medicine | 9303 S Tryon St, Charlotte, NC 28273-3698 | 2006-02-22 |
| 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.