CAROMONT MEDICAL GROUP, INC. (NPI# 1982030466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982030466 |
| Entity Type | Organization |
| Organization Name | CAROMONT MEDICAL GROUP, INC. |
| Other Organization Name | CAROMONT DERMATOLOGY |
| Practice Address |
2391 Court Dr Suite 120c Gastonia NC 28054-2196 |
| Mailing Address |
Po Box 531797 Atlanta GA 30353-1797 |
| Practice Telephone | 7048740768 |
| Practice Fax Number | 7048740767 |
| Mailing Telephone | 7048740768 |
| Mailing Fax Number | 7048740767 |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2019-03-13 |
| Authorized Official Name | DAVID OCONNOR (CFO) |
| Authorized Official Telephone | 7048342049 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| CaroMont Dermatology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124682927 | Caromont Medical Group, Inc. | Family Medicine | 3326 Bessemer City Road, Bessemer City, NC 28016-8781 | 2019-04-26 |
| 1023511169 | Caromont Medical Group, Inc. | Family Medicine | 600 W Trade St Ste B, Dallas, NC 28034-1543 | 2018-03-15 |
| 1093063398 | Caromont Medical Group, Inc. | Surgery | 620 Summit Crossing Pl Ste 108b, Gastonia, NC 28054-2189 | 2012-08-17 |
| 1053616714 | Caromont Medical Group, Inc. | Family Medicine | 3605 Mount Holly Huntersville Rd, Suite B, Charlotte, NC 28216-8652 | 2011-01-11 |
| 1932380953 | Caromont Medical Group, Inc. | Internal Medicine | 2240 Remount Rd Ste 100, Gastonia, NC 28054-4725 | 2007-11-19 |
| 1952936767 | Caromont Medical Group, Inc. | Family Medicine | 1223 Spruce St, Belmont, NC 28012-3371 | 2020-03-12 |
| 1114420254 | Caromont Medical Group, Inc. | Family Medicine | 600 W Trade St Ste A, Dallas, NC 28034-1543 | 2018-03-15 |
| 1679074181 | Caromont Medical Group, Inc. | Internal Medicine | 2711 X Ray Dr Ste 3701, Gastonia, NC 28054-7491 | 2018-02-21 |
| 1265722318 | Caromont Medical Group, Inc. | Family Medicine | 1220 Spruce St, Belmont, NC 28012-3370 | 2011-04-11 |
| 1720377625 | Caromont Medical Group, Inc. | Surgery | 2391 Court Dr, Suite 120b, Gastonia, NC 28054-2196 | 2011-03-31 |
| Street Address |
2391 COURT DR SUITE 120C |
| City | GASTONIA |
| State | NC |
| Zip Code | 28054-2196 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982696522 | Walter Harry Caulfield IIi | Surgery | 2391 Court Dr, Suite 120, Gastonia, NC 28054-2196 | 2005-08-19 |
| 1144658246 | Advanced Home Care Inc | Durable Medical Equipment & Medical Supplies | 2391 Court Dr, Ste 105, Gastonia, NC 28054-2196 | 2013-10-29 |
| 1922398080 | Caromont Medical Group Inc | Surgery | 2391 Court Dr, Suite 120a, Gastonia, NC 28054-2196 | 2011-04-11 |
| 1720377625 | Caromont Medical Group, Inc. | Surgery | 2391 Court Dr, Suite 120b, Gastonia, NC 28054-2196 | 2011-03-31 |
| 1548571672 | Cpsc Cmg LLC | Plastic Surgery | 2391 Court Dr, Ste 120, Gastonia, NC 28054-2196 | 2010-06-23 |
| 1972814010 | Hcoc Cmg LLC | Orthopaedic Surgery | 2391 Court Dr, Suite 120, Gastonia, NC 28054-2196 | 2010-06-23 |
| 1528221272 | Ashley M Walker | Dermatology | 2391 Court Dr, Suite 120c, Gastonia, NC 28054-2196 | 2008-07-02 |
| 1376674028 | Jaime Villarreal | Internal Medicine | 2391 Court Dr, Ste 110, Gastonia, NC 28054 | 2007-03-07 |
| 1184797219 | Parag Madhav Phadke | Orthopaedic Surgery | 2391 Court Dr, Suite 120, Gastonia, NC 28054-2196 | 2006-11-16 |
| 1134138142 | Adoration Home Health Care Virginia LLC | Home Health | 2391 Court Dr, Suite 105, Gastonia, NC 28054-2196 | 2006-08-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225671423 | Michaela Karsyn Morris | Behavioral Analyst | 2875 Court Dr. B, Gastonia, NC 28054 | 2019-10-21 |
| 1982263810 | Brenda Sue Fox | Occupational Therapist | Brian Center, 969 Cox Rd, Gastonia, NC 28054 | 2019-06-13 |
| 1174096911 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 469 Hospital Drive, Suite B1, Gastonia, NC 28054 | 2019-01-04 |
| 1255801817 | Jarae Mcswain | Counselor | 1558 Union Road, Ste F, Gastonia, NC 28054 | 2018-11-27 |
| 1427549807 | Alterman & Dhillon Charlotte Metro, Pplc | Dentist | 2205 E. Franklin Blvd, Ste 110, Gastonia, NC 28054 | 2018-05-22 |
| 1871083147 | Terrence Lamont Campbell | Dentist | 2641 Court Dr Ste A, Gastonia, NC 28054 | 2018-05-13 |
| 1861995367 | Jefferson and Jefferson LLC. | Respite Care | 945 East 6 Ave, Gastonia, NC 28054 | 2018-03-12 |
| 1790154912 | Tyler Adcock | Pharmacist | 2324 South New Hope Rd, Gastonia, NC 28054 | 2015-09-17 |
| 1922481894 | Alesha Nicole Logan | Nurse Practitioner | 1895 Hoffman Rd Ste A, Gastonia, NC 28054 | 2015-07-09 |
| 1457732596 | Buffie Baker Eller | Counselor | 2005 Flint Lane, Gastonia, NC 28054 | 2015-06-15 |
| Find all providers in zip 28054 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801832837 | Piedmont Plastic Surgery & Dermatology Pa | Dermatology | 1072 X Ray Dr Ste B, Gastonia, NC 28054-7488 | 2006-06-20 |
| 1710961263 | Gaston Dermatology Clinic P.a. | Dermatology | 1072 X Ray Dr, Suite A, Gastonia, NC 28054-7488 | 2005-11-29 |
| 1184003006 | Parteek Singla | Dermatology | 959 Cox Rd, Gastonia, NC 28054-3420 | 2015-05-26 |
| 1760611438 | Joshua Graham Porter | Dermatology | 959 Cox Rd, Gastonia, NC 28054-3420 | 2009-07-02 |
| 1215180245 | North Carolina Dermatology & Laser Clinic, Pllc | Dermatology | 640 Summit Crossing Pl, Suite 204, Gastonia, NC 28054-2138 | 2008-11-04 |
| 1528221272 | Ashley M Walker | Dermatology | 2391 Court Dr, Suite 120c, Gastonia, NC 28054-2196 | 2008-07-02 |
| 1508028093 | Jaime J Vanourny | Dermatology | 959 Cox Rd, Gastonia, NC 28054-3420 | 2008-06-26 |
| 1578777017 | Kristen B Higgins | Dermatology | 959 Cox Rd, Gastonia, NC 28054-3420 | 2007-05-10 |
| 1093828378 | Roberta J Hawk | Dermatology | 649 N New Hope Rd, Gastonia, NC 28054-7424 | 2006-08-17 |
| 1851404859 | William Leo Fangman | Dermatology | 959 Cox Rd, Gastonia, NC 28054-3420 | 2006-08-16 |
| Find all providers in GASTONIA | ||||
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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.