DR. JOHN FANI SROUR (NPI# 1982633178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982633178 |
| Entity Type | Individual |
| Full Name | DR. JOHN FANI SROUR |
| Credential | M.D. |
| Practice Address |
10030 Gilead Rd Ste 201 Huntersville NC 28078 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 7048874530 |
| Practice Fax Number | 7048874531 |
| Mailing Telephone | 7048874530 |
| Mailing Fax Number | 7048874531 |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2020-10-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
2019-01351 | NC | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
13064 | NH | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
2019-01351 | NC | Allopathic & Osteopathic Physicians |
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
13064 | NH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | BCBS | 01Y010853NH02 | 01 |
| ME | 432327299 | 05 | |
| NH | FIRST HEALTH | 5761654 | 01 |
| NH | MVP | 396965 | 01 |
| NH | CIGNA | 1170828 | 01 |
| NH | AETNA | 7984888 | 01 |
| NH | HARVARD PILGRIM | AA73407 | 01 |
| NH | 30206253 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2064 Woodbury Ave, Newington, NH 038017801 | 6034316691 | 6034316794 |
| Street Address |
10030 GILEAD RD STE 201 |
| City | HUNTERSVILLE |
| State | NC |
| Zip Code | 28078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871580688 | Joseph L Trask | Internal Medicine | 10030 Gilead Rd Ste 201, Huntersville, NC 28078-7545 | 2005-10-06 |
| 1760635486 | Michael Cantor | Internal Medicine | 10030 Gilead Rd Ste 201, Huntersville, NC 28078 | 2008-10-25 |
| 1659325975 | Regina V Stefic | Physician Assistant | 10030 Gilead Rd Ste 201, Huntersville, NC 28078-7545 | 2006-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538787718 | John M. Bakarich, Dds, Pllc | Dentist | 15810 Northcross Drive, Suite A, Huntersville, NC 28078 | 2020-07-14 |
| 1316587082 | Blake Allen Klessig | Chiropractor | 8936 Northpointe Executive Park Dr, Suite 195, Huntersville, NC 28078 | 2020-01-10 |
| 1922644830 | Steven James Underwood | Physical Therapist | Aldersgate Ccrc, 3800 Shamrock Drive, Charlotte, NC 28078 | 2019-11-26 |
| 1851856306 | Jessica Runnion | Behavior Technician | 14625 Reese Blvd, Apartment 208, Huntersville, NC 28078 | 2019-02-08 |
| 1568935401 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 111 Commerce Centre Drive, Suite 305, Huntersville, NC 28078 | 2019-01-03 |
| 1932691763 | Shakira Grier | Massage Therapist | 15905 Brookway Drive, Ste 4202, Huntersville, NC 28078 | 2018-06-06 |
| 1457850596 | Chudney Drew | Counselor | 10224 Hickorywood Hill Ave Ste 201, Huntersville, NC 28078 | 2018-02-05 |
| 1215457122 | Amy Nicole Castongia | Counselor | 10511 Drake Hill Dr, Huntersville, NC 28078 | 2017-06-21 |
| 1457714057 | Robin D Disbro | Registered Nurse | 6216 Colonial Garden Drive, Huntersville, NC 28078 | 2016-03-31 |
| 1144695545 | Huntersville H&r Ops Limited Partnership | Skilled Nursing Facility | 13835 Boren Street, Huntersville, NC 28078 | 2015-12-10 |
| Find all providers in zip 28078 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760635486 | Michael Cantor | Internal Medicine | 10030 Gilead Rd Ste 201, Huntersville, NC 28078 | 2008-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497378855 | Champion Heart and Vascular Center, Oxford Pllc | Internal Medicine | 1614 Williamsboro Street, Oxford, NC 27565 | 2020-05-20 |
| 1508364886 | Cardiac Cin of Charlotte LLC | Internal Medicine | 15720 Brixham Hill Ave Ste 300c, Charlotte, NC 28277-4784 | 2018-01-31 |
| 1972001246 | Cardiac Cin of Raleigh LLC | Internal Medicine | 555 Fayetteville St Ste 201-279, Raleigh, NC 27601-3030 | 2018-01-31 |
| 1568973360 | Novant Medical Group Inc. | Internal Medicine | 1622 Highwoods Blvd Unit G105, Greensboro, NC 27410 | 2017-10-19 |
| 1174965826 | Valley Cardiology, Pa | Internal Medicine | 6562 Stone Mountain Farm Rd, Fayetteville, NC 28311-1183 | 2013-07-23 |
| 1477839108 | Caldwell Memorial Hospital, Inc | Internal Medicine | 401 Mulberry St Sw Ste 207, Lenoir, NC 28645-5463 | 2011-10-26 |
| 1700184108 | Richard Sean Stack | Internal Medicine | 1414 Raleigh Rd Ste 415, Chapel Hill, NC 27517-8834 | 2011-03-09 |
| 1114171634 | Novant Medical Group, Inc. | Internal Medicine | 125 Baldwin Avenue, Suite 200, Charlotte, NC 28204-3370 | 2008-11-11 |
| 1043433634 | Presbyterian Regional Healthcare Laboratory Services LLC | Internal Medicine | 1851 E 3rd St, Charlotte, NC 28204-3205 | 2007-04-11 |
| 1740395029 | Damian Brezinski | Internal Medicine | 1328 Lake Park Blvd N, Ste 103, Carolina Beach, NC 28428-3906 | 2006-08-20 |
| Find all providers with the same taxonomy | ||||
| City | HUNTERSVILLE |
| Zip Code | 28078 |
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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.