Linda R Coverdale (NPI# 1063795995, PAC ID# 3476726902) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1063795995 |
| PAC ID by PECOS | 3476726902 |
| Professional Enrollment ID | I20111028000482 |
| Full Name | Linda R Coverdale |
| Organization Legal Name | SOUTHEAST RADIATION ONCOLOGY GROUP, P.A. |
| Address |
200 Hawthorne Ln Charlotte NC 28204-2515 |
| Phone Number | 7043337376 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1254233950 |
| Number of Group Practice Members | 37 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340053 | NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER |
| 340171 | NOVANT HEALTH MATTHEWS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 7043337376 | SOUTHEAST RADIATION ONCOLOGY GROUP, P.A. |
| 200 Queens Rd, Suite 400, Charlotte, NC 28204-3264 | 7043337376 | SOUTHEAST RADIATION ONCOLOGY GROUP, P.A. |
| Organization Legal Name | SOUTHEAST RADIATION ONCOLOGY GROUP, P.A. |
| Physicians | 38 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew Christopher Ward | Radiation Oncology | Southeast Radiation Oncology Group, P.a. | 200 Queens Rd, Suite 400, Charlotte, NC 28204-3264 |
| Gregory C Mitro | Radiation Oncology | Southeast Radiation Oncology Group, P.a. | 229 Mocksville Ave, Salisbury, NC 28144-3325 |
| Dean A Gant | Radiation Oncology | Southeast Radiation Oncology Group, P.a. | 600 Hospital Dr, Monroe, NC 28112-6000 |
| Amanda N Cromer | Nurse Practitioner | Southeast Radiation Oncology Group, P.a. | 200 Queens Rd, Suite 400, Charlotte, NC 28204-3264 |
| Courtney J Smith | Physician Assistant | Southeast Radiation Oncology Group, P.a. | 200 Hawthorne Ln, Charlotte, NC 28204-2515 |
| Gregory L Jones | Radiation Oncology | Southeast Radiation Oncology Group, P.a. | 200 Queens Rd, Suite 400, Charlotte, NC 28204-3264 |
| John Heinzerling | Radiation Oncology | Southeast Radiation Oncology Group, P.a. | 600 Hospital Dr, Monroe, NC 28112-6000 |
| Bradley T Mccall | Radiation Oncology | Southeast Radiation Oncology Group, P.a. | 229 Mocksville Ave, Salisbury, NC 28144-3325 |
| Jerome M Butler Jr. | Radiation Oncology | Southeast Radiation Oncology Group, P.a. | 200 Queens Rd, Suite 400, Charlotte, NC 28204-3264 |
| Lauren T Jones | Physician Assistant | Southeast Radiation Oncology Group, P.a. | 200 Queens Rd, Suite 400, Charlotte, NC 28204-3264 |
| Street Address |
200 HAWTHORNE LN |
| City | CHARLOTTE |
| State | NC |
| Zip | 28204-2515 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shelda Amilcka | Physician Assistant | Novant Medical Group Inc | 200 Hawthorne Ln, Charlotte, NC 28204-2515 |
| Curtis L Flood | Obstetrics/gynecology | Novant Medical Group Inc | 200 Hawthorne Ln, Charlotte, NC 28204-2515 |
| Freeman R Jackson Jr. | Anesthesiology | Providence Anesthesiology Associates Pa | 200 Hawthorne Ln, Charlotte, NC 28204-2515 |
| Stephen M Yeh | Emergency Medicine | Mid Atlantic Emergency Medical Associates Pllc | 200 Hawthorne Ln, Charlotte, NC 28204-2515 |
| Courtney Ann Castoro | Anesthesiology | Providence Anesthesiology Associates Pa | 200 Hawthorne Ln, Charlotte, NC 28204-2515 |
| Bridgette A Cooke | Physician Assistant | Novant Medical Group Inc | 200 Hawthorne Ln, Charlotte, NC 28204-2515 |
| Sarah M Wells | Physician Assistant | The Presbyterian Hospital | 200 Hawthorne Ln, Charlotte, NC 28204-2515 |
| Heather John H Montero | Family Medicine | Novant Medical Group Inc | 200 Hawthorne Ln, Charlotte, NC 28204-2515 |
| Melissa L Patel | Certified Registered Nurse Anesthetist (crna) | The Presbyterian Hospital | 200 Hawthorne Ln, Charlotte, NC 28204-2515 |
| Amanda Meade Derby | Certified Registered Nurse Anesthetist (crna) | The Presbyterian Hospital | 200 Hawthorne Ln, Charlotte, NC 28204-2515 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy Beth Ingebretson | Occupational Therapy | Metrolina Association for The Blind | 704 Louise Ave, Charlotte, NC 28204-2128 |
| Lauren Rose Hoffman | Optometry | Metrolina Association for The Blind | 704 Louise Ave, Charlotte, NC 28204-2128 |
| Lisa A Seropian | Clinical Psychologist | Lisa A. Seropian, Psy.d., P.a. | 1001 Elizabeth Ave, Suite 1b, Charlotte, NC 28204-2234 |
| Nedra G Tawwab | Clinical Social Worker | 904 E 8th St, Charlotte, NC 28204-2360 | |
| Lisa Folden | Physical Therapy | 904 E 8th St, Charlotte, NC 28204-2390 | |
| Laura H Frohboese | Clinical Social Worker | 360 N Caswell Rd, Charlotte, NC 28204-2404 | |
| Christen J Fisher | Emergency Medicine | Hospice and Palliative Care Charlotte Region | 1420 E 7th St, Charlotte, NC 28204-2408 |
| Janet U Crook | Family Practice | Hospice and Palliative Care Charlotte Region | 1420 E 7th St, Charlotte, NC 28204-2408 |
| Lesly A Bowers | Nurse Practitioner | Hospice and Palliative Care Charlotte Region | 1420 E 7th St, Charlotte, NC 28204-2408 |
| Catherine Kelley Carnes | Emergency Medicine | Hospice and Palliative Care Charlotte Region | 1420 E 7th St, Charlotte, NC 28204-2408 |
| Find all physicians in zip 28204 | |||
| City | CHARLOTTE |
| Zip Code | 28204 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | CHARLOTTE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Linda R Coverdale.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.