Carissa L Heibel (NPI# 1689836306, PAC ID# 3779658919) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1689836306 |
| PAC ID by PECOS | 3779658919 |
| Professional Enrollment ID | I20140910001484 |
| Full Name | Carissa L Heibel |
| Organization Legal Name | NOVANT MEDICAL GROUP INC |
| Address |
325 Hawthorne Ln Suite 200 Charlotte NC 28204-2433 |
| Phone Number | 7049732106 |
| Gender | F |
| Graduation Year | 2007 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1153234893 |
| Number of Group Practice Members | 1778 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340053 | NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 200 Hawthorne Ln, Charlotte, NC 28204-2515 | NOVANT MEDICAL GROUP INC | |
| 301 Hawthorne Ln, Suite 200, Charlotte, NC 28204-2467 | 7043165100 | NOVANT MEDICAL GROUP INC |
| 325 Hawthorne Ln, Suite 200, Charlotte, NC 28204-2433 | 7049732106 | NOVANT MEDICAL GROUP INC |
| 2240 Remount Rd, Gastonia, NC 28054-4725 | CAROMONT MEDICAL GROUP INC | |
| 2525 Court Dr, Gastonia, NC 28054-2140 | 7048342000 | CAROMONT MEDICAL GROUP INC |
| Organization Legal Name | NOVANT MEDICAL GROUP INC |
| Physicians | 1795 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eugene Y Wang | Family Medicine | Novant Medical Group Inc | 2225 Freedom Dr, Charlotte, NC 28208-1000 |
| Cristina Saxon Hreso | Registered Dietitian Or Nutrition Professional | Novant Medical Group Inc | 14215 Ballantyne Corporate Pl, Suite 240, Charlotte, NC 28277-3875 |
| Jeffrey L Williams | Obstetrics/gynecology | Novant Medical Group Inc | 2909 Maplewood Ave, Winston Salem, NC 27103-4009 |
| Shannon M. Roche | Family Medicine | Novant Medical Group Inc | 8420 University Exec Park Dr, Suite 850, Charlotte, NC 28262-1308 |
| Laura Walker Justice | Registered Dietitian Or Nutrition Professional | Novant Medical Group Inc | 125 Baldwin Ave, Suite 200, Charlotte, NC 28204-3370 |
| Jennifer Susanne Harvey | Family Medicine | Novant Medical Group Inc | 1730 Kernersville Medical Pkwy, Suite 204, Kernersville, NC 27284-7198 |
| Zion Ko Lamm | Internal Medicine | Novant Medical Group Inc | 301 S College St, Suite 250, Charlotte, NC 28202-6035 |
| Ellen Greear | Nurse Practitioner | Novant Medical Group Inc | 200 Greenwich Rd, Charlotte, NC 28211-2316 |
| Allen J Shepard | Family Medicine | Novant Medical Group Inc | 14230 Hunters Rd, Huntersville, NC 28078-7335 |
| Charis Craig Bostian | Nurse Practitioner | Novant Medical Group Inc | 1965s Us 29 Hwy, China Grove, NC 28023-5684 |
| Street Address |
325 HAWTHORNE LN SUITE 200 |
| City | CHARLOTTE |
| State | NC |
| Zip | 28204-2433 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrea Hiatt | Registered Dietitian Or Nutrition Professional | Novant Medical Group Inc | 325 Hawthorne Ln, Suite 200, Charlotte, NC 28204-2433 |
| Laura Nicole Jansen | Physician Assistant | Novant Medical Group Inc | 325 Hawthorne Ln, Suite 200, Charlotte, NC 28204-2433 |
| Erik Rush | Physician Assistant | Novant Medical Group Inc | 325 Hawthorne Ln, Suite 200, Charlotte, NC 28204-2433 |
| Andrew J Zerkle | Obstetrics/gynecology | Novant Medical Group Inc | 325 Hawthorne Ln, Suite 200, Charlotte, NC 28204-2433 |
| Lisa Susan Ehrlich | Nurse Practitioner | Novant Medical Group Inc | 325 Hawthorne Ln, Suite 200, Charlotte, NC 28204-2433 |
| Kelly Homesley | Registered Dietitian Or Nutrition Professional | Novant Medical Group Inc | 325 Hawthorne Ln, Suite 200, Charlotte, NC 28204-2433 |
| 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 Carissa L Heibel.
| 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.