Jonathan Anslow (NPI# 1447334420, PAC ID# 6406959832) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1447334420 |
| PAC ID by PECOS | 6406959832 |
| Professional Enrollment ID | I20070305000779 |
| Full Name | Jonathan Anslow |
| Organization Legal Name | SOUTHEASTPSYCH BALLANTYNE PLLC |
| Address |
15720 Brixham Hill Ave Suite 150 Charlotte NC 28277-4785 |
| Phone Number | 7049704791 |
| Gender | M |
| Medical School | GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Group Practice PAC ID | 2264708460 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 15720 Brixham Hill Ave, Suite 150, Charlotte, NC 28277-4785 | 7049704791 | SOUTHEASTPSYCH BALLANTYNE PLLC |
| Organization Legal Name | SOUTHEASTPSYCH BALLANTYNE PLLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan A Connell | Psychologist, Clinical | Southeastpsych Ballantyne Pllc | 15720 Brixham Hill Ave, Suite 150, Charlotte, NC 28277-4785 |
| Patricia W Vivian | Psychologist, Clinical | Southeastpsych Ballantyne Pllc | 15720 Brixham Hill Ave, Suite 150, Charlotte, NC 28277-4785 |
| Jonathan B Feather | Psychologist, Clinical | Southeastpsych Ballantyne Pllc | 15720 Brixham Hill Ave, Suite 150, Charlotte, NC 28277-4785 |
| Street Address |
15720 BRIXHAM HILL AVE SUITE 150 |
| City | CHARLOTTE |
| State | NC |
| Zip | 28277-4785 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan A Connell | Psychologist, Clinical | Southeastpsych Ballantyne Pllc | 15720 Brixham Hill Ave, Suite 150, Charlotte, NC 28277-4785 |
| Patricia W Vivian | Psychologist, Clinical | Southeastpsych Ballantyne Pllc | 15720 Brixham Hill Ave, Suite 150, Charlotte, NC 28277-4785 |
| Jonathan B Feather | Psychologist, Clinical | Southeastpsych Ballantyne Pllc | 15720 Brixham Hill Ave, Suite 150, Charlotte, NC 28277-4785 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica B Bell | Nurse Practitioner | Novant Medical Group Inc | 14215 Ballantyne Corp Pl, Suite 230, Charlotte, NC 28277 |
| Mary M Cummins | Physician Assistant | Dermatology Care of Charlotte Pa | 15830 Ballantyne Med Pl, Suite 100, Charlotte, NC 28277 |
| James L Seward | Dermatology | Dermatology Care of Charlotte Pa | 15830 Ballantyne Med Pl, Suite 100, Charlotte, NC 28277 |
| Keri Anne Squittieri | Physician Assistant | Dermatology Care of Charlotte Pa | 15830 Ballantyne Med Pl, Suite 100, Charlotte, NC 28277 |
| Elizabeth G Grattan | Dermatology | Dermatology Care of Charlotte Pa | 15830 Ballantyne Med Pl, Suite 100, Charlotte, NC 28277 |
| Jocelyn E Larocque | Dermatology | Dermatology Care of Charlotte Pa | 15830 Ballantyne Med Pl, Suite 100, Charlotte, NC 28277 |
| Lisa Michelle Matuga | Physician Assistant | Dermatology Care of Charlotte Pa | 15830 Ballantyne Med Pl, Suite 100, Charlotte, NC 28277 |
| Lesslie A Marquez-durst | Physician Assistant | Dermatology Care of Charlotte Pa | 15830 Ballantyne Med Pl, Suite 100, Charlotte, NC 28277 |
| Tabitha L Alford | Nurse Practitioner | Life Line Community Healthcare | 11220 Elm Ln, Suite 202, Charlotte, NC 28277-0450 |
| James K Liu | Cardiovascular Disease (cardiology) | 11220 Elm Ln, Suite 200, Charlotte, NC 28277-0450 | |
| Find all physicians in zip 28277 | |||
| City | CHARLOTTE |
| Zip Code | 28277 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | CHARLOTTE + PSYCHOLOGIST, CLINICAL |
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| 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.