Jessica Blumenthal (NPI# 1689652992, PAC ID# 7012065899) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1689652992 |
| PAC ID by PECOS | 7012065899 |
| Professional Enrollment ID | I20090505000285 |
| Full Name | Jessica Blumenthal |
| Organization Legal Name | NOVANT MEDICAL GROUP INC |
| Address |
1965s Us 29 Hwy China Grove NC 28023-5684 |
| Phone Number | 7048557611 |
| Gender | F |
| Medical School | UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE |
| Graduation Year | 1996 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 1153234893 |
| Number of Group Practice Members | 1778 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340015 | NOVANT HEALTH ROWAN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1965s Us 29 Hwy, China Grove, NC 28023-5684 | 7048557611 | NOVANT MEDICAL GROUP INC |
| 911 W Henderson St, Suite 300, Salisbury, NC 28144-2700 | 7046369270 | NOVANT 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 |
1965S US 29 HWY |
| City | CHINA GROVE |
| State | NC |
| Zip | 28023-5684 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charis Craig Bostian | Nurse Practitioner | Novant Medical Group Inc | 1965s Us 29 Hwy, China Grove, NC 28023-5684 |
| Holly A Stevens | Obstetrics/gynecology | Novant Medical Group Inc | 1965s Us 29 Hwy, China Grove, NC 28023-5684 |
| Michael D Stadler | Obstetrics/gynecology | Novant Medical Group Inc | 1965s Us 29 Hwy, China Grove, NC 28023-5684 |
| James Murphy | Obstetrics/gynecology | Novant Medical Group Inc | 1965s Us 29 Hwy, China Grove, NC 28023-5684 |
| Lindsey J Abrahamse | Nurse Practitioner | Novant Medical Group Inc | 1965s Us 29 Hwy, China Grove, NC 28023-5684 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kim P Purcell Reid | Physician Assistant | Main Street Family Practice of China Grove PC | 302 S Main St, China Grove, NC 28023-2471 |
| Alexander M Waite | Family Medicine | Cabarrus Rowan Community Health Centers, Inc. | 308 E Centerview St, China Grove, NC 28023-2553 |
| David L King | Optometry | 312 E Centerview St, King Eye Center, China Grove, NC 28023-2553 | |
| Christopher A Upchurch | Nurse Practitioner | Carolinas Physicians Network Inc | 2090 S Us 29 Hwy, China Grove, NC 28023-8650 |
| Mark David Robinson | Family Practice | Carolinas Physicians Network, Inc. | 2090 Hwy 29 S, China Grove, NC 28023-8650 |
| Robert Michael Levy | Family Medicine | Carolinas Physicians Network Inc | 2090 S Us 29 Hwy, China Grove, NC 28023-8650 |
| David M Cody | Family Medicine | Carolinas Physicians Network Inc | 2090 S Us 29 Hwy, China Grove, NC 28023-8650 |
| Lavanya Desai | Family Medicine | Carolinas Physicians Network Inc | 2090 S Us 29 Hwy, China Grove, NC 28023-8650 |
| City | CHINA GROVE |
| Zip Code | 28023 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | CHINA GROVE + OBSTETRICS/GYNECOLOGY |
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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.