George Waterhouse (NPI# 1811052020, PAC ID# 7315928645) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1811052020 |
| PAC ID by PECOS | 7315928645 |
| Professional Enrollment ID | I20130829000585 |
| Full Name | George Waterhouse |
| Organization Legal Name | SURGICAL SPECIALISTS OF CHARLOTTE PA |
| Address |
101 E W T Harris Blvd Suite 5103 Charlotte NC 28262-3581 |
| Phone Number | 7045479196 |
| Gender | M |
| Medical School | UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE |
| Graduation Year | 1975 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 3779519285 |
| Number of Group Practice Members | 36 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340183 | NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER |
| 340053 | NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 101 E W T Harris Blvd, Suite 5103, Charlotte, NC 28262-3581 | 7045479196 | SURGICAL SPECIALISTS OF CHARLOTTE PA |
| Organization Legal Name | SURGICAL SPECIALISTS OF CHARLOTTE PA |
| Physicians | 40 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason S Burgess | General Surgery | Surgical Specialists of Charlotte Pa | 1918 Randolph Rd, Suite 130, Charlotte, NC 28207-1107 |
| Iyore Amy Otabor James | General Surgery | Surgical Specialists of Charlotte Pa | 1450 Matthews Township Pkwy, Suite 250, Matthews, NC 28105-5331 |
| Krista E Stark | Physician Assistant | Surgical Specialists of Charlotte Pa | 1918 Randolph Rd, Suite 130, Charlotte, NC 28207-1107 |
| Lee C Pederson | General Surgery | Surgical Specialists of Charlotte Pa | 1918 Randolph Rd, Suite 130, Charlotte, NC 28207-1107 |
| Steven David Thies | General Surgery | Surgical Specialists of Charlotte Pa | 1918 Randolph Rd, Suite 130, Charlotte, NC 28207-1107 |
| Shamly V Dhiman | General Surgery | Surgical Specialists of Charlotte Pa | 1721 Ebenezer Rd, Suite 175, Rock Hill, SC 29732-1188 |
| Lila Estelle Skropeta | Physician Assistant | Surgical Specialists of Charlotte Pa | 10030 Gilead Rd, Suite 245, Huntersville, NC 28078-7545 |
| Tammy Faw-severeide | Nurse Practitioner | Surgical Specialists of Charlotte Pa | 1918 Randolph Rd, Suite 130, Charlotte, NC 28207-1107 |
| Jennifer Samples Holl | General Surgery | Surgical Specialists of Charlotte Pa | 1450 Matthews Township Pkwy, Suite 250, Matthews, NC 28105-5331 |
| Leah Michelle Miles | Physician Assistant | Surgical Specialists of Charlotte Pa | 10030 Gilead Rd, Suite 245, Huntersville, NC 28078-7545 |
| Street Address |
101 E W T HARRIS BLVD SUITE 5103 |
| City | CHARLOTTE |
| State | NC |
| Zip | 28262-3581 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Celeste J Watts | Nurse Practitioner | Urology Specialists of The Carolinas Pllc | 101 E W T Harris Blvd, Suite 5201, Charlotte, NC 28262-3422 |
| Jennifer T Bhojwani | Obstetrics/gynecology | Eastover University Obstetrics and Gynecology Associates | 101 E W T Harris Blvd, Suite 5301, Charlotte, NC 28262-3437 |
| Nikhil Balakrishnan | Neurology | The Charlotte-mecklenburg Hospital Authority | 101 E W T Harris Blvd, Charlotte, NC 28262-3485 |
| Grant L Campbell | Obstetrics/gynecology | Eastover University Obstetrics and Gynecology Associates | 101 E W T Harris Blvd, Suite 5301, Charlotte, NC 28262-3437 |
| Michael H Finlon | Obstetrics/gynecology | Eastover University Obstetrics and Gynecology Associates | 101 E W T Harris Blvd, Suite 5301, Charlotte, NC 28262-3437 |
| Nicole Kuhn | Obstetrics/gynecology | Eastover University Obstetrics and Gynecology Associates | 101 E W T Harris Blvd, Suite 5301, Charlotte, NC 28262-3437 |
| Susan M Flynn | Nurse Practitioner | Eastover University Obstetrics and Gynecology Associates | 101 E W T Harris Blvd, Suite 5301, Charlotte, NC 28262-3437 |
| Mariette Pontes | Emergency Medicine | The Charlotte-mecklenburg Hospital Authority | 101 E W T Harris Blvd, Suite 5203, Charlotte, NC 28262-3443 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cheryl L Bennett | Psychologist, Clinical | 10926 David Taylor Dr, Suite 120, Charlotte, NC 28262-1042 | |
| Shannon M. Roche | Family Medicine | Novant Medical Group Inc | 8420 University Exec Park Dr, Suite 850, Charlotte, NC 28262-1308 |
| Adrienne C Evans | Internal Medicine | Novant Medical Group Inc | 8420 University Exec Park Dr, Suite 850, Charlotte, NC 28262-1308 |
| Ashwini Mhatre Punjabi | Internal Medicine | Novant Medical Group Inc | 8420 University Exec Park Dr, Suite 850, Charlotte, NC 28262-1308 |
| Andrew D Blodgett | Family Medicine | Novant Medical Group Inc | 8420 University Exec Park Dr, Suite 850, Charlotte, NC 28262-1308 |
| Leena Jemba Mitchell | Nurse Practitioner | Novant Medical Group Inc | 8420 University Exec Park Dr, Suite 850, Charlotte, NC 28262-1308 |
| Tamilarasi Kannan | Internal Medicine | Novant Medical Group Inc | 8420 University Exec Park Dr, Suite 850, Charlotte, NC 28262-1308 |
| Jenna Leigh Baker | Nurse Practitioner | Novant Medical Group Inc | 8420 University Exec Park Dr, Suite 850, Charlotte, NC 28262-1308 |
| James Dugas | Physical Therapy | Novant Medical Group Inc | 8420 University Exec Park Dr, Suite 850, Charlotte, NC 28262-1308 |
| Anthony D Elkins | Family Medicine | Novant Medical Group Inc | 8420 University Exec Park Dr, Suite 850, Charlotte, NC 28262-1308 |
| Find all physicians in zip 28262 | |||
| City | CHARLOTTE |
| Zip Code | 28262 |
| Specialty | GENERAL SURGERY |
| City + Specialty | CHARLOTTE + GENERAL SURGERY |
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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.