| Altopiano Medical Pllc | |
|
647 Old Hoover Rd Thomasville NC 27360-7452 | |
| (336) 391-4382 | |
| (336) 900-1426 |
| Full Name | Altopiano Medical Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 647 Old Hoover Rd, Thomasville, North Carolina |
| Authorized Official Name and Position | Theresa Ciardi Sheehan (OWNER) |
| Authorized Official Contact | 3363914382 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Altopiano Medical Pllc 647 Old Hoover Rd Thomasville NC 27360-7452 Ph: (336) 391-4382 | Altopiano Medical Pllc 647 Old Hoover Rd Thomasville NC 27360-7452 Ph: (336) 391-4382 |
| NPI Number | 1942997960 |
|---|---|
| Provider Enumeration Date | 04/19/2023 |
| Last Update Date | 04/19/2023 |
| Medicare PECOS PAC ID | 2062876360 |
|---|---|
| Medicare Enrollment ID | O20230919002396 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942997960 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Theresa G Sheehan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265504179 PECOS PAC ID: 0345297149 Enrollment ID: I20200123001820 |
| Provider Name | Afsheen Masood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548666373 PECOS PAC ID: 1658658984 Enrollment ID: I20210217002975 |
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