| Catawba Valley Family Care - Catawba | |
|
200 Rosenwald School St Sw Catawba NC 28609-8896 | |
| (828) 241-2377 | |
| (828) 241-2678 |
| Full Name | Catawba Valley Family Care - Catawba |
|---|---|
| Speciality | Family Medicine |
| Location | 200 Rosenwald School St Sw, Catawba, North Carolina |
| Authorized Official Name and Position | David J Boone (SR VP OF FINANCE/CFO) |
| Authorized Official Contact | 8283263809 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Catawba Valley Family Care - Catawba 200 Rosenwald School St Sw Catawba NC 28609-8896 Ph: (828) 241-2377 | Catawba Valley Family Care - Catawba 200 Rosenwald School St Sw Catawba NC 28609-8896 Ph: (828) 241-2377 |
| NPI Number | 1790062362 |
|---|---|
| Provider Enumeration Date | 11/10/2011 |
| Last Update Date | 07/09/2013 |
| Medicare PECOS PAC ID | 6305007279 |
|---|---|
| Medicare Enrollment ID | O20120420000030 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790062362 | NPI | - | NPPES |
| 026CP | Other | NC | NC BCBS |
| 1790062362 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Reginald Graham Moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043272339 PECOS PAC ID: 9739072422 Enrollment ID: I20040205001055 |
| Provider Name | Steven L Sanderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508881681 PECOS PAC ID: 7911958574 Enrollment ID: I20050201000901 |
| Provider Name | Shane O Summers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497751671 PECOS PAC ID: 5294789699 Enrollment ID: I20050309000221 |
| Provider Name | Andrew L Chesson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871519066 PECOS PAC ID: 4688605157 Enrollment ID: I20050824000604 |
| Provider Name | Brian G Kauth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780797803 PECOS PAC ID: 8527099472 Enrollment ID: I20050830000818 |
| Provider Name | Brian Steg |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821050782 PECOS PAC ID: 6709819220 Enrollment ID: I20060321000124 |
| Provider Name | Thomas F Laney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891753687 PECOS PAC ID: 9032129531 Enrollment ID: I20060427000734 |
| Provider Name | Paul W Sykes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598782922 PECOS PAC ID: 2466463161 Enrollment ID: I20060509000790 |
| Provider Name | Francis Le |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1134236508 PECOS PAC ID: 3476596925 Enrollment ID: I20061213000578 |
| Provider Name | Seth E Larson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255302352 PECOS PAC ID: 3870497001 Enrollment ID: I20070213000678 |
| Provider Name | David Glenn Locklear |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679535322 PECOS PAC ID: 3476658113 Enrollment ID: I20070425000112 |
| Provider Name | Richard D Goulah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114934387 PECOS PAC ID: 3173518990 Enrollment ID: I20070730000777 |
| Provider Name | Lesley Lauren Loder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013126135 PECOS PAC ID: 5294827267 Enrollment ID: I20070822000755 |
| Provider Name | Kathy T Wilson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1114095841 PECOS PAC ID: 7416040712 Enrollment ID: I20080118000381 |
| Provider Name | Jane M Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417139742 PECOS PAC ID: 7719060920 Enrollment ID: I20080212000139 |
| Provider Name | Jeanette P Larson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801865514 PECOS PAC ID: 1951392570 Enrollment ID: I20080318000413 |
| Provider Name | Richard Pomerantz |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1154321321 PECOS PAC ID: 0143328039 Enrollment ID: I20080609000800 |
| Provider Name | Deji O Okuboye |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528196227 PECOS PAC ID: 9335217322 Enrollment ID: I20081003000390 |
| Provider Name | Robert Hammill Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770529323 PECOS PAC ID: 2860488459 Enrollment ID: I20081009000444 |
| Provider Name | Scott D Polster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417936048 PECOS PAC ID: 7719076512 Enrollment ID: I20081013000577 |
| Provider Name | Michael P Burton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083693980 PECOS PAC ID: 4688734965 Enrollment ID: I20081117000232 |
| Provider Name | Robert F Glenn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265411938 PECOS PAC ID: 8820158843 Enrollment ID: I20081120000831 |
| Provider Name | Jermaine A Joefield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164505400 PECOS PAC ID: 9133283583 Enrollment ID: I20090129000237 |
| Provider Name | Trina I Tridico |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376679001 PECOS PAC ID: 1456417054 Enrollment ID: I20090306000012 |
| Provider Name | Cecilia B Gordon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356401749 PECOS PAC ID: 4789572520 Enrollment ID: I20090309000674 |
| Provider Name | Christopher J Witke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811950769 PECOS PAC ID: 5395767719 Enrollment ID: I20090520000551 |
| Provider Name | Carl L Welch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649383605 PECOS PAC ID: 6204985005 Enrollment ID: I20090528000102 |
| Provider Name | Peter T Alford |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1356333827 PECOS PAC ID: 8729133376 Enrollment ID: I20090902000540 |
| Provider Name | Elizabeth Diane Restino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467422501 PECOS PAC ID: 5597738260 Enrollment ID: I20091125000508 |
| Provider Name | Derek J Luney |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679535363 PECOS PAC ID: 0941382907 Enrollment ID: I20100111000195 |
| Provider Name | Mark Faruque |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386764173 PECOS PAC ID: 1052224714 Enrollment ID: I20100216000590 |
| Provider Name | Steven Gold |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538126081 PECOS PAC ID: 3274628896 Enrollment ID: I20100702000490 |
| Provider Name | Shital Suryakant Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417985698 PECOS PAC ID: 1759325178 Enrollment ID: I20100728000927 |
| Provider Name | Teresa Lynn Stump |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609854587 PECOS PAC ID: 7416141361 Enrollment ID: I20101104000537 |
| Provider Name | Debbie R Wright-thomasson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235151432 PECOS PAC ID: 4587615539 Enrollment ID: I20110124000117 |
| Provider Name | Greogory T Brooks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285724260 PECOS PAC ID: 4587840129 Enrollment ID: I20110518000854 |
| Provider Name | Karen D Lum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922307636 PECOS PAC ID: 5698944759 Enrollment ID: I20110805000154 |
| Provider Name | Tanya S Dyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851568125 PECOS PAC ID: 0143493866 Enrollment ID: I20111025000565 |
| Provider Name | Jason B Kihneman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154634988 PECOS PAC ID: 9133302870 Enrollment ID: I20120627000676 |
| Provider Name | Sheri Renee Combs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285886564 PECOS PAC ID: 6204083660 Enrollment ID: I20120821000202 |
| Provider Name | Jacques T Moua |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992931737 PECOS PAC ID: 1355598459 Enrollment ID: I20120824000263 |
| Provider Name | Penny J Matlock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043557069 PECOS PAC ID: 3476708538 Enrollment ID: I20130222000020 |
| Provider Name | Cody A Wingler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952622805 PECOS PAC ID: 1456599703 Enrollment ID: I20130529000354 |
| Provider Name | Joy M Duckworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518380344 PECOS PAC ID: 0941432694 Enrollment ID: I20140410001491 |
| Provider Name | Gabriel Angel Delgado |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1376511659 PECOS PAC ID: 0749186195 Enrollment ID: I20140707001509 |
| Provider Name | Jennifer L Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770995896 PECOS PAC ID: 5597982462 Enrollment ID: I20140818000279 |
| Provider Name | Sean Patrick Whalen |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1124201298 PECOS PAC ID: 9739242488 Enrollment ID: I20141104001361 |
| Provider Name | Christi A Lucus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659773919 PECOS PAC ID: 9537483854 Enrollment ID: I20150115000461 |
| Provider Name | Michelle Starnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487052445 PECOS PAC ID: 1355667130 Enrollment ID: I20150313002289 |
| Provider Name | Kathleen Rose Nissel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720047756 PECOS PAC ID: 3375547920 Enrollment ID: I20150504001281 |
| Provider Name | Whitney M Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760861017 PECOS PAC ID: 2860706256 Enrollment ID: I20150729008543 |
| Provider Name | Lindsay M Bools |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1346408101 PECOS PAC ID: 7012221047 Enrollment ID: I20150804004104 |
| Provider Name | Obiora C Maludum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972858447 PECOS PAC ID: 5799099412 Enrollment ID: I20150807014719 |
| Provider Name | Pa L Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528425105 PECOS PAC ID: 8224335815 Enrollment ID: I20160325000571 |
| Provider Name | Boni L Killian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255783346 PECOS PAC ID: 9638466865 Enrollment ID: I20161003000037 |
| Provider Name | W Lynette Sigmon Laws |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427501683 PECOS PAC ID: 4981992906 Enrollment ID: I20161006002185 |
| Provider Name | Brenda L Byrd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366703696 PECOS PAC ID: 8628206588 Enrollment ID: I20170206000544 |
| Provider Name | Ryan H Greemann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528487832 PECOS PAC ID: 5294059606 Enrollment ID: I20170726002468 |
| Provider Name | Paige Kimbrell Parker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053721282 PECOS PAC ID: 8729208442 Enrollment ID: I20170928003952 |
| Provider Name | Danielle M Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689087678 PECOS PAC ID: 1052530185 Enrollment ID: I20171113000399 |
| Provider Name | Laura H Burgess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962901934 PECOS PAC ID: 2264797315 Enrollment ID: I20180521002053 |
| Provider Name | Vincent J Pompili |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1720008360 PECOS PAC ID: 8224124615 Enrollment ID: I20180926000846 |
| Provider Name | Gener A Dressler |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1669815239 PECOS PAC ID: 9335492289 Enrollment ID: I20181023003307 |
| Provider Name | Amish Sura |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1245285402 PECOS PAC ID: 8224035746 Enrollment ID: I20181026000844 |
| Provider Name | Robert J Rosenblatt |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1649259052 PECOS PAC ID: 9830003961 Enrollment ID: I20190311000603 |
| Provider Name | Bradley Kent Hardee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952780876 PECOS PAC ID: 6507124187 Enrollment ID: I20190315000201 |
| Provider Name | Wael Khaled El Minaoui |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871781443 PECOS PAC ID: 4688739220 Enrollment ID: I20191016001112 |
| Provider Name | Matthew B Seagle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407402399 PECOS PAC ID: 3577996081 Enrollment ID: I20191213000431 |
| Provider Name | Blake A Weeks |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1205191640 PECOS PAC ID: 4981911435 Enrollment ID: I20200224002507 |
| Provider Name | Anne Olejarz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184152902 PECOS PAC ID: 1850666025 Enrollment ID: I20200713002976 |
| Provider Name | Ghanshyam Palamaner Subash Shantha |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1942563176 PECOS PAC ID: 5395059745 Enrollment ID: I20200715001178 |
| Provider Name | Atul Trivedi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255332292 PECOS PAC ID: 6103711841 Enrollment ID: I20201221000825 |
| Provider Name | Ashleigh B Warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265022776 PECOS PAC ID: 7315354024 Enrollment ID: I20210325000417 |
| Provider Name | Laura Deanne Craig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194317412 PECOS PAC ID: 2264834910 Enrollment ID: I20210716002522 |
| Provider Name | Matthew Levi Fowler |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871910091 PECOS PAC ID: 3870803638 Enrollment ID: I20210830000100 |
| Provider Name | Annette Swinson Crombie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487245361 PECOS PAC ID: 4880084532 Enrollment ID: I20211213000160 |
| Provider Name | Stephens Taylor |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1508841966 PECOS PAC ID: 9234031550 Enrollment ID: I20211213000431 |
| Provider Name | Justin P Hicks |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629458658 PECOS PAC ID: 6507158755 Enrollment ID: I20220121000696 |
| Provider Name | Annette Gwaltney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700545753 PECOS PAC ID: 8426442070 Enrollment ID: I20220225000463 |
| Provider Name | Mohammad Fayez B Rujubali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306068234 PECOS PAC ID: 8426173287 Enrollment ID: I20220408000412 |
| Provider Name | Katherine L Dempster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215595103 PECOS PAC ID: 3678959830 Enrollment ID: I20220926003280 |
| Provider Name | Christopher Scot Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679205744 PECOS PAC ID: 5092182311 Enrollment ID: I20221029000225 |
| Provider Name | Puja Myne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215213160 PECOS PAC ID: 5294997789 Enrollment ID: I20221031002733 |
| Provider Name | Parthiv Amin |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1164650834 PECOS PAC ID: 9032342837 Enrollment ID: I20230330003053 |
| Provider Name | Lisa Michelle Patton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184382830 PECOS PAC ID: 3375900665 Enrollment ID: I20230531003207 |
| Provider Name | Anna Neel Bates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669151486 PECOS PAC ID: 1254793789 Enrollment ID: I20230816001161 |
| Provider Name | Zuma Speakman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639664519 PECOS PAC ID: 7911257076 Enrollment ID: I20230907002423 |
| Provider Name | Hannah Kim |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1730317900 PECOS PAC ID: 5294013025 Enrollment ID: I20231102001615 |
| Provider Name | Karen Saesee Vaughn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982469904 PECOS PAC ID: 2062858780 Enrollment ID: I20240315001656 |
Gaston Family Health Services, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5040 E Bandys Xrd, Catawba, NC 28609 Phone: 828-241-1471 | |
Gaston Family Health Services, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 403 6th Ave Sw, Catawba, NC 28609 Phone: 828-241-2734 Fax: 828-241-4999 |