| Charlotte Gastroenterology & Hepatology, Pllc | |
|
2015 Randolph Rd Suite 208 Charlotte NC 28207-1128 | |
| (704) 377-4009 | |
| (704) 815-1655 |
| Full Name | Charlotte Gastroenterology & Hepatology, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2015 Randolph Rd, Charlotte, North Carolina |
| Authorized Official Name and Position | John Stephen Hanson (PRESIDENT) |
| Authorized Official Contact | 7043774009 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Charlotte Gastroenterology & Hepatology, Pllc 2015 Randolph Rd Suite 208 Charlotte NC 28207-1128 Ph: (704) 377-4009 | Charlotte Gastroenterology & Hepatology, Pllc 2015 Randolph Rd Suite 208 Charlotte NC 28207-1128 Ph: (704) 377-4009 |
| NPI Number | 1730100801 |
|---|---|
| Provider Enumeration Date | 07/22/2006 |
| Last Update Date | 11/27/2007 |
| Medicare PECOS PAC ID | 3870489412 |
|---|---|
| Medicare Enrollment ID | O20040223000424 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730100801 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Marcia H Haddock |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538126792 PECOS PAC ID: 5193621324 Enrollment ID: I20031209000851 |
| Provider Name | Scott A Brotze |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912965609 PECOS PAC ID: 9537068796 Enrollment ID: I20040107000242 |
| Provider Name | Lucinda Moody Chreitzberg |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588604318 PECOS PAC ID: 1355337569 Enrollment ID: I20040422001445 |
| Provider Name | Craig W Foosaner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730144411 PECOS PAC ID: 4880689132 Enrollment ID: I20040712001069 |
| Provider Name | Dennis D Kokenes |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407814999 PECOS PAC ID: 6507752169 Enrollment ID: I20040722000375 |
| Provider Name | Jeffrey N Caudle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568402899 PECOS PAC ID: 4385544667 Enrollment ID: I20041207000529 |
| Provider Name | Cheryl Heavin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922054766 PECOS PAC ID: 5294787545 Enrollment ID: I20050215000228 |
| Provider Name | Nancy H Dulin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306816558 PECOS PAC ID: 0840244950 Enrollment ID: I20050408000954 |
| Provider Name | Robert J Schmitz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548218183 PECOS PAC ID: 5597704213 Enrollment ID: I20050502000579 |
| Provider Name | Sam R Fulp |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548218118 PECOS PAC ID: 2466491113 Enrollment ID: I20050502000828 |
| Provider Name | John G Roddey |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619925419 PECOS PAC ID: 9830138593 Enrollment ID: I20050502000913 |
| Provider Name | Steven A Josephson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619925567 PECOS PAC ID: 3173562840 Enrollment ID: I20050502001032 |
| Provider Name | Simon S Prendiville |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023076353 PECOS PAC ID: 7517906282 Enrollment ID: I20050502001053 |
| Provider Name | Kenneth J Speicher |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841227469 PECOS PAC ID: 8921048950 Enrollment ID: I20050509000812 |
| Provider Name | David Jonathan Butlak |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881656189 PECOS PAC ID: 7719928712 Enrollment ID: I20050519001000 |
| Provider Name | Ann Michelle Moulton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104803998 PECOS PAC ID: 2860422508 Enrollment ID: I20050812000839 |
| Provider Name | Sanjib P Mohanty |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972561157 PECOS PAC ID: 9133150378 Enrollment ID: I20050826000539 |
| Provider Name | Ruth A Jameson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083662548 PECOS PAC ID: 6406877158 Enrollment ID: I20051209000528 |
| Provider Name | Ashley M L Stephens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326158361 PECOS PAC ID: 5698774438 Enrollment ID: I20061205000631 |
| Provider Name | David G Scholz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285682443 PECOS PAC ID: 1052207610 Enrollment ID: I20070402000647 |
| Provider Name | James L Toussaint |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760430235 PECOS PAC ID: 2961398516 Enrollment ID: I20070509000677 |
| Provider Name | Marcie L Pickett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003854860 PECOS PAC ID: 5496854044 Enrollment ID: I20070621000488 |
| Provider Name | Theresa Mary Miller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720283245 PECOS PAC ID: 6103918370 Enrollment ID: I20070816000889 |
| Provider Name | Michael Whiting Ryan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134278799 PECOS PAC ID: 7810084704 Enrollment ID: I20071024000327 |
| Provider Name | John H Moore |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760430383 PECOS PAC ID: 2062308612 Enrollment ID: I20071207000880 |
| Provider Name | Kyron Cain |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588705909 PECOS PAC ID: 3779655519 Enrollment ID: I20080710000491 |
| Provider Name | Kemery Gilbert |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1942481247 PECOS PAC ID: 1557436359 Enrollment ID: I20080813000398 |
| Provider Name | Nilesh Prahlad Patel |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1700916384 PECOS PAC ID: 7416023932 Enrollment ID: I20080908000324 |
| Provider Name | Amy L Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689676173 PECOS PAC ID: 3870582257 Enrollment ID: I20080915000310 |
| Provider Name | Jason A Wilson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073603486 PECOS PAC ID: 5294830204 Enrollment ID: I20090707000746 |
| Provider Name | Jeffrey S Zaidman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598981474 PECOS PAC ID: 7810049574 Enrollment ID: I20090710000475 |
| Provider Name | Shelley F Falcone |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790921492 PECOS PAC ID: 3678636545 Enrollment ID: I20090817000591 |
| Provider Name | Kristina Alessi Andronica |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811120330 PECOS PAC ID: 0446394530 Enrollment ID: I20100212000077 |
| Provider Name | Thomas Joseph Gavigan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760430607 PECOS PAC ID: 5991691545 Enrollment ID: I20100727000638 |
| Provider Name | Kerry James Mccarty |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013945831 PECOS PAC ID: 3779769773 Enrollment ID: I20110509000360 |
| Provider Name | Ashish D Thekdi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568584688 PECOS PAC ID: 9133314966 Enrollment ID: I20110826000499 |
| Provider Name | Srinivas S Cheruvu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356367957 PECOS PAC ID: 1951302702 Enrollment ID: I20110907001242 |
| Provider Name | Jennifer S Shockley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740248103 PECOS PAC ID: 2961500996 Enrollment ID: I20120718000265 |
| Provider Name | Vinaya Chandra Sekhar Maddukuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770512774 PECOS PAC ID: 8123023215 Enrollment ID: I20120801000649 |
| Provider Name | Erin H Richardson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669606968 PECOS PAC ID: 6507996915 Enrollment ID: I20120906000027 |
| Provider Name | Shawn Sullivan Fleming |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740542752 PECOS PAC ID: 0547412140 Enrollment ID: I20121205000483 |
| Provider Name | Tayvia Spratt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417293986 PECOS PAC ID: 9830338110 Enrollment ID: I20130617000714 |
| Provider Name | Bryan Patrick Fleming |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962843755 PECOS PAC ID: 0547215642 Enrollment ID: I20140128000735 |
| Provider Name | Siddharth Sura |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184897134 PECOS PAC ID: 0547488926 Enrollment ID: I20140826002673 |
| Provider Name | Nicole Rose Cullen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891956777 PECOS PAC ID: 4587883194 Enrollment ID: I20140912002117 |
| Provider Name | Atul Khanna |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740382233 PECOS PAC ID: 7113984469 Enrollment ID: I20150804003835 |
| Provider Name | Devi Thangavelu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710112115 PECOS PAC ID: 5092868893 Enrollment ID: I20160224000469 |
| Provider Name | James Bernard Goode |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174611883 PECOS PAC ID: 3577565084 Enrollment ID: I20160420000481 |
| Provider Name | Beverly A Clark |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770583924 PECOS PAC ID: 9931001930 Enrollment ID: I20160804000593 |
| Provider Name | Rebecca Elaine Rawl |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467778555 PECOS PAC ID: 2365738234 Enrollment ID: I20160901002628 |
| Provider Name | Teywonia L Byrd |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306087598 PECOS PAC ID: 7810046596 Enrollment ID: I20170106000799 |
| Provider Name | Michael Kelso |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679868277 PECOS PAC ID: 2062781743 Enrollment ID: I20170712001788 |
| Provider Name | Julie Lynn Callan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831113299 PECOS PAC ID: 7719978873 Enrollment ID: I20171006001938 |
| Provider Name | Kimberly Yvonne French |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215979240 PECOS PAC ID: 8729031646 Enrollment ID: I20180924001158 |
| Provider Name | Viral Dinesh Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346566858 PECOS PAC ID: 1456654060 Enrollment ID: I20181128000238 |
| Provider Name | Robert Bourbonnais |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669517736 PECOS PAC ID: 1456446160 Enrollment ID: I20190108004046 |
| Provider Name | Amanda Jean Muller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932671591 PECOS PAC ID: 0143567875 Enrollment ID: I20190204000112 |
| Provider Name | John King |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609839836 PECOS PAC ID: 8820985856 Enrollment ID: I20190507001066 |
| Provider Name | Nicholas Ray Crews |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487093134 PECOS PAC ID: 3971744723 Enrollment ID: I20190822002813 |
| Provider Name | Rocky Adams |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1932428851 PECOS PAC ID: 3375781685 Enrollment ID: I20200813003098 |
| Provider Name | Abby Bobo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952943474 PECOS PAC ID: 6709299985 Enrollment ID: I20210107000728 |
| Provider Name | Amy Vongvilath Lane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477149730 PECOS PAC ID: 3072929538 Enrollment ID: I20210308001285 |
| Provider Name | Joyce Sauvager |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003875170 PECOS PAC ID: 5991799660 Enrollment ID: I20210315000238 |
| Provider Name | Kendall Lamar Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265009849 PECOS PAC ID: 0042612186 Enrollment ID: I20210712002000 |
| Provider Name | Sharad Nangia |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972702470 PECOS PAC ID: 4789778689 Enrollment ID: I20220228001358 |
| Provider Name | Raj Mansukh Dalsania |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205222882 PECOS PAC ID: 2961803572 Enrollment ID: I20220419001645 |
| Provider Name | Elaine Marie Toffoli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871109405 PECOS PAC ID: 8224417746 Enrollment ID: I20220614000427 |
| Provider Name | Adam Charlton Younis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841724614 PECOS PAC ID: 8628345865 Enrollment ID: I20230703000968 |
| Provider Name | Alex Michael Kesler |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235662206 PECOS PAC ID: 2961772371 Enrollment ID: I20230714002757 |
| Provider Name | Caroline Moffett Barrett |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598290173 PECOS PAC ID: 6002238508 Enrollment ID: I20230718001715 |
| Provider Name | Maria Cristina Hatara |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427217439 PECOS PAC ID: 3375794217 Enrollment ID: I20240209000182 |
Novant Health Infectious Disease Specialists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1900 Randolph Rd, Suite 216, Charlotte, NC 28207 Phone: 704-384-5416 Fax: 704-384-5996 | |
Atrium Health Infectious Disease Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10660 Park Rd, Ste 4400, Charlotte, NC 28210 Phone: 704-355-0607 | |
Amity Medical Group, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6010 E W T Harris Blvd, Charlotte, NC 28215 Phone: 704-208-4134 Fax: 704-248-8068 | |
Companion Health, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5029 Lady Fern Cir, Charlotte, NC 28211 Phone: 704-236-2658 | |
Novant Health Carolina Family Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7110 Lawyers Rd, Charlotte, NC 28227 Phone: 704-537-0020 Fax: 704-316-8634 | |
Kent Seitz Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1421 Orchard Lake Drive, Suite C, Charlotte, NC 28270 Phone: 704-844-0181 Fax: 904-701-6279 | |
Health And Wellness Services Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 715 E 5th St, Suite 214, Charlotte, NC 28202 Phone: 704-909-7954 |