| North Carolina Medical Specialists Pc | |
|
6201 Fairview Rd Ste 200 Charlotte NC 28210-3297 | |
| (800) 557-8950 | |
| Not Available |
| Full Name | North Carolina Medical Specialists Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 6201 Fairview Rd Ste 200, Charlotte, North Carolina |
| Authorized Official Name and Position | Hirenkumar Italia (MD) |
| Authorized Official Contact | 8005578950 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Carolina Medical Specialists Pc 133 Rollins Ave Ste 3 Rockville MD 20852-4040 Ph: () - | North Carolina Medical Specialists Pc 6201 Fairview Rd Ste 200 Charlotte NC 28210-3297 Ph: (800) 557-8950 |
| NPI Number | 1386315281 |
|---|---|
| Provider Enumeration Date | 09/22/2021 |
| Last Update Date | 07/07/2023 |
| Medicare PECOS PAC ID | 0042618357 |
|---|---|
| Medicare Enrollment ID | O20211016000058 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386315281 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jose K Antony |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316913601 PECOS PAC ID: 0941107593 Enrollment ID: I20031212000799 |
| Provider Name | Reginald L Madden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265464903 PECOS PAC ID: 1355346602 Enrollment ID: I20060920000509 |
| Provider Name | Catherine Tewolde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194854778 PECOS PAC ID: 6507952215 Enrollment ID: I20071010000834 |
| Provider Name | Renae M Walton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639378706 PECOS PAC ID: 1951470624 Enrollment ID: I20080725000413 |
| Provider Name | Hirenkumar Damjighai Italia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487815387 PECOS PAC ID: 7012164718 Enrollment ID: I20140310001950 |
| Provider Name | Irmanie Hemphill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760618243 PECOS PAC ID: 4284806100 Enrollment ID: I20200601002866 |
| Provider Name | Brea Anjanee Washington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942786629 PECOS PAC ID: 3375953821 Enrollment ID: I20201111003034 |
| Provider Name | Obuchukwuneme Calais |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457829640 PECOS PAC ID: 3375880495 Enrollment ID: I20210902001083 |
| Provider Name | Anna Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073183232 PECOS PAC ID: 6103217245 Enrollment ID: I20211227001047 |
| Provider Name | Ashley Gunzelman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730545401 PECOS PAC ID: 7911399688 Enrollment ID: I20220110002374 |
| Provider Name | Michael Chan |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1700151958 PECOS PAC ID: 4183944655 Enrollment ID: I20221026003055 |
| Provider Name | Lilieth Occenad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144628538 PECOS PAC ID: 4688999717 Enrollment ID: I20230118002338 |
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