| Amber Danielle Gaither, MD | |
|
10620 Park Rd Ste 202, Charlotte, NC 28210-0106 | |
| (704) 468-0350 | |
| (704) 468-0089 |
| Full Name | Amber Danielle Gaither |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 10620 Park Rd Ste 202, Charlotte, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821343948 | NPI | - | NPPES |
| 0116024734 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 0116024734 (Virginia) | Secondary |
| 208000000X | Pediatrics | C186237 (California) | Primary |
| Entity Name | Memorialcare Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205167350 PECOS PAC ID: 8729277314 Enrollment ID: O20110113000219 |
| Mailing Address | Practice Location Address |
|---|---|
| Amber Danielle Gaither, MD 10620 Park Rd Ste 202, Charlotte, NC 28210-0106 Ph: (704) 468-0350 | Amber Danielle Gaither, MD 10620 Park Rd Ste 202, Charlotte, NC 28210-0106 Ph: (704) 468-0350 |
Kristina Jasmin Harrell, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1350 S Kings Dr, Charlotte, NC 28207 Phone: 704-446-1422 | |
Amanda Marie Sebring, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1001 Blythe Blvd, Medical Center Plaza Suite 200, Charlotte, NC 28203 Phone: 704-381-8840 | |
Pardeep Kesrani, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 14214 Ballantyne Lake Rd, Ste 300, Charlotte, NC 28277 Phone: 704-667-2600 | |
Nicole Ludmil Ivanov, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9908 Couloak Dr, Ste 103, Charlotte, NC 28216 Phone: 704-801-2025 | |
Dr. Kathy Garland Mohanty, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 6324 Fairview Rd Ste 350, Charlotte, NC 28210 Phone: 704-384-8600 Fax: 704-384-8610 | |
Dr. Meredith Givens Pochick, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3129 Springbank Ln Ste 100, Charlotte, NC 28226 Phone: 704-384-5151 Fax: 704-316-2905 | |
Dr. Shana Dale Wallace, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1900 Randolph Rd, Suite 1010, Charlotte, NC 28207 Phone: 704-384-1390 Fax: 704-384-1063 |