| Dr Jonathan K Stoudmire, MD | |
|
3046 Senna Dr, Suite B, Matthews, NC 28105-6726 | |
| (704) 841-3886 | |
| (704) 841-3889 |
| Full Name | Dr Jonathan K Stoudmire |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 3046 Senna Dr, Matthews, 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 |
|---|---|---|---|
| 1710959788 | NPI | - | NPPES |
| 5900927 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 200500827 (North Carolina) | Primary |
| Entity Name | Monarch |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801116405 PECOS PAC ID: 0244273852 Enrollment ID: O20050728000103 |
| Entity Name | Easter Seals Ucp North Carolina & Virginia, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306167713 PECOS PAC ID: 7618161407 Enrollment ID: O20101105000534 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jonathan K Stoudmire, MD 3046 Senna Dr, Suite B, Matthews, NC 28105-6726 Ph: (704) 841-3886 | Dr Jonathan K Stoudmire, MD 3046 Senna Dr, Suite B, Matthews, NC 28105-6726 Ph: (704) 841-3886 |
Jason Jamier Bethea, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3330 Siskey Pkwy, Matthews, NC 28105 Phone: 704-316-9001 Fax: 704-316-9008 |
Dr. Fred Welden Caudill, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 130 Matthews Station St, Suite 2-b, Matthews, NC 28105 Phone: 704-846-2833 Fax: 704-846-1992 |
Dr. Kalpana Shanmugam, M.D Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1401 Matthews Township Pkwy Ste 320, Matthews, NC 28105 Phone: 704-316-3145 |
Ghazal Ahmad, MD Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 3330 Siskey Pkwy, Matthews, NC 28105 Phone: 704-316-9001 |
Randie Schacter, DO Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 212 W Matthews St Ste 106, Matthews, NC 28105 Phone: 704-847-0424 Fax: 704-847-0454 |
Siddhartha Varma, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3330 Siskey Pkwy, Matthews, NC 28105 Phone: 704-316-9001 Fax: 704-316-9008 |
Sampreeth Murali, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1401 Matthews Township Pkwy Ste 320, Matthews, NC 28105 Phone: 704-384-1261 Fax: 704-384-3145 |