| Dr Joseph James Doerger, MD | |
| 101 E Wt Harris Blvd, Suite 5103, Charlotte, NC 28262-3485 | |
| (704) 547-9196 | |
| (704) 547-8775 | 
| Full Name | Dr Joseph James Doerger | 
|---|---|
| Gender | Male | 
| Speciality | Surgery | 
| Location | 101 E Wt Harris Blvd, 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 | 
|---|---|---|---|
| 1710005087 | NPI | - | NPPES | 
| 7100155740 | Medicaid | KY | |
| 1710005087 | Medicaid | NC | |
| 1710005087 | Other | NPI | |
| P00908022 | Other | OH | RR MEDICARE PTAN | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208600000X | Surgery | 57-010147 (Ohio) | Secondary | 
| 208600000X | Surgery | 43281 (Kentucky) | Secondary | 
| 208600000X | Surgery | 2015-00853 (North Carolina) | Primary | 
| Entity Name | Surgical Specialists Of Charlotte Pa | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1073599734 PECOS PAC ID: 3779519285 Enrollment ID: O20050714001059 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Joseph James Doerger, MD 1918 Randolph Rd, Suite 130, Charlotte, NC 28207-1100 Ph: (704) 364-8100 | Dr Joseph James Doerger, MD 101 E Wt Harris Blvd, Suite 5103, Charlotte, NC 28262-3485 Ph: (704) 547-9196 | 
| Dr. Tuan Hoai Pham, M.D., PHD Surgery Medicare: Medicare Enrolled Practice Location: 1718 E 4th St Ste 807, Charlotte, NC 28204 Phone: 980-488-9630 Fax: 980-488-9635 | |
| Dr. John Gordon Morrison, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2015 Randolph Rd, Suite 201, Charlotte, NC 28207 Phone: 704-333-1259 Fax: 704-333-0371 | |
| Michael Passeri, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1025 Morehead Medical Dr, Suite 600, Charlotte, NC 28204 Phone: 704-355-8816 | |
| Jeko Metodiev Madjarov, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1237 Harding Pl, Ste 3100, Charlotte, NC 28204 Phone: 704-373-0212 | |
| Dr. Mark Aaron Kuzich, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2001 Vail Ave Ste 320, Charlotte, NC 28207 Phone: 704-333-0741 Fax: 704-333-3356 | |
| Benjamin Yglesias,  Surgery Medicare: Medicare Enrolled Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2000 | |
| Jason Shade Burgess, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2001 Vail Ave Ste 320, Charlotte, NC 28207 Phone: 704-333-0741 Fax: 704-333-3356 |