| Jonathan Dvorak, | |
|
1523 Elizabeth Ave Ste 200, Charlotte, NC 28204-2794 | |
| (704) 910-1402 | |
| (704) 910-1402 |
| Full Name | Jonathan Dvorak |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Location | 1523 Elizabeth Ave Ste 200, 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 |
|---|---|---|---|
| 1912432386 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 2021-00162 (North Carolina) | Primary |
| Entity Name | Carolinas Physicians Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477878890 PECOS PAC ID: 3375449655 Enrollment ID: O20031219000455 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Dvorak, 1523 Elizabeth Ave Ste 200, Charlotte, NC 28204-2794 Ph: (704) 910-1402 | Jonathan Dvorak, 1523 Elizabeth Ave Ste 200, Charlotte, NC 28204-2794 Ph: (704) 910-1402 |
Dr. Joseph David Spataro, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 6101 Idlewild Rd, Suite 300, Charlotte, NC 28212 Phone: 704-531-0990 Fax: 704-531-0464 |
Dr. David Joseph Pasek, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 9216 Forest Manor Ct, Charlotte, NC 28215 Phone: 704-451-2853 |
Dr. Stuart Lee Schnider, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 3220 Latrobe Dr, Charlotte, NC 28211 Phone: 704-371-8965 |
Dr. Jenyson Toussaint, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 2323 Coneflower Dr, Charlotte, NC 28213 Phone: 912-255-3124 |
Kimberly Cummings, PA-C General Practice Medicare: Not Enrolled in Medicare Practice Location: 7314 Waverly Walk Ave Unit E7, Charlotte, NC 28277 Phone: 704-324-6863 |
Dael Waxman, MD General Practice Medicare: Medicare Enrolled Practice Location: 2001 Vail Ave, Ste 400, Charlotte, NC 28207 Phone: 704-304-7000 |