| Nicholas Guys, | |
|
3623 Latrobe Dr Ste 216, Charlotte, NC 28211-2117 | |
| (704) 332-1291 | |
| Not Available |
| Full Name | Nicholas Guys |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 3623 Latrobe Dr Ste 216, 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 |
|---|---|---|---|
| 1699338731 | NPI | - | NPPES |
| Q049613 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 64182 (Tennessee) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 2024-02812 (North Carolina) | Primary |
| Entity Name | Williamson Imaging, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578581294 PECOS PAC ID: 3375447139 Enrollment ID: O20031122000094 |
| Entity Name | Vanderbilt Health And Williamson Medical Center Clinics And Services, |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225135551 PECOS PAC ID: 7719888262 Enrollment ID: O20040116000793 |
| Entity Name | Vanderbilt Imaging Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144241985 PECOS PAC ID: 2163417882 Enrollment ID: O20040420000724 |
| Entity Name | One Hundred Oaks Imaging,llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245485549 PECOS PAC ID: 1355490756 Enrollment ID: O20090513000651 |
| Entity Name | Vanderbilt Imaging Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Independent Diagnostic Testing Facility (idtf) |
| Entity Identifiers | NPI Number: 1457644429 PECOS PAC ID: 2163417882 Enrollment ID: O20111118000122 |
| Entity Name | Vanderbilt University Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104202761 PECOS PAC ID: 5092023416 Enrollment ID: O20151006000369 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas Guys, Po Box 221249, Charlotte, NC 28222-1249 Ph: (704) 332-1291 | Nicholas Guys, 3623 Latrobe Dr Ste 216, Charlotte, NC 28211-2117 Ph: (704) 332-1291 |
Whitney Feltus, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3623 Latrobe Dr Ste 216, Charlotte, NC 28211 Phone: 980-208-1704 Fax: 704-926-1832 | |
Edward Barnwell Black, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1705 East Blvd, Charlotte, NC 28203 Phone: 704-909-5960 Fax: 704-770-0501 | |
Thaddeus Drexel Houston, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1701 East Blvd, Charlotte, NC 28203 Phone: 704-334-7800 Fax: 704-414-7512 | |
Matthew James Locker, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3623 Latrobe Dr Ste 216, Charlotte, NC 28211 Phone: 704-332-1291 Fax: 704-926-1832 | |
Kelli A. Reardon, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 200 Queens Rd, Charlotte, NC 28204 Phone: 434-982-0777 Fax: 434-982-0792 | |
Robert Duprey, Radiology Medicare: Accepting Medicare Assignments Practice Location: 700 E Morehead St Ste 300, Charlotte, NC 28202 Phone: 704-334-7800 | |
Mr. Andrew Joseph Bojanowski, PA-C Radiology Medicare: Accepting Medicare Assignments Practice Location: 3623 Latrobe Dr Ste 216, Charlotte, NC 28211 Phone: 704-332-1291 |