| Thomas Faran Pittman, MD | |
|
6488 Weddington-monroe Rd, Wesley Chapel, NC 28104-7948 | |
| (704) 384-8460 | |
| (704) 384-8465 |
| Full Name | Thomas Faran Pittman |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 6488 Weddington-monroe Rd, Wesley Chapel, 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 |
|---|---|---|---|
| 1366829012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 2018-00929 (North Carolina) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Entity Name | Novant Health Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Faran Pittman, MD Po Box 60447, Charlotte, NC 28260-0447 Ph: () - | Thomas Faran Pittman, MD 6488 Weddington-monroe Rd, Wesley Chapel, NC 28104-7948 Ph: (704) 384-8460 |
Tiffany Madsen Ohta, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 6488 Weddington Monroe Rd, Wesley Chapel, NC 28104 Phone: 704-384-8460 Fax: 704-384-1018 | |
Holly Gwen Smith, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 6488 Weddington-monroe Rd, Wesley Chapel, NC 28104 Phone: 704-384-8460 Fax: 704-384-1018 |