| Zachary Alan Shanitkvich, | |
|
1450 Matthews Township Pkwy, Matthews, NC 28105-2387 | |
| (704) 246-1846 | |
| (704) 246-1462 |
| Full Name | Zachary Alan Shanitkvich |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 14 Years |
| Location | 1450 Matthews Township Pkwy, Matthews, North Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033408968 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 2018015705 (Missouri) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 2015-02277 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Novant Health Matthews Medical Center | Matthews, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Novant Health Medical Group, Llc | 1153234893 | 2144 |
| 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 |
| Entity Name | Novant Health Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306950282 PECOS PAC ID: 1153234893 Enrollment ID: O20040204001028 |
| Mailing Address | Practice Location Address |
|---|---|
| Zachary Alan Shanitkvich, Po Box 60447, Charlotte, NC 28260-0447 Ph: () - | Zachary Alan Shanitkvich, 1450 Matthews Township Pkwy, Matthews, NC 28105-2387 Ph: (704) 246-1846 |
Dr. Michael Francis Sweeney, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1450 Matthews Township Pkwy, Suite 200, Matthews, NC 28105 Phone: 704-246-1846 Fax: 704-246-1462 | |
Elizabeth Lindsay Montague-farwell, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1450 Matthews Township Pkwy Ste 300, Matthews, NC 28105 Phone: 704-321-1077 Fax: 704-321-1086 | |
Dr. Kaylee Anne Vandommelen, MD MPH Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1450 Matthews Township Pkwy Ste 200, Matthews, NC 28105 Phone: 704-246-1846 Fax: 704-246-1462 | |
Ashley Abena Appiagyei Cole, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1100 Healing Way, Ste 23, Matthews, NC 28104 Phone: 980-993-1725 | |
Larry W Craddock, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1450 Matthews Township Pkwy, Suite 300, Matthews, NC 28105 Phone: 704-321-1077 Fax: 704-321-1086 | |
Alexandra Helen Boster, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1450 Matthews Township Pkwy Ste 200, Matthews, NC 28105 Phone: 704-246-1846 |