| Ivx Health | |
|
2309 Matthews Township Pkwy Ste 101 Matthews NC 28105-2696 | |
| (615) 610-3733 | |
| Not Available |
| Full Name | Ivx Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 2309 Matthews Township Pkwy Ste 101, Matthews, North Carolina |
| Authorized Official Name and Position | Angela Ryce (SVP, REVENUE CYCLE) |
| Authorized Official Contact | 6156103733 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ivx Health 214 Centerview Dr Ste 250 Brentwood TN 37027-3248 Ph: (615) 610-3733 | Ivx Health 2309 Matthews Township Pkwy Ste 101 Matthews NC 28105-2696 Ph: (615) 610-3733 |
| NPI Number | 1376290239 |
|---|---|
| Provider Enumeration Date | 03/09/2022 |
| Last Update Date | 11/07/2023 |
| Medicare PECOS PAC ID | 2264812866 |
|---|---|
| Medicare Enrollment ID | O20220628003791 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376290239 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Ashley C Whittington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306340104 PECOS PAC ID: 7315202074 Enrollment ID: I20180530000378 |
| Provider Name | Latesha Nicole Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679107759 PECOS PAC ID: 2769811496 Enrollment ID: I20200401001610 |
| Provider Name | Daun Vaswani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437655560 PECOS PAC ID: 9133483316 Enrollment ID: I20220812001247 |
| Provider Name | Jamal Porter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487225686 PECOS PAC ID: 4284018946 Enrollment ID: I20220829003454 |
| Provider Name | Stephen Andrew Lasher |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1538188826 PECOS PAC ID: 9638183585 Enrollment ID: I20220919001647 |
| Provider Name | Jamie Bombardier Schwartz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285284844 PECOS PAC ID: 8921413311 Enrollment ID: I20221108000368 |
| Provider Name | Katie Michelle Strickland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093374985 PECOS PAC ID: 6002145083 Enrollment ID: I20230216000699 |
| Provider Name | Kiera Ru'shelle Slade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457044257 PECOS PAC ID: 4183087000 Enrollment ID: I20230825000092 |
| Provider Name | Samantha Weaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144745274 PECOS PAC ID: 7911273925 Enrollment ID: I20230831000043 |
| Provider Name | Grizel Barbara Bello Barja |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730870817 PECOS PAC ID: 5991159469 Enrollment ID: I20231003000164 |
| Provider Name | Candace Caughron Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366215790 PECOS PAC ID: 2365893823 Enrollment ID: I20240109002033 |
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