| Observation Medicine Physicians Of Mecklenburg County Pllc | |
|
8800 N Tryon St Charlotte NC 28262-3300 | |
| (330) 493-4443 | |
| (330) 451-4197 |
| Full Name | Observation Medicine Physicians Of Mecklenburg County Pllc |
|---|---|
| Speciality | Emergency Medicine |
| Location | 8800 N Tryon St, Charlotte, North Carolina |
| Authorized Official Name and Position | Andrew Wagner (MD) |
| Authorized Official Contact | 3304934443 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Observation Medicine Physicians Of Mecklenburg County Pllc 4535 Dressler Rd Nw Canton OH 44718-2545 Ph: (330) 493-4443 | Observation Medicine Physicians Of Mecklenburg County Pllc 8800 N Tryon St Charlotte NC 28262-3300 Ph: (330) 493-4443 |
| NPI Number | 1982075388 |
|---|---|
| Provider Enumeration Date | 10/12/2015 |
| Last Update Date | 07/18/2023 |
| Medicare PECOS PAC ID | 8022313832 |
|---|---|
| Medicare Enrollment ID | O20160216001560 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982075388 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207P00000X | Emergency Medicine | (* (Not Available)) | Primary |
| Provider Name | Melissa Jeanne Chow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770519837 PECOS PAC ID: 7810895463 Enrollment ID: I20031222000179 |
| Provider Name | Yalonda Herndon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215154331 PECOS PAC ID: 3072645126 Enrollment ID: I20100726000101 |
| Provider Name | Ian R Welsh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629284559 PECOS PAC ID: 0345306676 Enrollment ID: I20100824000546 |
| Provider Name | Caleb C Gerhart |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629231212 PECOS PAC ID: 2769506971 Enrollment ID: I20120627000118 |
| Provider Name | Micheal Saad |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366600991 PECOS PAC ID: 6608032941 Enrollment ID: I20120731000760 |
| Provider Name | Kirk A Campbell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659500775 PECOS PAC ID: 4587800529 Enrollment ID: I20130418000312 |
| Provider Name | Benjamin M Morel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154647394 PECOS PAC ID: 3274775648 Enrollment ID: I20130814000544 |
| Provider Name | Andrea M Kurtz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396136339 PECOS PAC ID: 9133446669 Enrollment ID: I20150323000631 |
| Provider Name | Dustin R. Huerta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518339902 PECOS PAC ID: 7618279001 Enrollment ID: I20151230002821 |
| Provider Name | Sean Oliver Cavanaugh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003179151 PECOS PAC ID: 8527297035 Enrollment ID: I20160817003056 |
| Provider Name | Andrew N Bullaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376096669 PECOS PAC ID: 7416236187 Enrollment ID: I20161121001426 |
| Provider Name | Kimberly L Spain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104312396 PECOS PAC ID: 0547505893 Enrollment ID: I20181214002028 |
| Provider Name | Naimah M Dease |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912521709 PECOS PAC ID: 1759707516 Enrollment ID: I20230817001960 |
Carolina Medicorp Enterprises Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 445 South Kings Drive, Charlotte, NC 28204 Phone: 704-384-1734 Fax: 704-384-1736 | |
Novant Health Medical Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1900 Randolph Rd, Suite 216, Charlotte, NC 28207 Phone: 704-384-5416 Fax: 704-384-5996 | |
Carolinas Physicians Network Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10660 Park Rd, Ste 4400, Charlotte, NC 28210 Phone: 704-355-0607 | |
Amity Medical Group, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6010 E W T Harris Blvd, Charlotte, NC 28215 Phone: 704-208-4134 Fax: 704-248-8068 | |
Companion Health, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5029 Lady Fern Cir, Charlotte, NC 28211 Phone: 704-236-2658 | |
Novant Health Medical Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7110 Lawyers Rd, Charlotte, NC 28227 Phone: 704-537-0020 Fax: 704-316-8634 | |
Asthma & Allergy Specialists, P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8045 Providence Rd Ste 300, Charlotte, NC 28277 Phone: 704-341-9600 Fax: 704-341-9996 |