| Promed Healthcare, Pllc | |
|
7004 Smith Corners Blvd Suite A Charlotte NC 28269-3793 | |
| (704) 688-9650 | |
| (704) 688-9651 |
| Full Name | Promed Healthcare, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 7004 Smith Corners Blvd, Charlotte, North Carolina |
| Authorized Official Name and Position | Daniel Peter Seward (MEMBER/MANAGER) |
| Authorized Official Contact | 7046889650 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Promed Healthcare, Pllc 7004 Smith Corners Blvd Suite A Charlotte NC 28269-3793 Ph: (704) 688-9650 | Promed Healthcare, Pllc 7004 Smith Corners Blvd Suite A Charlotte NC 28269-3793 Ph: (704) 688-9650 |
| NPI Number | 1770615114 |
|---|---|
| Provider Enumeration Date | 03/12/2007 |
| Last Update Date | 03/10/2023 |
| Medicare PECOS PAC ID | 0749366607 |
|---|---|
| Medicare Enrollment ID | O20080318000789 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770615114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| Provider Name | Tamara Gentle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194792093 PECOS PAC ID: 2163473836 Enrollment ID: I20050210000222 |
| Provider Name | Stephen B Zimmer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457424046 PECOS PAC ID: 6002919982 Enrollment ID: I20070314000127 |
| Provider Name | Melissa Ann Presley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457370546 PECOS PAC ID: 2062488695 Enrollment ID: I20070822001296 |
| Provider Name | Daniel Seward |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689652620 PECOS PAC ID: 6002908100 Enrollment ID: I20080422000200 |
| Provider Name | Joseph S Wolyniak |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1053390856 PECOS PAC ID: 1759417546 Enrollment ID: I20100331000654 |
| Provider Name | Jeanette Lillian Bourne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831241272 PECOS PAC ID: 6305033168 Enrollment ID: I20101207000371 |
| Provider Name | Lynda M Heintz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871734459 PECOS PAC ID: 0749338218 Enrollment ID: I20120904000209 |
| Provider Name | Melanie A Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659795029 PECOS PAC ID: 3971735499 Enrollment ID: I20140416001387 |
| Provider Name | Umpai Tedrow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578791513 PECOS PAC ID: 8921265265 Enrollment ID: I20141215002537 |
| Provider Name | Charlton Owensby |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1386628923 PECOS PAC ID: 2567785595 Enrollment ID: I20141226000354 |
| Provider Name | Kandace Page |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689001307 PECOS PAC ID: 8729382908 Enrollment ID: I20160209000700 |
| Provider Name | Emily F Carper |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1194162891 PECOS PAC ID: 6507131372 Enrollment ID: I20171004000842 |
| Provider Name | Erin E Tarquinio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831607415 PECOS PAC ID: 2466714043 Enrollment ID: I20180319001866 |
| Provider Name | Laura Marie Kilgus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902318413 PECOS PAC ID: 9830450709 Enrollment ID: I20190221003041 |
| Provider Name | Katie L Sass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053978213 PECOS PAC ID: 2668701020 Enrollment ID: I20190910002095 |
| Provider Name | Susan Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114683687 PECOS PAC ID: 1557757796 Enrollment ID: I20220415000131 |
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