| Queen City Gastroenterology & Hepatology, Pc | |
|
320 Lillington Ave Suite 101 Charlotte NC 28204-3189 | |
| (704) 362-4403 | |
| (704) 362-4405 |
| Full Name | Queen City Gastroenterology & Hepatology, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 320 Lillington Ave, Charlotte, North Carolina |
| Authorized Official Name and Position | Michelle Ogunwale (ADMINISTRATOR / MANAGER) |
| Authorized Official Contact | 7043624403 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Queen City Gastroenterology & Hepatology, Pc 320 Lillington Ave Suite 101 Charlotte NC 28204-3189 Ph: (704) 362-4403 | Queen City Gastroenterology & Hepatology, Pc 320 Lillington Ave Suite 101 Charlotte NC 28204-3189 Ph: (704) 362-4403 |
| NPI Number | 1750682431 |
|---|---|
| Provider Enumeration Date | 11/10/2010 |
| Last Update Date | 02/21/2020 |
| Medicare PECOS PAC ID | 6709074925 |
|---|---|
| Medicare Enrollment ID | O20110103000434 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750682431 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Nathan C Pulkingham |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1588663447 PECOS PAC ID: 4385606805 Enrollment ID: I20041101000303 |
| Provider Name | Ben Opeyemi Ogunwale |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720126600 PECOS PAC ID: 8426037953 Enrollment ID: I20090819000529 |
| Provider Name | Megan R Ross |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669885141 PECOS PAC ID: 4587986302 Enrollment ID: I20141209000727 |
| Provider Name | Evgenia Alexandrovn Salnikova |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366817314 PECOS PAC ID: 8426354317 Enrollment ID: I20160302000915 |
| Provider Name | Bryan T Tuttle |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1992968952 PECOS PAC ID: 7214179795 Enrollment ID: I20160725001217 |
| Provider Name | Cassie Lee Chandler |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689454704 PECOS PAC ID: 9739525148 Enrollment ID: I20240307002994 |
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 |