| Signature Healthcare Pllc | |
|
6115 Park South Dr Suite 100 Charlotte NC 28210-3269 | |
| (704) 554-8787 | |
| (704) 554-8774 |
| Full Name | Signature Healthcare Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6115 Park South Dr, Charlotte, North Carolina |
| Authorized Official Name and Position | Jeannette K Anselmo (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7045548787 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Signature Healthcare Pllc 6115 Park South Dr Suite 100 Charlotte NC 28210-3269 Ph: (704) 554-8787 | Signature Healthcare Pllc 6115 Park South Dr Suite 100 Charlotte NC 28210-3269 Ph: (704) 554-8787 |
| NPI Number | 1588602411 |
|---|---|
| Provider Enumeration Date | 06/03/2006 |
| Last Update Date | 09/21/2010 |
| Medicare PECOS PAC ID | 3476678053 |
|---|---|
| Medicare Enrollment ID | O20100920000785 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588602411 | NPI | - | NPPES |
| 014HN | Other | NC | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Michael Warren Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003830530 PECOS PAC ID: 4688564297 Enrollment ID: I20040317001246 |
| Provider Name | Jordan D Lipton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831158856 PECOS PAC ID: 9739155755 Enrollment ID: I20040909000950 |
| Provider Name | Marshall A Silverman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669435749 PECOS PAC ID: 7416847835 Enrollment ID: I20040927000876 |
| Provider Name | Elizabeth I Abernathy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871518910 PECOS PAC ID: 7517928427 Enrollment ID: I20041025000195 |
| Provider Name | Russell Howard Greenfield |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669482386 PECOS PAC ID: 2365479045 Enrollment ID: I20050725000698 |
| Provider Name | Ameesha P Kansupada |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700895380 PECOS PAC ID: 4880690270 Enrollment ID: I20061006000439 |
| Provider Name | David L Yancey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477717379 PECOS PAC ID: 9436274495 Enrollment ID: I20100914000637 |
| Provider Name | Elizabeth M Perry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932168937 PECOS PAC ID: 7012033574 Enrollment ID: I20100927000523 |
| Provider Name | Debra J Gazzuolo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548253347 PECOS PAC ID: 7517016314 Enrollment ID: I20140304000396 |
| Provider Name | Andres Felipe Sanchez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982052528 PECOS PAC ID: 7214221035 Enrollment ID: I20190910003300 |
| Provider Name | Tammy Weitzman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720357460 PECOS PAC ID: 5193979557 Enrollment ID: I20220818001894 |
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 |