| Ubylee Healthcare Group, Pllc | |
|
1044 X Ray Dr Gastonia NC 28054-7488 | |
| (980) 262-3007 | |
| (980) 262-3528 |
| Full Name | Ubylee Healthcare Group, Pllc |
|---|---|
| Speciality | Specialist |
| Location | 1044 X Ray Dr, Gastonia, North Carolina |
| Authorized Official Name and Position | Baptiste Marino (OWNER) |
| Authorized Official Contact | 9802623007 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ubylee Healthcare Group, Pllc 9723 Northeast Pkwy Ste 100 Matthews NC 28105-9719 Ph: (980) 262-3007 | Ubylee Healthcare Group, Pllc 1044 X Ray Dr Gastonia NC 28054-7488 Ph: (980) 262-3007 |
| NPI Number | 1700658036 |
|---|---|
| Provider Enumeration Date | 10/30/2023 |
| Last Update Date | 12/13/2024 |
| Medicare PECOS PAC ID | 8921349044 |
|---|---|
| Medicare Enrollment ID | O20190417002402 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700658036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 174400000X | Specialist | (* (Not Available)) | Primary |
| Provider Name | Gerald M Aronoff |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144277930 PECOS PAC ID: 2860465176 Enrollment ID: I20040816000695 |
| Provider Name | Baptiste S Marino |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104070820 PECOS PAC ID: 6406841428 Enrollment ID: I20041216001025 |
| Provider Name | Debra L Knuckles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679610844 PECOS PAC ID: 0042482721 Enrollment ID: I20111003000419 |
| Provider Name | Kristi Dougan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275993149 PECOS PAC ID: 5193023794 Enrollment ID: I20180423000537 |
| Provider Name | Jennifer Sager |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316276694 PECOS PAC ID: 0840279832 Enrollment ID: I20190417002638 |
| Provider Name | Yesenia Stavros |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336412584 PECOS PAC ID: 1052745122 Enrollment ID: I20191223002297 |
| Provider Name | Julie Brace |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578103719 PECOS PAC ID: 1456776020 Enrollment ID: I20200730001971 |
| Provider Name | Gabrielle Alexandra Troutman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356985154 PECOS PAC ID: 5991151573 Enrollment ID: I20231102002526 |
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