Statesville Primary Care PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

9600416 Issued in NC

Legal business name

STATESVILLE PRIMARY CARE PLLC

Practice address

708 Hartness Rd
Statesville, NC 28677-3425

Phone

(704) 924-9423

NPI assigned

Feb 20, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Elliott J Vizel, MD

Title

Clinical Director

Phone

(704) 924-9423

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniela Getuza Isfan, M.D.

  • Family Medicine Physician
  • Statesville, NC
  • NPI 1235444779
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310688000000",
    "number": "1316082076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3308 PRESTON RD",
            "address_2": "SUIITE 350-165",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750937453",
            "telephone_number": "704-924-9423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 HARTNESS RD",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286773425",
            "telephone_number": "704-924-9423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATESVILLE PRIMARY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2011-07-15",
        "status": "A",
        "authorized_official_last_name": "VIZEL",
        "authorized_official_first_name": "ELLIOTT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "704-924-9423",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9600416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Statesville Hma Medical Group, LLC
• Statesville Hma Physician Management Inc
• Statesville Hma Physician Management, Inc
• Statesville Hma, LLC
• Statesville Medical Management Services, LLC
• Statesville Vision Center OD, PA
• Thomas Bruce Steadman Sr., MSW, LCSW
• Timothy Robert Stebbins Jr., PHARMD
• Donna Kelley Steele, ED.D., CCC-SLP
• Veronica Stein

• Family Medicine Physician in Statesville, NC
• Providers in Statesville, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.