Lincoln Pediatrics Clinic,PA

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

LINCOLN PEDIATRICS CLINIC,PA

Practice address

113 Doctors Park
Lincolnton, NC 28092-4407

Phone

(704) 735-1441

NPI assigned

Apr 30, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Mina S Mofrad

Title

Treasurer

Phone

(704) 735-1441

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 14

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

• Sumon K. Bhowmick, M.D.

  • Pediatrics Physician
  • Charlotte, NC
  • NPI 1073704474
  NPD (past)
• Grace Dyke, CPNP-PC

  • Pediatric Nurse Practitioner
  • Lincolnton, NC
  • NPI 1487442364
  NPD (past)
• Charlene H Guffey, RN, BSN, MSN, FNP-C

  • Family Nurse Practitioner
  • Lincolnton, NC
  • NPI 1326787847
  NPD (past)
• Ghulam Hussain, MD

  • Pediatrics Physician
  • Lincolnton, NC
  • NPI 1417941949
  NPD (past)
• Nirmala Janardhanam, M.D.

  • Pediatrics Physician
  • Lincolnton, NC
  • NPI 1598021149
  NPD (past)
• Amanda Jutras

  • Pediatric Nurse Practitioner
  • Lincolnton, NC
  • NPI 1639740384
  NPD (past)
• Kaitlin Suzanne Martinuzzi, PNP

  • Nurse Practitioner
  • Charlotte, NC
  • NPI 1952950701
  NPD (past)
• Ali Saboortinat Mofrad, M.D.

  • Specialist
  • Lincolnton, NC
  • NPI 1891755484
  NPD (past)
• Kristen Lee Schab, NP

  • Nurse Practitioner
  • Charlotte, NC
  • NPI 1700507175
  NPD (past)
• Melissa Anne Will, MD

  • Pediatrics Physician
  • Lincolnton, NC
  • NPI 1023266780
  NPD (past)
• Cynthia A Blanton, NP-C

  • Family Nurse Practitioner
  • Fredericksburg, VA
  • NPI 1659680726

  Single Specialty

  NPD (past)
• Mildred Fleming McCully, CPNP

  • Pediatric Nurse Practitioner
  • Gaffney, SC
  • NPI 1841345915
  NPD (past)

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

{
    "created_epoch": "1146355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477510659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 DOCTORS PARK",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280924407",
            "telephone_number": "704-735-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 DOCTORS PARK",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280924407",
            "telephone_number": "704-735-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN PEDIATRICS CLINIC,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOFRAD",
        "authorized_official_first_name": "MINA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "704-735-1441",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8902019",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lincoln Health System
• Lincoln Health System
• Lincoln Internal Medicine, P.a.
• Lincoln Nursing Center
• Lincoln OB GYN Associates PA
• Lincoln Speech Services, Inc
• Lincoln Urology PA
• Lincoln Weight Loss and Wellness
• Lincolnton Medical Group,PLLC
• Lincolnton Opco, LLC

• Specialist in Lincolnton, NC
• Providers in Lincolnton, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.