George L Raad MD Dba

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

27283 Issued in NC

Legal business name

GEORGE L RAAD MD DBA

Practice address

1700 Abbey PL
Ste 200 Park Road Medical Clinic
Charlotte, NC 28209-3742

Phone

(704) 523-2565

Fax

(704) 344-1241

NPI assigned

May 25, 2006

Organization subpart

No

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

Authorized official

Name

George L Raad, MD

Title

Owner

Phone

(704) 523-2565

Specialties & licenses 1

Addresses

Other names 1

• Park Road Medical Clinic Doing business as

Locations

Practitioners 4

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

• Alexander Doyle

  • Behavior Technician
  • Charlotte, NC
  • NPI 1073071973
  NPD (past)
• Mark Miceli, DPM

  • Primary Podiatric Medicine Podiatrist
  • Gastonia, NC
  • NPI 1881678118
  NPD (past)
• Thomas P Whitfield, DPM

  • Podiatrist
  • Charlotte, NC
  • NPI 1093877326
  NPD (past)
• Shawn Michael Bohler, PT

  • Physical Therapist
  • Elm Grove, WI
  • NPI 1447819719
  NPD (past)

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566518400000",
    "number": "1508811530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66",
            "city": "WHITE SULPHUR SPRINGS",
            "state": "WV",
            "postal_code": "249860066",
            "telephone_number": "304-536-5030",
            "fax_number": "304-536-5031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 ABBEY PL",
            "address_2": "STE 200 PARK ROAD MEDICAL CLINIC",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282093742",
            "telephone_number": "704-523-2565",
            "fax_number": "704-344-1241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE L RAAD MD DBA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2019-08-23",
        "status": "A",
        "authorized_official_last_name": "RAAD",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-523-2565",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "27283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park Road Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Park Road Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shekinah Starr Genus
• Genuwine Personal Care, LLC
• George D Hall, MD
• George D. Hall, MD
• George J Stuart Jr DDS PA
• Angie Denise George
• Benoy Kannikattel George, BDS, DDS
• Carol Talley George, OTR/L
• David McNease George, M.D.
• Fabiyonna George

• Family Medicine Physician in Charlotte, NC
• Providers in Charlotte, 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 Aug 23, 2019; 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.