DAVID J PUBANTZ MD NPI 1023146388

Pediatrics in Charlotte, NC

About DAVID PUBANTZ

David Pubantz is a provider in Charlotte, NC. The NPI number assigned to this provider is 1023146388. The practitioner's primary taxonomy code is Pediatrics (208000000X). The provider is registered as an individual and their NPI record was last updated 2 years ago.

NPI

1023146388

Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name DAVID J PUBANTZ MD
Provider Location Address1350 S KINGS DR CHARLOTTE, NC 28207 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing AddressPO BOX 601372 CHARLOTTE, NC 28260 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderMale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?No
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date03-01-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date12-15-2016 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Primary Taxonomy

Taxonomy Code208000000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationPediatrics
TypeAllopathic & Osteopathic Physicians
License No.2009-00634
License StateNC
Taxonomy DescriptionA pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Business Address

DAVID J PUBANTZ MD
1350 S KINGS DR
CHARLOTTE, NC
ZIP 28207
Phone: (704) 446-1422
Fax: (704) 446-1582

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Mailing Address

DAVID J PUBANTZ MD
PO BOX 601372
CHARLOTTE, NC
ZIP 28260
Phone: (704) 446-1422
Fax: (704) 446-1582

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1208000000XAllopathic & Osteopathic PhysiciansPediatrics1333999NCNo

Taxonomy Description: a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
2073549MEDICARE PIN (08)NC
1023146388MEDICAID (05)NC
N34009MEDICAID (05)SC
5913565MEDICAID (05)NC

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1013016625MRS. ALKA H PATEL PHARMD
Individual
Pharmacist1350 S KINGS DR
CHARLOTTE, NC 28207
(704) 446-1405
1063503985 ALISSA MCDOWELL SMITH PHARMD
Individual
Pharmacist1350 S KINGS DR SUITE 101
CHARLOTTE, NC 28207
(704) 446-1476
1114027232 CATHERINE WILLIAMS HUEMMER RPH
Individual
Pharmacist1350 S KINGS DR
CHARLOTTE, NC 28207
(704) 446-1403
1285733980MS. KELLY LYNN AVEY RPH
Individual
Pharmacist1350 S KINGS DR
CHARLOTTE, NC 28207
(704) 446-1405
1356441471DR. NANCY STEPHENS FORTSON PHARMD, RPH
Individual
Pharmacist1350 S KINGS DR
CHARLOTTE, NC 28207
(704) 446-1403
1427156355DR. LYNSEY RENEE HOPKINS PHARMD
Individual
Pharmacist1350 S KINGS DR
CHARLOTTE, NC 28207
(704) 446-1453
1467452730 PENNY STEWART R.PH.
Individual
Pharmacist (Pharmacotherapy)1350 S KINGS DR CMC MYERS PARK PHARMACY SUITE 101
CHARLOTTE, NC 28207
(704) 446-1400
1588700736THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
Organization
Clinic/Center1350 S KINGS DR
CHARLOTTE, NC 28207
(704) 355-2000
1639248487 JOAN LOIS SETTLEMYER PHARMD
Individual
Pharmacist1350 S KINGS DR
CHARLOTTE, NC 28207
(704) 446-1476
1699820050THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
Organization
Clinic/Center1350 S KINGS DR
CHARLOTTE, NC 28207
(704) 355-2000
1700985306MRS. LEIGH ANN HODGES THOMAS PHARMD
Individual
Pharmacist1350 S KINGS DR
CHARLOTTE, NC 28207
(704) 446-1403
1700986734DR. SARAH LANG MARCONI PHARMD
Individual
Pharmacist1350 S KINGS DR
CHARLOTTE, NC 28207
(704) 446-1403
1710987193MR. JIN WOO JUN RPH
Individual
Pharmacist1350 S KINGS DR
CHARLOTTE, NC 28207
(704) 446-1400
1790884468MS. KATHERINE GRACE MCCORKLE RPH
Individual
Pharmacist1350 S KINGS DR
CHARLOTTE, NC 28207
(704) 446-1402
1811219819 WENDY HYDE OQUINN PHARMD
Individual
Pharmacist1350 S KINGS DR
CHARLOTTE, NC 28207
(704) 446-1400
1932208683MR. JAMES THOMAS KILBRIDE RPH
Individual
Pharmacist1350 S KINGS DR
CHARLOTTE, NC 28207
(704) 446-1413
1932229358DR. JI HEE PARK PHARMD
Individual
Pharmacist1350 S KINGS DR
CHARLOTTE, NC 28207
(704) 446-1400
1952401986MRS. GLORIA A BUTLER RPH
Individual
Pharmacist1350 S KINGS DR
CHARLOTTE, NC 28207
(704) 446-1403
1972602639MRS. SARAH E MCDOWELL RPH
Individual
Pharmacist1350 S KINGS DR
CHARLOTTE, NC 28207
(704) 446-1986
1972623395DR. KRISTI DAVIS LAWRENCE PHARMD
Individual
Pharmacist1350 S KINGS DR
CHARLOTTE, NC 28207
(704) 446-1400
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