MALLARD CREEK FAMILY PRACTICE
NPI 1518174820
Family Medicine in Charlotte, NC

NPI Status: Active since May 17, 2007

Contact Information

10320 MALLARD CREEK RD
SUITE 100
CHARLOTTE, NC
ZIP 28262
Phone: (704) 547-9500
Fax: (704) 547-9515

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  • Organization
  • Family Medicine

About MALLARD CREEK FAMILY PRACTICE

This page provides the complete NPI Profile along with additional information for Mallard Creek Family Practice, a primary care provider established in Charlotte, North Carolina operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1518174820 assigned on May 2007. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Mallard Creek Family Practice. The authorized official of this NPI record is Dr. William George Katibah Iii M.d. (Owner)

NPI
1518174820
Provider Legal Name
WILLIAM GEORGE KATIBAH III
Other Organization Name
MALLARD CREEK FAMILY PRACTICE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
10320 MALLARD CREEK RD SUITE 100 CHARLOTTE, NC 28262
Location Phone
(704) 547-9500
Location Fax
(704) 547-9515
Mailing Address
10320 MALLARD CREEK RD SUITE 100 CHARLOTTE, NC 28262
Mailing Phone
(704) 547-9500
Mailing Fax
(704) 547-9515
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-17-2007
Last Update Date
02-22-2008
Code Navigator

A primary care provider (PCP) like Mallard Creek Family Practice sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. WILLIAM GEORGE KATIBAH III M.D.

Authorized Official Title
OWNER
Authorized Official Phone
(704) 547-9500

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1518174820
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
252827884
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 2 + 8 + 2 + 7 + 8 + 8 + 4 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1518174820 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

NPI Name / Type Taxonomy Address
1932146974MISS DEMITA G PAYNE PT
Individual
Physical Therapist10320 MALLARD CREEK RD SUITE 275
CHARLOTTE, NC 28262
(704) 549-9322
1255413597DR. DAVID SCOTT MOSS M.D.
Individual
Internal Medicine10320 MALLARD CREEK RD STE 271
CHARLOTTE, NC 28262
(704) 503-6321
1518040310DR. ROBERT HOLT FOUSHEE D.D.S., M.S.
Individual
Dentist (Orthodontics and Dentofacial Orthopedics)10320 MALLARD CREEK RD SUITE 140
CHARLOTTE, NC 28262
(704) 593-1900
1902972342DR. GINA RENEE DAVIS D.D.S.
Individual
Dentist (General Practice)10320 MALLARD CREEK RD SUITE 160
CHARLOTTE, NC 28262
(704) 547-8734
1801067327DAVID H. MOORE DDS, MS, PA
Organization
Dentist (Pediatric Dentistry)10320 MALLARD CREEK RD SUITE 150
CHARLOTTE, NC 28262
(704) 547-8438
1619208030S.J.BURROW,III.D.D.S.,M.S.,P.L.L.C.
Organization
Dentist (Orthodontics and Dentofacial Orthopedics)10320 MALLARD CREEK RD SUITE 150
CHARLOTTE, NC 28262
(704) 547-8438
1578863007 STACY MARIE SANNEM PT
Individual
Physical Therapist10320 MALLARD CREEK RD STE 275
CHARLOTTE, NC 28262
(704) 717-3000
1982992376 ROSEMARIE GENTLE PT
Individual
Physical Therapist10320 MALLARD CREEK RD SUITE 275
CHARLOTTE, NC 28262
(704) 717-3000
1386667368NOVANT MEDICAL GROUP, INC.
Organization
Internal Medicine10320 MALLARD CREEK RD SUITE 120
CHARLOTTE, NC 28262
(704) 384-0570
1912987975 WILLIAM G. KATIBAH III M.D.
Individual
Family Medicine10320 MALLARD CREEK RD SUITE 100
CHARLOTTE, NC 28262
(704) 517-2130
1558775015MRS. ALLISON PETRILLI KNOX PA-C
Individual
Physician Assistant10320 MALLARD CREEK RD SUITE 100
CHARLOTTE, NC 28262
(704) 945-6843
1871735068 KIMBERLY S SQUIRES FNP-C; PMHNP-BC
Individual
Nurse Practitioner (Psychiatric/Mental Health)10320 MALLARD CREEK RD STE 240
CHARLOTTE, NC 28262
(704) 886-8703
1881952117CAROLINAS MEDICAL CENTER AT HOME, LLC
Organization
Durable Medical Equipment & Medical Supplies10320 MALLARD CREEK RD SUITE 230
CHARLOTTE, NC 28262
(704) 512-5662
1972550994PRESBYTERIAN REGIONAL HEALTHCARE CORP.
Organization
Family Medicine10320 MALLARD CREEK RD SUITE 100
CHARLOTTE, NC 28262
(704) 547-9500
1285643619CAROLINAS PHYSICIANS NETWORK INC
Organization
Internal Medicine (Endocrinology, Diabetes & Metabolism)10320 MALLARD CREEK RD SUITE 260
CHARLOTTE, NC 28262
(704) 549-1992
1821172552THOMAS HAND AND REHABILITATION SPECIALISTS LP
Organization
Physical Therapist10320 MALLARD CREEK RD SUITE 275
CHARLOTTE, NC 28262
(704) 549-9322
1174679633GINA R. DAVIS DDS PA
Organization
Dentist (General Practice)10320 MALLARD CREEK RD SUITE 160
CHARLOTTE, NC 28262
(704) 547-8734
1609081017THOMAS HAND AND REHABILITATION SPECIALISTS LIMITED PARTNERSHIP
Organization
Durable Medical Equipment & Medical Supplies10320 MALLARD CREEK RD SUITE 275
CHARLOTTE, NC 28262
(704) 549-9322
1639386162R. HOLT FOUSHEE, DDS, MS
Organization
Clinic/Center (Dental)10320 MALLARD CREEK RD SUITE 140
CHARLOTTE, NC 28262
(704) 593-1900
1316447022 TANYA RACHELLE DUNLAP
Individual
Social Worker (Clinical)10320 MALLARD CREEK RD STE 240
CHARLOTTE, NC 28262
(704) 910-6142

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1518174820, enumerated in the NPI registry as an "organization" on May 17, 2007

The provider is located at 10320 Mallard Creek Rd Suite 100 Charlotte, Nc 28262 and the phone number is (704) 547-9500

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

This NPI record was last updated on May 17, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.