DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. SAMUEL JAY PERETSMAN M.D.

MEDICARE: DR. SAMUEL JAY PERETSMAN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208800000XUrology Physician89031SC
2208800000XUrology Physician9500688NC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3340016821OTHERNCRAILROAD MEDICARE INDI #

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
110465OTHERNCPARTNERS PROVIDER #
266833OTHERNCBCBS INDI PROVIDER #

General Provider Information

NPI Number : 1912946336
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SAMUEL JAY PERETSMAN M.D.
Provider Business Mailing Address
First Line : PO BOX 36488
Second Line :
City : CHARLOTTE
State : NC
Zip : 28236-6488
Country : US
Telephone Number : 704-248-3400
Fax Number : 704-337-8387
Provider Business Practice Location Address
First Line : 201 QUEENS RD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28204-3217
Country : US
Telephone Number : 704-372-5180
Fax Number : 704-376-6280
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2006
Last Update Date : 05/30/2023

Similar Medicare Providers

1326081746 — DR. JOHN ALVIN KIRKLAND JR. M.D.
Practice Location Address:
201 QUEENS RD
CHARLOTTE, NC
28204-3217
Practice Phone: 704-372-5180
Practice Fax: 704-376-6280
1891723425 — MS. ANN HOLLAND THOMAS P.A.
Practice Location Address:
201 QUEENS RD
CHARLOTTE, NC
28204-3217
Practice Phone: 704-372-5180
Practice Fax:
1609806264 — DR. MALAKA BAHARAH JACKSON M.D.
Practice Location Address:
201 QUEENS RD
CHARLOTTE, NC
28204-3217
Practice Phone: 704-316-5285
Practice Fax:
1811062615 — DR. HENRY JOHN ROHRS III MD
Practice Location Address:
201 QUEENS RD
CHARLOTTE, NC
28204-3217
Practice Phone: 704-316-5285
Practice Fax: 704-316-5288
1295027845 — KIRA MOLLENKOPF SEGEBARTH RD, CPNP
Practice Location Address:
201 QUEENS RD
CHARLOTTE, NC
28204-3217
Practice Phone: 704-316-5910
Practice Fax:
1962778266 — DIANA ELIZABETH MILLER MD
Practice Location Address:
201 QUEENS RD
CHARLOTTE, NC
28204-3217
Practice Phone: 704-316-5285
Practice Fax:

Directions to “ DR. SAMUEL JAY PERETSMAN M.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.