Mark Richard Ippolito is a Charlotte, North Carolina based neurologist who is specialized in Neurology. Active license number of Mark Richard Ippolito is 2000-00076 for Neurology in North Carolina. His current practice location is 200 Hawthorne Ln, Charlotte. Patients can reach him at 704-384-9437 or can fax him at 704-384-9440. Mark Richard Ippolito is M.D. in Neurology and his NPI number (Unique professional ID assigned by NPPES) is 1720042179. Mark Richard Ippolito specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Complete Profile:
Mark Richard Ippolito speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Mark Richard Ippolito
Specialization:
Neurology
Gender:
Male
Credentials:
M.D.
Practice Address:
200 Hawthorne Ln, Charlotte, North Carolina, 28204-2515
Phone:
704-384-9437
Fax:
704-384-9440
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1720042179
NPI Enumeration Date:
13 Apr, 2006
NPI Last Update On:
25 Oct, 2020
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mark Richard Ippolito are as mentioned below.
License Number
Specialization
State
Status
2000-00076
Neurology
North Carolina
Primary
2000-00076
Psychiatry & Neurology
North Carolina
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mark Richard Ippolito such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
8912769
Medicaid
North Carolina
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Mark Richard Ippolito Po Box 60447, Charlotte, North Carolina
Zip:
28260-0447
Phone Number:
704-384-7840
Fax Number:
704-384-7830
Patients can reach Mark Richard Ippolito at 200 Hawthorne Ln, Charlotte, North Carolina or can call to book an appointment on 704-384-9437.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.