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Mark R Pustaver

Neurology

4213 Matthews Mint Hill Rd
Matthews , North Carolina 28105-3634

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Mark R Pustaver

Neurology

4213 Matthews Mint Hill Rd
Matthews , North Carolina 28105-3634

(704) 573-1070

Write a Review Save Call

Mark R Pustaver

Neurology

4213 Matthews Mint Hill Rd
Matthews , North Carolina 28105-3634

(704) 573-1070 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Neurology

Languages spoken

  • English

Location

4213 Matthews Mint Hill Rd Matthews , North Carolina 28105-3634

First Address

  • Mark R Pustaver
  • 4213 Matthews Mint Hill Rd
  • Matthews, NC
  • Zip : 28105-3634
  • Fax : (704) 573-1070
  • Phone : (704) 573-2400

Second Address

  • Mark R Pustaver
  • 4213 Matthews Mint Hill Rd
  • Matthews, NC
  • Zip : 28105-3634
  • Fax : (704) 573-1070
  • Phone : (704) 573-2400

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FAQs


Where did Mark R Pustaver attend graduate school?

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Where did Mark R Pustaver do his residency?

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Where did Mark R Pustaver do his fellowship?

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Is Mark R Pustaver board certified?

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What type of doctor is Mark R Pustaver

Neurology

In what state does Mark R Pustaver practice in?

North Carolina

Where is Mark R Pustaver ’s practice located?

4213 Matthews Mint Hill Rd , Matthews, North Carolina, 28105-3634

What is Mark R Pustaver ’s gender?

Male

Is Mark R Pustaver a sole practitioner?

No

Is Mark R Pustaver accepting new patients?

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What languages does Mark R Pustaver speak?

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Does Mark R Pustaver accept insurance?

Yes, Mark R Pustaver accepts insurance

Does Mark R Pustaver offers telemedicine?

Mark R Pustaver has not indicated if he offers telemedicine

What is Mark R Pustaver ’s professional license number?

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What is Mark R Pustaver ’s NPI number?

1336144534

Does Mark R Pustaver have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 111NN0400X Neurology 1509 NC

National Provider Identifier

NPI 1336144534
Provider Name Mark R Pustaver
First Address Matthews, NC 28105-3634
Second Address Matthews, NC 28105-3634
Gender M
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 15/06/2005
Last Update Date 28/06/2011

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
0872M BLUE CROSS BLUE SHIELD (01) NC
5900047 (05) NC
T63045 (02) NC

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider 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 Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type 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)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart 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.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary 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 NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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