Provider Demographics
NPI:1326046814
Name:PAM WESTMORELAND SHOLAR MD PLLC
Entity Type:Organization
Organization Name:PAM WESTMORELAND SHOLAR MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:PAM
Authorized Official - Middle Name:WESTMORELAND
Authorized Official - Last Name:SHOLAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:704-872-3630
Mailing Address - Street 1:365 BROOKDALE DR
Mailing Address - Street 2:
Mailing Address - City:STATESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28677-4103
Mailing Address - Country:US
Mailing Address - Phone:704-872-3630
Mailing Address - Fax:704-872-0049
Practice Address - Street 1:365 BROOKDALE DR
Practice Address - Street 2:
Practice Address - City:STATESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28677-4103
Practice Address - Country:US
Practice Address - Phone:704-872-3630
Practice Address - Fax:704-872-0049
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-08
Last Update Date:2010-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC29869207RH0003X
NC200200800207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89013NXMedicaid
NC89131J5Medicaid
NC8975979Medicaid
B34900Medicare UPIN
NC8975979Medicaid
C82065Medicare UPIN
NC2328489Medicare PIN
NC89131J5Medicaid