Provider Demographics
NPI:1912969692
Name:UNTERREINER, NAOMI (MBCHB)
Entity Type:Individual
Prefix:DR
First Name:NAOMI
Middle Name:
Last Name:UNTERREINER
Suffix:
Gender:F
Credentials:MBCHB
Other - Prefix:DR
Other - First Name:NAOMI
Other - Middle Name:
Other - Last Name:KOTZE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:128 HOLLY ST
Mailing Address - Street 2:
Mailing Address - City:SPENCER
Mailing Address - State:NC
Mailing Address - Zip Code:28159-1819
Mailing Address - Country:US
Mailing Address - Phone:704-883-6983
Mailing Address - Fax:
Practice Address - Street 1:1601 BRENNER AVE
Practice Address - Street 2:IMAGING DEPARTMENT
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28144-2515
Practice Address - Country:US
Practice Address - Phone:704-638-9000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-06
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2005-015912085R0202X, 2085R0204X, 2085U0001X, 2085P0229X, 2085B0100X, 2085N0700X, 2085N0904X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085P0229XAllopathic & Osteopathic PhysiciansRadiologyPediatric Radiology
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
No2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Ultrasound
No2085B0100XAllopathic & Osteopathic PhysiciansRadiologyBody Imaging
No2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiology
No2085N0904XAllopathic & Osteopathic PhysiciansRadiologyNuclear Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02276373Medicaid
NC2005-01591OtherSTATE LICENSE
5037577OtherECFMG NUMBER
NY224494OtherSTATE LICENSE
NY224494OtherSTATE LICENSE
NY02276373Medicaid