2015-00963
Active
No
05/04/2015
05/14/2027
Active Supervisees
| Name | Type | Status | Approved | Inactive |
|
Bloomfield, Blake David
| Physician Assistant |
Active
|
08/14/2025
|
|
|
Cartwright, Lauren Paige
| Physician Assistant |
Active
|
09/22/2017
|
|
|
Grinham, Keleigh Clare
| Physician Assistant |
Active
|
05/21/2021
|
|
|
Lacossade, Paulina
| Nurse Practitioner |
Active
|
04/09/2023
|
|
|
Polsgrove, Madison Skye Mclellan
| Physician Assistant |
Active
|
08/07/2025
|
|
|
Shpak, Katerina Elizabeth
| Physician Assistant |
Active
|
01/12/2023
|
|
|
Sieradzan, Madison Leigh
| Physician Assistant |
Active
|
09/27/2023
|
|
|
Singleton, Jennifer Erin
| Nurse Practitioner |
Active
|
11/08/2023
|
|
|
Smith, Elisha John
| Nurse Practitioner |
Active
|
07/28/2021
|
|
|
Sorensen, Grace Katherine
| Physician Assistant |
Active
|
09/20/2023
|
|
|
Stewart, Ashley
| Nurse Practitioner |
Active
|
10/04/2019
|
|
|
Williford, Kaley Nicole
| Physician Assistant |
Active
|
02/15/2025
|
|
North Carolina Hospital Admitting Privileges
Out of State Active/Inactive Licenses
| State |
| California |
| Tennessee |
Out of Country Active/Inactive Licenses
Address
Sanger Heart & Vascular Institute
1237 Harding Place
Suite 3100
Charlotte, NC 28204
704-373-0212
Information
Medical School
| School | Graduation |
| University of Chicago Pritzker School of Medicine | 2008 |
Post Graduate Training
"Last Year" does not necessarily mean that the licensee completed his/her training program. (In NC, a physician can be licensed without completing such a program.)
| Institution | Specialty | State, Country | Training Program | Last Year |
| Stanford University Hospital | Internal Medicine |
CA, US
| Residency | 2012 |
| Stanford University Hospital | Internal Medicine |
CA, US
| Internship | 2009 |
Current Board Certification and Year of Certification/Recertification
Physicians should not list non-ABMS or non-AOA specialty boards unless the board meets the criteria set forth in the NC Medical Board’s Advertising and Publicity Position Statement.
| Primary/Subspecialty | Year |
| Internal Medicine | 2011 |
Area of Practice
| Area Of Practice | Primary |
| Cardiovascular Disease, Internal Medicine | Yes |
Current Membership in Medical Professional Organizations
Honors & Awards
| Honor/Award | Given By | Date |
| None Reported |
Public Service
| Name of Clinic | Service Description | Date |
| None Reported |
Current Academic Appointments
| Title | Institution | City, State, Country |
| None Reported |
Publications
Section 1: Adverse Actions
North Carolina Medical Board Public Actions
| Date | Description | Link |
| None Reported |
Other Regulatory Board or Agency Public Actions
| Date | Name of Board/Agency | Action Taken | Link |
| None Reported |
Health Care Institution Suspensions and Revocations
| Date | Health Care Institution | Action Taken |
| None Reported |
Section 2: Administrative Actions
Actions listed in this section are considered non-disciplinary by the Board. In situations where
administrative actions are taken, the licensee may not have met certain statutory requirements or
may have failed to follow correct administrative procedures.
North Carolina Medical Board Reentry Agreement
| Date | Description | Link |
| None Reported |
North Carolina Special Purpose Licensing Agreement
| Date | Description | Link |
| None Reported |
Malpractice Information
The Board is currently reviewing the care that led to this payment.
| Incident Date | Payment Date | Area of Practice | City, State, Country | Response |
| None Reported |
Misdemeanor/DUI/DWI Conviction Information
| Conviction Date | Conviction | Jurisdiction | Sentence |
| None Reported |
Felony Conviction Information
| Conviction Date | Conviction | Jurisdiction | Sentence |
| None Reported |