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ONCOLOGY SPECIALISTS OF CHARLOTTE PA NPI 1467406736


NPI Information

NPI: 1467406736
Provider Name: ONCOLOGY SPECIALISTS OF CHARLOTTE PA
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

CLIA Number: 34D2089154

Address:
2711 RANDOLPH RD STE 400
CHARLOTTE, NC
ZIP 28207
Phone: (704) 342-1900
Get Directions

ONCOLOGY SPECIALISTS OF CHARLOTTE PA is a hematology and oncology internal medicine in Charlotte, NC. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. ONCOLOGY SPECIALISTS OF CHARLOTTE PA NPI is 1467406736. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2711 RANDOLPH RD STE 400
CHARLOTTE, NC
ZIP 28207-027
Phone: (704) 342-1900
Fax: (704) 377-0353

The provider's authorized official is Valarie Shepherd .
The authorized official title is Clinical Services Director and has the following contact phone number (704) 342-9550.

The CLIA number assigned to this NPI record is 34D2089154 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 5/20/2006 and was last updated on 9/9/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RH0003XInternal MedicineHematology & OncologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CH1821OTHERRR MEDICARE
28902257MEDICAIDNORTH CAROLINA
302257OTHERNORTH CAROLINABCBSNC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.