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NOVANT MEDICAL GROUP INC. NPI 1790748218


NPI Information

NPI: 1790748218
Provider Name: NOVANT MEDICAL GROUP, INC.

Doing Business As: NOVANT HEALTH PULMONARY AND CRITICAL CARE

Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

Address:
1918 RANDOLPH RD
SUITE 580
CHARLOTTE, NC
ZIP 28207
Phone: (704) 384-9900
Get Directions

NOVANT MEDICAL GROUP, INC. is a pulmonary disease internal medicine in Charlotte, NC. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. NOVANT MEDICAL GROUP, INC. NPI is 1790748218. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Novant Health Pulmonary And Critical Care.

The provider's business location address is:

1918 RANDOLPH RD
SUITE 580
CHARLOTTE, NC
ZIP 28207-116
Phone: (704) 384-9900
Fax: (704) 384-9919

The provider's authorized official is Leea Jeanine Walton .
The authorized official title is Rcs Manager and has the following contact phone number (704) 316-6081.

The enumeration date for this NPI number is 4/7/2006 and was last updated on 7/12/2023.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0200XInternal MedicineCritical Care MedicineNo
2207RP1001XInternal MedicinePulmonary DiseaseYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1890101QMEDICAIDNORTH CAROLINA
20101QOTHERNORTH CAROLINABCBS
3CG8889OTHERNORTH CAROLINARAILROAD MEDICARE
4NPA892MEDICAIDNORTH CAROLINA

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: 5/5/2024

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