NOVANT MEDICAL GROUP, INC. (NOVANT HEALTH STEELECROFT PEDIATRICS) - NPI NUMBER 1275789588

Summary

Provider Name: NOVANT MEDICAL GROUP, INC. (NOVANT HEALTH STEELECROFT PEDIATRICS)

NPI Number: 1275789588

Clasification: Pediatrics (208000000X)

Address:
13357 STEELCROFT PARKWAY
CHARLOTTE, NC
ZIP 28278

Phone Number: (704) 316-1080



Detailed Information

NOVANT MEDICAL GROUP, INC. is a pediatrician in Charlotte, NC. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. The assigned NPI number for this provider is 1275789588 and is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Novant Health Steelecroft Pediatrics.

The provider's business address is:

13357 STEELCROFT PARKWAY
CHARLOTTE, NC
ZIP 28278-559
Phone: (704) 316-1080
Fax: (704) 316-1085

The provider's authorized official is Geoffrey K Gardner .
The authorized official title is Vp Finance and has the following contact phone number (704) 316-1080.

The enumeration date for this NPI number is 8/18/2008 and was last updated on 7/2/2013.

Map - Location of Practice

Taxonomy Codes

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
1 208000000X Pediatrics Yes

NPI Record

No. Field Name Field Value Field Definition 1
1 NPI 1275789588 The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
2 Entity Type Code 2 Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
3 Employer Identification Number EIN The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
4 Provider Organization Name Legal Business Name NOVANT MEDICAL GROUP, INC. The name of the organization provider. If the provider is an organization, this is the legal business name.
5 Provider Other Organization Name NOVANT HEALTH STEELECROFT PEDIATRICS Other name by which the organization provider is or has been known.
6 Provider Other Organization Name Type Code 3 Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
7 Provider First Line Business Practice Location Address 13357 STEELCROFT PARKWAY The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
8 Provider Business Practice Location Address City Name CHARLOTTE The city name in the location address of the provider being identified.
9 Provider Business Practice Location Address State Name NC The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
10 Provider Business Practice Location Address Postal Code 282787559 The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
11 Provider Business Practice Location Address Country Code If outside U S US The country code in the location address of the provider being identified.
12 Provider Business Practice Location Address Telephone Number 7043161080 The telephone number associated with the location address of the provider being identified.
13 Provider Business Practice Location Address Fax Number 7043161085 The fax number associated with the location address of the provider being identified.
14 Provider Enumeration Date 8/18/2008 The date the provider was assigned a unique identifier (assigned an NPI).
15 Last Update Date 7/2/2013 The date that a record was last updated or changed.
16 Authorized Official Last Name GARDNER The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
17 Authorized Official First Name GEOFFREY The first name of the authorized official.
18 Authorized Official Middle Name K The middle name of the authorized official.
19 Authorized Official Title or Position VP FINANCE The title or position of the authorized official.
20 Authorized Official Telephone Number 7043161080 The 10-position telephone number of the authorized official.
21 Healthcare Provider Taxonomy Code 1 208000000X Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
22 Healthcare Provider Primary Taxonomy Switch 1 Y
23 Is Organization Subpart N
24 Healthcare Provider Taxonomy Group 1 193200000X MULTI-SPECIALTY GROUP

Similar Providers Nearby

NPI Provider Name NPI Type Taxonomy
1164705653 NOVANT MEDICAL GROUP INC Organization Pediatrics (Pediatric Gastroenterology)
1184679359 NOVANT MEDICAL GROUP, INC. Organization Pediatrics
1134225246 MONICA C. MILLER, MD Individual Pediatrics
1003835398 DR. KATHY GARLAND MOHANTY, MD Individual Pediatrics
1083628218 DR. PAUL M. SMOLEN, MD Individual Pediatrics
1265456495 STEPHANIE ROZIER RICHTER, M.D. Individual Pediatrics
1174798599 MRS. ANNA C NEAL, M.D. Individual Pediatrics
1083905079 CAROLINAS MEDICAL CENTER Organization Pediatrics
1255404067 DR. MATTHEW DAVID SAMAREL, MD Individual Pediatrics
1194853457 KASEY WYMER SCANNELL, MD Individual Pediatrics
1154424661 DR. CHRISTINA M DOLACK, DO Individual Pediatrics
1295940872 LINDA B ROOCHVARG, MD Individual Pediatrics


Download NPI Record

Download this NPI record in Text format: Export

Download this NPI record in Excel (CSV) format: Export

Download this NPI record in XML format: Export




This page was last updated on: 4/19/2015

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

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.