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

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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
1 NPI 1275789588
2 Entity Type Code 2
3 Employer Identification Number EIN
4 Provider Organization Name Legal Business Name NOVANT MEDICAL GROUP, INC.
5 Provider Other Organization Name NOVANT HEALTH STEELECROFT PEDIATRICS
6 Provider Other Organization Name Type Code 3
7 Provider First Line Business Practice Location Address 13357 STEELCROFT PARKWAY
8 Provider Business Practice Location Address City Name CHARLOTTE
9 Provider Business Practice Location Address State Name NC
10 Provider Business Practice Location Address Postal Code 282787559
11 Provider Business Practice Location Address Country Code If outside U S US
12 Provider Business Practice Location Address Telephone Number 7043161080
13 Provider Business Practice Location Address Fax Number 7043161085
14 Provider Enumeration Date 8/18/2008
15 Last Update Date 7/2/2013
16 Authorized Official Last Name GARDNER
17 Authorized Official First Name GEOFFREY
18 Authorized Official Middle Name K
19 Authorized Official Title or Position VP FINANCE
20 Authorized Official Telephone Number 7043161080
21 Healthcare Provider Taxonomy Code 1 208000000X
22 Healthcare Provider Primary Taxonomy Switch 1 Y
23 Is Organization Subpart N
24 Healthcare Provider Taxonomy Group 1 193200000X MULTI-SPECIALTY GROUP

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This page was last updated on: 10/12/2014
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.