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CHARLOTTE TRAUMA SERVICES PLLC NPI 1285610956


NPI Information

NPI: 1285610956
Provider Name: CHARLOTTE TRAUMA SERVICES, PLLC
Classification: Surgery - 2086S0127X
Entity Type: Organization

Specialization: Trauma Surgery

Address:
1918 RANDOLPH RD
SUITE 130
CHARLOTTE, NC
ZIP 28207
Phone: (704) 364-8100
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CHARLOTTE TRAUMA SERVICES, PLLC is a trauma surgery surgery in Charlotte, NC. The provider is trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. CHARLOTTE TRAUMA SERVICES, PLLC NPI is 1285610956. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1918 RANDOLPH RD
SUITE 130
CHARLOTTE, NC
ZIP 28207-100
Phone: (704) 364-8100
Fax: (704) 365-2073

The provider's authorized official is Robert Charles Monson .
The authorized official title is Regestered Agent and has the following contact phone number (704) 998-2162.

The enumeration date for this NPI number is 12/15/2005 and was last updated on 10/18/2007.


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
12086S0127XSurgeryTrauma Surgery86420NORTH CAROLINAYes

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
1790298JMEDICAIDNORTH CAROLINA
22344336MEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINACTS MEDICARE GROUP NUMBER

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

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