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NOVANT MEDICAL GROUP INC NPI 1316245475


NPI Information

NPI: 1316245475
Provider Name: NOVANT MEDICAL GROUP, INC

Doing Business As: PRESBYTERIAN BARIATRIC&GENERAL SURGERY

Classification: Surgery - 208600000X
Entity Type: Organization
Address:
15825 JOHN J DELANEY DR
SUITE 220
CHARLOTTE, NC
ZIP 28277
Phone: (704) 316-7740
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NOVANT MEDICAL GROUP, INC is a surgery in Charlotte, NC. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. NOVANT MEDICAL GROUP, INC NPI is 1316245475. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Presbyterian Bariatric&general Surgery.

The provider's business location address is:

15825 JOHN J DELANEY DR
SUITE 220
CHARLOTTE, NC
ZIP 28277-147
Phone: (704) 316-7740
Fax: (704) 316-7745

The provider's authorized official is Geoffrey Gardner .
The authorized official title is Vp Finance and has the following contact phone number (704) 384-9094.

The enumeration date for this NPI number is 3/14/2011 and was last updated on 7/5/2013.


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
1207RB0002XInternal MedicineObesity MedicineNo
2208600000XSurgeryYes

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
15917054MEDICAIDNORTH CAROLINA
22319872MEDICARE PINNORTH 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: 4/28/2024

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