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NOVANT MEDICAL GROUP INC NPI 1730439944


NPI Information

NPI: 1730439944
Provider Name: NOVANT MEDICAL GROUP INC

Doing Business As: NOVANT HEALTH LAKESIDE FAMILY PHYSICIANS

Classification: Emergency Medicine - 207P00000X
Entity Type: Organization

CLIA Number: 34D2193074

Address:
19485 OLD JETTON RD
SUITE 100
CORNELIUS, NC
ZIP 28031
Phone: (704) 384-1775
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NOVANT MEDICAL GROUP INC is an emergency medicine in Cornelius, NC. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. NOVANT MEDICAL GROUP INC NPI is 1730439944. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Novant Health Lakeside Family Physicians.

The provider's business location address is:

19485 OLD JETTON RD
SUITE 100
CORNELIUS, NC
ZIP 28031-582
Phone: (704) 384-1775
Fax: (704) 384-1776

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

The CLIA number assigned to this NPI record is 34D2193074 - other - urgent care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/14/2012 and was last updated on 2/27/2017.


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
1207P00000XEmergency MedicineYes
2207Q00000XFamily MedicineNo

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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