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MECKLENBURG DERMATOLOGY ASSOC. PA NPI 1831176643


NPI Information

NPI: 1831176643
Provider Name: MECKLENBURG DERMATOLOGY ASSOC. PA
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
309 S. SHARON AMITY
SUITE 200
CHARLOTTE, NC
ZIP 28211
Phone: (704) 344-8846
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MECKLENBURG DERMATOLOGY ASSOC. PA is a specialist in Charlotte, NC. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MECKLENBURG DERMATOLOGY ASSOC. PA NPI is 1831176643. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

309 S. SHARON AMITY
SUITE 200
CHARLOTTE, NC
ZIP 28211-000
Phone: (704) 344-8846
Fax: (704) 344-9844

The provider's authorized official is Sharon M. Swartz .
The authorized official title is Office Manager and has the following contact phone number (704) 344-8846.

The enumeration date for this NPI number is 12/22/2005 and was last updated on 6/26/2012.


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
1174400000XSpecialist9400642NORTH 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
12344517MEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINAGROUP MEDICARE NUMBER
22197159BMEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINADR SNYDER MEDICARE
35902119MEDICAIDNORTH CAROLINA
4P77700MEDICARE UPINNORTH CAROLINA
5F48905MEDICARE UPINNORTH CAROLINA
6208306BMEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINADR LOGAN MEDICARE
789011AXMEDICAIDNORTH CAROLINA
88952485MEDICAIDNORTH CAROLINA
9S58084MEDICARE UPINNORTH CAROLINA
102757388AMEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINAJOANNE ERICKSON PA MEDICA
11897835EMEDICAIDNORTH CAROLINA
12208306BMEDICARE UPINNORTH CAROLINA
132746186BMEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINASHARON SWARTZ PA MEDICARE

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

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.