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NOVANT MEDICAL GROUP INC. NPI 1861520074


NPI Information

NPI: 1861520074
Provider Name: NOVANT MEDICAL GROUP, INC.

Doing Business As: NOVANT HEALTH PROVIDENCE OB/GYN

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
1718 E 4TH ST
SUITE 907
CHARLOTTE, NC
ZIP 28204
Phone: (704) 372-4000
Get Directions

NOVANT MEDICAL GROUP, INC. is an obstetrics gynecology in Charlotte, NC. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. NOVANT MEDICAL GROUP, INC. NPI is 1861520074. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Novant Health Providence Ob/gyn.

The provider's business location address is:

1718 E 4TH ST
SUITE 907
CHARLOTTE, NC
ZIP 28204-282
Phone: (704) 372-4000
Fax: (704) 334-4855

The provider's authorized official is Geoffrey K. Gardner .
The authorized official title is Vp Of Finance and has the following contact phone number (704) 372-4000.

The enumeration date for this NPI number is 3/1/2007 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
1207V00000XObstetrics & GynecologyYes

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
12308634FMEDICARE PINNORTH CAROLINA
2011VYOTHERNORTH CAROLINABCBS NC
32308634MEDICARE PINNORTH CAROLINA
45907955MEDICAIDNORTH CAROLINA
5NPB255MEDICAIDSOUTH 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: 11/14/2023

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