NOVANT MEDICAL GROUP INC. NPI 1902846330

NPI Information

NPI: 1902846330
Provider Name: NOVANT MEDICAL GROUP, INC.

Doing Business As: NOVANT HEALTH GYNECOLOGIC ONCOLOGY ASSOCIATES

Classification: Obstetrics & Gynecology - 207VX0201X
Entity Type: Organization

Specialization: Gynecologic Oncology

Address:
1918 RANDOLPH RD STE 175
CHARLOTTE, NC
ZIP 28207
Phone: (704) 384-8200
Get Directions

NOVANT MEDICAL GROUP, INC. is a gynecologic oncology obstetrics gynecology in Charlotte, NC. The provider is an obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. NOVANT MEDICAL GROUP, INC. NPI is 1902846330. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Novant Health Gynecologic Oncology Associates.

The provider's business location address is:

1918 RANDOLPH RD STE 175
CHARLOTTE, NC
ZIP 28207-107
Phone: (704) 384-8200
Fax: (704) 384-8208

The provider's authorized official is Shala Davis .
The authorized official title is Rcs Manager and has the following contact phone number (704) 303-7517.

The enumeration date for this NPI number is 6/7/2006 and was last updated on 8/18/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207VX0201X	Obstetrics & Gynecology	Gynecologic Oncology		NORTH CAROLINA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	NPB048	MEDICAID	SOUTH CAROLINA
2	89015KR	MEDICAID	NORTH CAROLINA
3	015KR	OTHER	NORTH CAROLINA	BCBS NC

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

NPI Synchronization or Removal

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