THE SANGER CLINIC PA NPI 1912073743

NPI Information

  • NPI: 1912073743
  • Provider Name: THE SANGER CLINIC PA
  • Classification: Dietitian, Registered - 133V00000X
  • Entity Type: Organization
  • Address: 1001 BLYTHE BLVD STE 300
    CHARLOTTE, NC
    ZIP 28203
  • Phone: (704) 373-0212

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NPI Details

THE SANGER CLINIC PA is a dietitian registered in Charlotte, NC. The provider is a Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation. THE SANGER CLINIC PA NPI is 1912073743. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1001 BLYTHE BLVD STE 300
CHARLOTTE, NC
ZIP 28203-863
Phone: (704) 373-0212
Fax: (704) 373-2626

The provider's authorized official is Stephen L. Wagner .
The authorized official title is Ceo-administrator and has the following contact phone number (704) 373-0212.

The enumeration date for this NPI number is 11/24/2006 and was last updated on 9/11/2025.

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
1207R00000XInternal MedicineNORTH CAROLINANo
2207RC0000XInternal MedicineCardiovascular DiseaseNORTH CAROLINANo
3207RC0001XInternal MedicineClinical Cardiac ElectrophysiologyNORTH CAROLINANo
4207RI0011XInternal MedicineInterventional CardiologyNORTH CAROLINANo
52080P0202XPediatricsPediatric CardiologyNORTH CAROLINANo
62086S0120XSurgeryPediatric SurgeryNORTH CAROLINANo
72086S0129XSurgeryVascular SurgeryNORTH CAROLINANo
8208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)NORTH CAROLINANo
9363AM0700XPhysician AssistantMedicalNORTH CAROLINANo
10363AS0400XPhysician AssistantSurgicalNORTH CAROLINANo
11363LA2100XNurse PractitionerAcute CareNORTH CAROLINANo
12363LA2200XNurse PractitionerAdult HealthNORTH CAROLINANo
13363LF0000XNurse PractitionerFamilyNORTH CAROLINANo
14363LP0200XNurse PractitionerPediatricsNORTH CAROLINANo
15133V00000XDietitian, RegisteredNORTH 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1GP0129MEDICAIDSOUTH CAROLINA
28902815MEDICAIDNORTH CAROLINA
302815OTHERNORTH CAROLINABCBS
4028150MEDICAIDSOUTH 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: 11/21/2025

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