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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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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 8/22/2020.


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
1133V00000XDietitian, RegisteredNORTH CAROLINAYes
2207R00000XInternal MedicineNORTH CAROLINAX
3207RC0000XInternal MedicineCardiovascular DiseaseNORTH CAROLINAX
4207RC0001XInternal MedicineClinical Cardiac ElectrophysiologyNORTH CAROLINAX
5207RI0011XInternal MedicineInterventional CardiologyNORTH CAROLINAX
62080P0202XPediatricsPediatric CardiologyNORTH CAROLINAX
72086S0120XSurgeryPediatric SurgeryNORTH CAROLINAX
82086S0129XSurgeryVascular SurgeryNORTH CAROLINAX
9208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)NORTH CAROLINAX
10363AM0700XPhysician AssistantMedicalNORTH CAROLINAX
11363AS0400XPhysician AssistantSurgicalNORTH CAROLINAX
12363LA2100XNurse PractitionerAcute CareNORTH CAROLINAX
13363LA2200XNurse PractitionerAdult HealthNORTH CAROLINAX
14363LF0000XNurse PractitionerFamilyNORTH CAROLINAX
15363LP0200XNurse PractitionerPediatricsNORTH CAROLINAX

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
102815OTHERNORTH CAROLINABCBS
2028150MEDICAIDSOUTH CAROLINA
38902815MEDICAIDNORTH CAROLINA
4GP0129MEDICAIDSOUTH 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: 4/28/2024

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