UNION PHYSICIANS NETWORK INC NPI 1922017391

NPI Information

  • NPI: 1922017391
  • Provider Name: UNION PHYSICIANS NETWORK INC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: MEDICAL GROUP OF WAXHAW
  • Address: 2700 PROVIDENCE ROAD SOUTH
    SUITE 300
    WAXHAW, NC
    ZIP 28173
  • Phone: (704) 243-2254

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NPI Details

UNION PHYSICIANS NETWORK INC is a family medicine in Waxhaw, NC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. UNION PHYSICIANS NETWORK INC NPI is 1922017391. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Medical Group Of Waxhaw.

The provider's business location address is:

2700 PROVIDENCE ROAD SOUTH
SUITE 300
WAXHAW, NC
ZIP 28173
Phone: (704) 243-2254
Fax: (704) 243-2339

The provider's authorized official is Daniel L Wiens .
The authorized official title is Senior Vice President and has the following contact phone number (704) 355-0648.

The enumeration date for this NPI number is 8/5/2006 and was last updated on 12/2/2011.

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
1207Q00000XFamily MedicineYes

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
189012UNMEDICAIDNORTH CAROLINA
22332468AMEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINAGROUP NC MEDICARE #
3012UNOTHERNORTH CAROLINABLUE CROSS - BLUE SHIELD

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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