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NOVANT MEDICAL GROUP INC. NPI 1205836434


NPI Information

NPI: 1205836434
Provider Name: NOVANT MEDICAL GROUP, INC.

Doing Business As: MID CAROLINA CARDIOLOGY

Classification: Internal Medicine - 207RI0011X
Entity Type: Organization

Specialization: Interventional Cardiology

Address:
1718 E 4TH ST
STE 501
CHARLOTTE, NC
ZIP 28204
Phone: (704) 887-7563
Get Directions

NOVANT MEDICAL GROUP, INC. is an interventional cardiology internal medicine in Charlotte, NC. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. NOVANT MEDICAL GROUP, INC. NPI is 1205836434. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mid Carolina Cardiology.

The provider's business location address is:

1718 E 4TH ST
STE 501
CHARLOTTE, NC
ZIP 28204-260
Phone: (704) 887-7563
Fax: (704) 887-7570

The provider's authorized official is Geoffrey Gardner .
The authorized official title is Vp Of Operations and has the following contact phone number (704) 384-9104.

The enumeration date for this NPI number is 7/29/2005 and was last updated on 7/19/2011.


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
1207RC0000XInternal MedicineCardiovascular DiseaseNo
2207RC0001XInternal MedicineClinical Cardiac ElectrophysiologyNo
3207RC0200XInternal MedicineCritical Care MedicineNo
4207RI0011XInternal MedicineInterventional CardiologyYes

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
1DG5273OTHERNORTH CAROLINARAILROAD MEDICARE
25908575MEDICAIDNORTH CAROLINA
32344688RMEDICARE PINNORTH CAROLINA
4NPA577MEDICAIDSOUTH CAROLINA
5019H6OTHERNORTH CAROLINABCBS-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: 5/5/2024

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