Novant Health Pediatric Cardiology
LBN: Novant Health Medical Group, Llc
Novant Health Pediatric Cardiology is an health care organization with primary practice located at 1918 Randolph Rd Ste 700 , Charlotte NC 28207-1167. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as the primary health care specialty.
Novant Health Medical Group, Llc can be contacted via phone (704) 316-1220, or through Walton, Leea Jeanine via phone (704) 316-6081.
Contact Information
Primary practice address
1918 Randolph Rd Ste 700
Charlotte NC 28207-1167
Phone: (704) 316-1220
Fax: (704) 316-1230
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X |
Profile Details
| NPI number | 1265488407 |
|---|---|
| LBN Legal business name | Novant Health Medical Group, Llc |
| DBA Doing business as | Novant Health Pediatric Cardiology |
| Authorized official | Walton, Leea Jeanine |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 26th, 2006 |
| Last updated | Jun 14th, 2024 - about 5 months ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265488407 | NPPES |
| North Carolina | Other | 016XK | BCBS |
| North Carolina | MEDICAID | 5900388 | BCBS |
| North Carolina | MEDICAID | NPB105 | BCBS |
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