Novant Health Heart And Vascular Institute
LBN: Novant Health Medical Group, Llc
Novant Health Heart And Vascular Institute is an health care organization with primary practice located at 125 Queens Rd Ste 250 , Charlotte NC 28204-3215. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is the primary health care specialty.
Novant Health Medical Group, Llc can be contacted via phone (704) 316-5100, or through Walton, Leea Jeanine via phone (704) 316-6081.
Contact Information
Primary practice address
125 Queens Rd Ste 250
Charlotte NC 28204-3215
Phone: (704) 316-5100
Fax: (704) 316-5101
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | ||
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X |
Profile Details
| NPI number | 1891764320 |
|---|---|
| LBN Legal business name | Novant Health Medical Group, Llc |
| DBA Doing business as | Novant Health Heart And Vascular Institute |
| Authorized official | Walton, Leea Jeanine |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 16th, 2006 |
| Last updated | Jun 20th, 2024 - about 3 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 | 1891764320 | NPPES |
| South Carolina | MEDICAID | NPA523 | |
| South Carolina | MEDICAID | 89015GA | |
| South Carolina | Other | 015GA |
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