Mid Carolina Cardiology
LBN: Novant Medical Group, Inc.
Mid Carolina Cardiology is an health care organization with primary practice located at 1718 E 4Th St Ste 501, Charlotte NC 28204-3260. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is the primary health care specialty.
Novant Medical Group, Inc. can be contacted via phone (704) 887-7563, or through Gardner, Geoffrey via phone (704) 384-9104.
Contact Information
Primary practice address
1718 E 4Th St Ste 501
Charlotte NC 28204-3260
Phone: (704) 887-7563
Fax: (704) 887-7570
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | ||
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | ||
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | ||
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X |
Profile Details
| NPI number | 1205836434 |
|---|---|
| LBN Legal business name | Novant Medical Group, Inc. |
| DBA Doing business as | Mid Carolina Cardiology |
| Authorized official | Gardner, Geoffrey |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 29th, 2005 |
| Last updated | Jul 19th, 2011 - about 13 years 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 | 1205836434 | NPPES |
| North Carolina | MEDICAID | 5908575 | |
| North Carolina | MEDICAID | NPA577 | |
| North Carolina | Other | 019H6 | |
| North Carolina | Other | DG5273 |
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