Active NPI
Caromont Medical Group Inc
Doing business as CaroMont Health Bariatric Surgical Center
- Surgery Physician
- Gastonia, NC
National Provider Identifier
1003106162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- CAROMONT MEDICAL GROUP INC
- Doing business as
- CaroMont Health Bariatric Surgical Center
- Practice address
- 2711 X Ray Dr
Gastonia, NC 28054-7491 - Phone
- (704) 671-5483
- Fax
- (704) 671-5452
- NPI assigned
- Apr 11, 2011
- Last updated
- Jun 22, 2011
- Organization subpart
- Yes
- Parent organization
- CAROMONT MEDICAL GROUP INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Valinda L. Rutledge
- Title
- President, Ceo
- Phone
- (704) 834-2133
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
2711 X Ray Dr
Gastonia, NC 28054-7491
Mailing address
PO Box 550970
Gastonia, NC 28055-0970
Phone (704) 834-2450
Other names 1
- CaroMont Health Bariatric Surgical Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031201000070 | NC | Part B Supplier - Clinic/Group Practice | 3577476258 |
Receives reassigned benefits from 760 practitioners This NPI is an additional NPI on the enrollment Practice locations: Gastonia, NC; Kings Mountain, NC; Lenoir, NC; McAdenville, NC; Morganton, NC; Shelby, NC; Stanley, NC; Belmont, NC… |
National Provider Directory
National Provider Directory- Part of
- Caromont Medical Group in
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302480000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1308700800000",
"number": "1003106162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 550970",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280550970",
"telephone_number": "704-834-2450",
"fax_number": "704-671-5331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2711 X RAY DR",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280547491",
"telephone_number": "704-671-5483",
"fax_number": "704-671-5452"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROMONT MEDICAL GROUP INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CAROMONT MEDICAL GROUP INC",
"enumeration_date": "2011-04-11",
"last_updated": "2011-06-22",
"status": "A",
"authorized_official_last_name": "RUTLEDGE",
"authorized_official_first_name": "VALINDA",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "PRESIDENT, CEO",
"authorized_official_telephone_number": "704-834-2133"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CaroMont Health Bariatric Surgical Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Gastonia, NC
- Caromont Health Retail Pharmacy LLC
- Caromont Health Services Inc. (Courtland Terrace)
- Caromont Health Services, Inc. (CaroMont Specialty Surgery)
- Caromont Health Services, Inc. (CaroMont Health Mobile Imaging)
- Caromont Internal Medicine 2LLC
- Caromont Medical Group Inc (CaroMont Pathology)
- Caromont Medical Group Inc (CaroMont Pulmonary & Sleep Medicine)
- Caromont Medical Group Inc (Adult Primary and Preventive Medicine)
- Caromont Medical Group Inc (CaroMont Womens Health)
- Caromont Medical Group Inc (CaroMont Heart and Vascular)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.