Eagle Rising Health Services, PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

101599 Issued in NC

Legal business name

EAGLE RISING HEALTH SERVICES, PLLC

Practice address

8815 University East Dr Ste 215
Charlotte, NC 28213-4100

Phone

(980) 318-3602

NPI assigned

Apr 25, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Wayne Jerome Harp Jr., P.A.NPI 1578708756

Title

Owner

Phone

(704) 334-6370

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wayne J. Harp Jr., P.A.

  • Physician Assistant
  • Charlotte, NC
  • NPI 1578708756
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1429920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429920000000",
    "number": "1013304211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 CHARLES AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282051535",
            "telephone_number": "704-334-6370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8815 UNIVERSITY EAST DR STE 215",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282134100",
            "telephone_number": "980-318-3602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE RISING HEALTH SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-25",
        "last_updated": "2015-04-25",
        "status": "A",
        "authorized_official_last_name": "HARP",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "JEROME",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-334-6370",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "P.A."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NC",
            "license": "101599",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NC",
            "license": "101599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eagle Africa Trading and Distribution Corporation
• Eagle Care ABA
• Eagle Chiropractic Clinic
• Eagle Medical Center
• Eagle Medical Center
• Eagle Therapeutic Services PLLC
• Eagles Will NC LLC
• Kathyrn Grace Eaker, MD
• Tracy Nicole Eakins, SLP
• Eric Scott Eanes, MD

• Primary Care Clinic/Center in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Primary Care Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.