NPIMap

Organization Active NPI

Vance Internal Medicine

  • Internal Medicine Physician
  • Gastonia, NC
National Provider Identifier
1013313519
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
200401558 Issued in NC
Legal business name
VANCE INTERNAL MEDICINE
Practice address
3624 Easthampton Dr
Gastonia, NC 28056-8944
Phone
(704) 564-1312
Fax
(310) 348-0201
NPI assigned
Nov 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

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

Authorized official

Name
Dr. Jignesh S Patel, M.D.
Title
President
Phone
(704) 564-1312

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 200401558 NC Primary

Addresses

Primary practice location

3624 Easthampton Dr
Gastonia, NC 28056-8944

Mailing address

PO Boc 639295 Dept 93394
Cincinnati, OH 45263-9295
Phone (484) 346-1692

Other practice location 1

4435 Aicholtz Rd Ste 400
Cincinnati, OH 45245-1691
Phone (248) 434-6169

National Provider Directory

National Provider Directory

Locations

PO Boc 639295
Dept 93394
Cincinnati, OH 45263

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687478400000",
    "number": "1013313519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOC 639295 DEPT 93394",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452639295",
            "telephone_number": "484-346-1692",
            "fax_number": "855-618-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3624 EASTHAMPTON DR",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280568944",
            "telephone_number": "704-564-1312",
            "fax_number": "310-348-0201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4435 Aicholtz Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452451691",
            "country_code": "US",
            "telephone_number": "248-434-6169",
            "fax_number": "855-618-6655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VANCE INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-10",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JIGNESH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-564-1312",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "200401558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; 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.