Organization Active NPI

Courtview OB/GYN Associates, PA

  • Legal Medicine
  • Gastonia, NC
National Provider Identifier
1023050630
Registry record updated Aug 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
Legal business name
COURTVIEW OB/GYN ASSOCIATES, PA
Practice address
527 S New Hope Rd
Gastonia, NC 28054-4040
Phone
(704) 854-3600
Fax
(704) 854-3619
NPI assigned
Jun 11, 2006
Last updated
Aug 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2012

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

Authorized official

Name
Dr. Eileen Sales, MDNPI 1518922244
Title
Ceo
Phone
(704) 854-3600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X NU Primary

Addresses

Primary practice location

527 S New Hope Rd
Gastonia, NC 28054-4040

Mailing address

527 S New Hope Rd
Gastonia, NC 28054-4040
Phone (704) 854-3600

Other identifiers 1

IdentifierTypeStateIssuer
890178MMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031204000298 NC Part B Supplier - Clinic/Group Practice 7810892734 Receives reassigned benefits from 4 practitioners
Practice locations: Gastonia, NC

National Provider Directory

National Provider Directory

Locations

2555 Court Dr
Ste 120
Gastonia, NC 28054
Phone (704) 834-3070

527 S New Hope Rd
Gastonia, NC 28054
Phone (704) 316-4979

706 Summit Crossing Pl
Gastonia, NC 28054
Phone (704) 671-1860

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343865600000",
    "number": "1023050630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 S NEW HOPE RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280544040",
            "telephone_number": "704-854-3600",
            "fax_number": "704-854-3619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 S NEW HOPE RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280544040",
            "telephone_number": "704-854-3600",
            "fax_number": "704-854-3619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURTVIEW OB/GYN ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2012-08-02",
        "status": "A",
        "authorized_official_last_name": "SALES",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-854-3600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890178M",
            "state": "NC"
        }
    ],
    "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 Aug 2, 2012; 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.

Verify at the official NPI Registry.