Organization Active NPI

Integrative Cardiology Center PA

  • Cardiovascular Disease Physician
  • High Point, NC
National Provider Identifier
1124066832
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
INTEGRATIVE CARDIOLOGY CENTER PA
Practice address
4140 Mendenhall Oaks Pkwy
Suite 101
High Point, NC 27265-8034
Phone
(336) 841-1259
Fax
(336) 841-7595
NPI assigned
Jun 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Sherry Lynn Clay
Title
Assistant Administrator
Phone
(336) 841-1259

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

4140 Mendenhall Oaks Pkwy
Suite 101
High Point, NC 27265-8034

Mailing address

4140 Mendenhall Oaks Pkwy
Suite 101
High Point, NC 27265-8034
Phone (336) 841-1259

National Provider Directory

National Provider Directory

Locations

4140 Mendenhall Oaks Pkwy
#B
High Point, NC 27265
Phone (877) 422-7230

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124066832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 MENDENHALL OAKS PKWY",
            "address_2": "SUITE 101",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272658034",
            "telephone_number": "336-841-1259",
            "fax_number": "336-841-7595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 MENDENHALL OAKS PKWY",
            "address_2": "SUITE 101",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272658034",
            "telephone_number": "336-841-1259",
            "fax_number": "336-841-7595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE CARDIOLOGY CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLAY",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "ASSISTANT ADMINISTRATOR",
        "authorized_official_telephone_number": "336-841-1259"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.