Active NPI
Caromont Specialty Group, LLC
- Cardiovascular Disease Physician
- Gastonia, NC
National Provider Identifier
1124091053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- CAROMONT SPECIALTY GROUP, LLC
- Practice address
- 2555 Court Dr
Suite 200
Gastonia, NC 28054-2134 - Phone
- (704) 671-7670
- Fax
- (704) 671-7672
- NPI assigned
- Feb 10, 2006
- Organization subpart
- No
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
- Ceo/President
- Phone
- (704) 834-2133
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary | ||
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X |
Addresses
Primary practice location
2555 Court Dr
Suite 200
Gastonia, NC 28054-2134
Mailing address
PO Box 550970
Gastonia, NC 28055-0970
Phone (704) 671-5311
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139529600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1270684800000",
"number": "1124091053",
"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": "704-671-5311",
"fax_number": "704-671-5308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2555 COURT DR",
"address_2": "SUITE 200",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280542134",
"telephone_number": "704-671-7670",
"fax_number": "704-671-7672"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROMONT SPECIALTY GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-10",
"last_updated": "2010-04-08",
"status": "A",
"authorized_official_last_name": "RUTLEDGE",
"authorized_official_first_name": "VALINDA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CEO/PRESIDENT",
"authorized_official_telephone_number": "704-834-2133"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
},
{
"code": "208G00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": null,
"license": null,
"primary": false
}
],
"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 Apr 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.