NPIMap

Organization Active NPI

Union Physicians Network Inc

Doing business as Wesley Chapel Family Medicine

  • Family Medicine Physician
  • Wesley Chapel, NC
National Provider Identifier
1134412117
Registry record updated Mar 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
UNION PHYSICIANS NETWORK INC
Doing business as
Wesley Chapel Family Medicine
Practice address
5955 Weddington Rd
Wesley Chapel, NC 28104-6273
Phone
(704) 667-4280
Fax
(704) 667-4281
NPI assigned
May 24, 2011
Last updated
Mar 28, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
UNION PHYSICIANS NETWORK, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 28, 2012

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

Authorized official

Name
Daniel Wiens
Title
Senior Vice President
Phone
(704) 355-0648

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

5955 Weddington Rd
Wesley Chapel, NC 28104-6273

Mailing address

PO Box 602583
Charlotte, NC 28260-2583
Phone (704) 515-4808

Other identifiers 1

IdentifierTypeStateIssuer
5917907MedicaidNC

Other names 1

  • Wesley Chapel Family Medicine Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Union Physicians Network Inc24 organizations share this tax ID, including this one
Part of
Union Physicians Network Inc

Other organizations with this tax ID 23

Organizations that report the same tax identification number in the National Provider Directory.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332892800000",
    "number": "1134412117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602583",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602583",
            "telephone_number": "704-515-4808",
            "fax_number": "704-512-4838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5955 WEDDINGTON RD",
            "city": "WESLEY CHAPEL",
            "state": "NC",
            "postal_code": "281046273",
            "telephone_number": "704-667-4280",
            "fax_number": "704-667-4281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION PHYSICIANS NETWORK INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNION PHYSICIANS NETWORK, INC",
        "enumeration_date": "2011-05-24",
        "last_updated": "2012-03-28",
        "status": "A",
        "authorized_official_last_name": "WIENS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "704-355-0648"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5917907",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wesley Chapel Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wesley Chapel, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; 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.