U.S. Healthworks Medical Group of North Carolina, PC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

U.S. HEALTHWORKS MEDICAL GROUP OF NORTH CAROLINA, PC

Practice address

10616 Metromont Pkwy
Suite 102
Charlotte, NC 28269-7656

Phone

(704) 597-7228

Fax

(704) 597-9190

NPI assigned

Oct 3, 2016

Organization subpart

Yes

Parent organization

U.S. HEALTHWORKS MEDICAL GROUP OF NORTH CAROLINA, PCAs reported in NPPES

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

Authorized official

Name

Mr. Joseph T Mallas

Title

President & Cheif Executive Officer

Phone

(661) 678-2600

Specialties & licenses 2

Addresses

Tax ID family

US Healthworks Medical Group of North Carolina PC3 organizations share this tax ID, including this one

Part of

US Healthworks Medical Group of North Carolina PC

Other organizations with this tax ID 2

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

• U.S. Healthworks Medical Group of North Carolina, PC

  • Urgent Care Clinic/Center
  • Greensboro, NC
  • NPI 1275082141
  NPD tax ID
• U.S. Healthworks Medical Group of North Carolina, PC

  • Urgent Care Clinic/Center
  • Fayetteville, NC
  • NPI 1518416460
  NPD tax ID

Locations

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

{
    "created_epoch": "1475452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475452800000",
    "number": "1144779083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25124 SPRINGFIELD CT",
            "address_2": "200",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913551085",
            "telephone_number": "661-678-2600",
            "fax_number": "661-678-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10616 METROMONT PKWY",
            "address_2": "SUITE 102",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282697656",
            "telephone_number": "704-597-7228",
            "fax_number": "704-597-9190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "U.S. HEALTHWORKS MEDICAL GROUP OF NORTH CAROLINA, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "U.S. HEALTHWORKS MEDICAL GROUP OF NORTH CAROLINA, PC",
        "enumeration_date": "2016-10-03",
        "last_updated": "2016-10-03",
        "status": "A",
        "authorized_official_last_name": "MALLAS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT & CHEIF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "661-678-2600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Urgent Care Clinic/Center in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Urgent Care Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2016; 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.