Active NPI
Elena Gascon Ibe, M.D.
- Family Medicine Physician
- Charlotte, NC
National Provider Identifier
1164416665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 9400281
- Practice address
- 335 N Caswell Rd
Charlotte, NC 28204-2403 - Phone
- (704) 384-7980
- Fax
- (704) 384-7985
- NPI assigned
- Sep 12, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 9400281 | NC | Primary |
Addresses
Primary practice location
335 N Caswell Rd
Charlotte, NC 28204-2403
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 384-8680
Other practice location 1
200 Greenwich Rd
Charlotte, NC 28211-2316
Phone (704) 384-8680
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8910688 | Medicaid | NC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | eibe14626@direct.novanthealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706486400000",
"number": "1164416665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447",
"telephone_number": "704-384-8680",
"fax_number": "704-384-8684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "335 N CASWELL RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282042403",
"telephone_number": "704-384-7980",
"fax_number": "704-384-7985"
}
],
"practiceLocations": [
{
"address_1": "200 Greenwich Rd",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282112316",
"country_code": "US",
"telephone_number": "704-384-8680",
"fax_number": "704-384-8684",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IBE",
"first_name": "ELENA",
"middle_name": "GASCON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-12",
"last_updated": "2024-01-29",
"certification_date": "2024-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "9400281",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8910688",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "eibe14626@direct.novanthealth.org",
"affiliation": "N",
"address_1": "200 Greenwich Rd",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282112316",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.