NPIMap

Organization Active NPI

Rapha Medical Clinic PC

  • Specialist
  • Charlotte, NC
National Provider Identifier
1174804348
Registry record updated Aug 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
RAPHA MEDICAL CLINIC PC
Practice address
10922 S Tryon St
Suite a
Charlotte, NC 28273-4151
Phone
(980) 321-5231
Fax
(980) 321-5238
NPI assigned
Sep 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2015

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

Authorized official

Name
Adediji O Osinloye
Title
Owner
Phone
(704) 504-1211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

10922 S Tryon St
Suite a
Charlotte, NC 28273-4151

Mailing address

10922 S Tryon St
Suite a
Charlotte, NC 28273-4151
Phone (980) 321-5231

National Provider Directory

National Provider Directory

Locations

10922 S Tryon St
Ste A
Charlotte, NC 28273
Phone (980) 321-5231

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1314835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440460800000",
    "number": "1174804348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10922 S TRYON ST",
            "address_2": "SUITE A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282734151",
            "telephone_number": "980-321-5231",
            "fax_number": "980-231-5238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10922 S TRYON ST",
            "address_2": "SUITE A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282734151",
            "telephone_number": "980-321-5231",
            "fax_number": "980-321-5238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAPHA MEDICAL CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-01",
        "last_updated": "2015-08-25",
        "status": "A",
        "authorized_official_last_name": "OSINLOYE",
        "authorized_official_first_name": "ADEDIJI",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-504-1211"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Aug 25, 2015; 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.