Active NPI
Omnihealth Medical Group, PA
- Non-Pharmacy Dispensing Site
- Concord, NC
National Provider Identifier
1184992398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-Pharmacy Dispensing Site
- Legal business name
- OMNIHEALTH MEDICAL GROUP, PA
- Practice address
- 70 Lake Concord Rd NE
Suite 100
Concord, NC 28025-3057 - Phone
- (704) 784-4445
- NPI assigned
- Dec 2, 2011
- Organization subpart
- Yes
- Parent organization
- OMNIHEALTH MEDICAL GROUP, PA
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cathy Belk, MD
- Title
- Medical Director
- Phone
- (704) 784-4445
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-Pharmacy Dispensing Site | 332900000X | Primary |
Addresses
Primary practice location
70 Lake Concord Rd NE
Suite 100
Concord, NC 28025-3057
Mailing address
2980 N Beverly Glen Cir
Suite 301
Los Angeles, CA 90077-1726
Phone (310) 474-9809
National Provider Directory
National Provider Directory- Tax ID family
- Omnihealth Medical Group
- Part of
- Omnihealth Medical Group
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Specialist
- Concord, NC
- NPI 1396086138
Locations
70 Lake Concord Rd NE
Ste 100
Concord, NC 28025
Phone (704) 784-4445
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Specialist
- Concord, NC
- NPI 1396086138
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322784000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1322784000000",
"number": "1184992398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2980 N BEVERLY GLEN CIR",
"address_2": "SUITE 301",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900771726",
"telephone_number": "310-474-9809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 LAKE CONCORD RD NE",
"address_2": "SUITE 100",
"city": "CONCORD",
"state": "NC",
"postal_code": "280253057",
"telephone_number": "704-784-4445"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OMNIHEALTH MEDICAL GROUP, PA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "OMNIHEALTH MEDICAL GROUP, PA",
"enumeration_date": "2011-12-02",
"last_updated": "2011-12-02",
"status": "A",
"authorized_official_last_name": "BELK",
"authorized_official_first_name": "CATHY",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "704-784-4445",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "332900000X",
"taxonomy_group": "",
"desc": "Non-Pharmacy Dispensing Site",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.