NPIMap

Organization Active NPI

The Charlotte-Mecklenburg Hospital Authority

Doing business as Ardsley Internal Medicine-Renaissance Square

  • Internal Medicine Physician
  • Davidson, NC
National Provider Identifier
1194159699
Registry record updated Sep 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
Doing business as
Ardsley Internal Medicine-Renaissance Square
Practice address
2101 Shiloh Church Rd
Suite 201
Davidson, NC 28036-7603
Phone
(704) 439-3730
Fax
(704) 439-3759
NPI assigned
Sep 3, 2013
Last updated
Sep 3, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 3, 2013

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

Authorized official

Name
Frieda M Lowder
Title
Sr. Vice President
Phone
(704) 403-1780

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2101 Shiloh Church Rd
Suite 201
Davidson, NC 28036-7603

Mailing address

2101 Shiloh Church Rd
Suite 201
Davidson, NC 28036-7603
Phone (704) 439-3730

Other names 1

  • Ardsley Internal Medicine-Renaissance Square Doing business as

National Provider Directory

National Provider Directory
Tax ID family
The Charlotte Mecklenburg104 organizations share this tax ID, including this one
Part of
The Charlotte Mecklenburg

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

2101 Shiloh Church Rd
Ste 201
Davidson, NC 28036
Phone (704) 403-8650

NPI Registry JSON

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

{
    "created_epoch": "1378166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378166400000",
    "number": "1194159699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 SHILOH CHURCH RD",
            "address_2": "SUITE 201",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280367603",
            "telephone_number": "704-439-3730",
            "fax_number": "704-439-3759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 SHILOH CHURCH RD",
            "address_2": "SUITE 201",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280367603",
            "telephone_number": "704-439-3730",
            "fax_number": "704-439-3759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY",
        "enumeration_date": "2013-09-03",
        "last_updated": "2013-09-03",
        "status": "A",
        "authorized_official_last_name": "LOWDER",
        "authorized_official_first_name": "FRIEDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SR. VICE PRESIDENT",
        "authorized_official_telephone_number": "704-403-1780"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ardsley Internal Medicine-Renaissance Square",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Davidson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; 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.