Northcross Medical Center PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NORTHCROSS MEDICAL CENTER PC

Practice address

16511 A Northcross Dr
Huntersville, NC 28078-5021

Phone

(704) 896-3313

Fax

(704) 896-8193

NPI assigned

Dec 5, 2005

Organization subpart

No

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

Authorized official

Name

Mark Tuan Le, MD

Title

President

Phone

(704) 896-3313

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Peter C Fotinos, MD

  • Family Medicine Physician
  • Huntersville, NC
  • NPI 1043243777
  NPD (past)

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215911169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17705 SPRING WINDS DR",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280317744",
            "telephone_number": "704-896-3313",
            "fax_number": "704-896-8193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16511 A NORTHCROSS DR",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280785021",
            "telephone_number": "704-896-3313",
            "fax_number": "704-896-8193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHCROSS MEDICAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "TUAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-896-3313",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89015FY",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• North Cross Cardiology PC
• North Cross Pain Center
• North Mecklenburg Plastic Surgery
• Northcross Family Physicians
• Northcross Medical Center
• Northcross Medical Center, P.C.
• Northcross Nephrology Center P.C
• Northcross Obstetric and Gynecologic Associates
• Northcross Pain Center
• Northcross Rehab Center P.C

• Family Medicine Physician in Huntersville, NC
• Providers in Huntersville, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.