Tall Oaks Family Practice

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

101555 Issued in NC

Legal business name

TALL OAKS FAMILY PRACTICE

Practice address

798 Oak Ridge Farm Rd.
Suite a
Mooresville, NC 28115

Phone

(704) 658-0011

Fax

(704) 658-0012

NPI assigned

Mar 17, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Kevin B Vanhoy, P.A.C.

Title

Owner, Provider

Phone

(704) 658-0011

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272931200000",
    "number": "1235198482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "798 OAK RIDGE FARM RD.",
            "address_2": "SUITE A",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "28115",
            "telephone_number": "704-658-0011",
            "fax_number": "704-658-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "798 OAK RIDGE FARM RD.",
            "address_2": "SUITE A",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "28115",
            "telephone_number": "704-658-0011",
            "fax_number": "704-658-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TALL OAKS FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-17",
        "last_updated": "2010-05-04",
        "status": "A",
        "authorized_official_last_name": "VANHOY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER, PROVIDER",
        "authorized_official_telephone_number": "704-658-0011",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.A.C."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "101555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891108X",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID#",
            "identifier": "012NE",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89012NE",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Malcolm Symes
• Carly Szymanski, PA-C
• Tadrissi DDS
• Ras-Solomon Tafari, LCSW-A
• Tailored Connections Pediatric Therapy, PLLC
• Tall Oaks Pharmacy
• Swathi Talla, MD
• Adriana Tallman, OTR/L
• Megan Nicole Talluto, LCMHCA
• Devina Talwar, M.D.

• Family Medicine Physician in Mooresville, NC
• Providers in Mooresville, 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 May 4, 2010; 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.