Calvary Medical Clinic PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

2001-01471 Issued in NC

Legal business name

CALVARY MEDICAL CLINIC PA

Practice address

537 W Sugar Creek Rd
Suite 201
Charlotte, NC 28213-6102

Phone

(704) 979-8210

Fax

(877) 492-8881

NPI assigned

Apr 22, 2008

Last updated

Feb 4, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Magdalene Marfo, M.D.NPI 1992776330

Title

Owner

Phone

(704) 979-8210

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3904/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Magdalene Marfo, MD

  • Internal Medicine Physician
  • Charlotte, NC
  • NPI 1992776330
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454544000000",
    "number": "1235303264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 79029",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282717046",
            "telephone_number": "704-979-8210",
            "fax_number": "877-492-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "537 W SUGAR CREEK RD",
            "address_2": "SUITE 201",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282136102",
            "telephone_number": "704-979-8210",
            "fax_number": "877-492-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALVARY MEDICAL CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2016-02-04",
        "status": "A",
        "authorized_official_last_name": "MARFO",
        "authorized_official_first_name": "MAGDALENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-979-8210",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2001-01471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Calm Hands Home Care LLC
• Calmwood Springs Transportation
• Christian Raye Calo, LCMHCA
• Calvary Community Medical
• Calvary Community Medical Clinic
• Calvary Presbyterian Church of Charlotte (Lighthouse Counseling Center)
• Calvary Transportation Services
• Amy Fowler Calvert, NP
• La Keisha Calvin
• Leanna Marie Calvin, LCSWA

• Internal Medicine Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.