St Pantaleon Foundation

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

ST PANTALEON FOUNDATION

Practice address

4001 Olive Branch Rd
Monroe, NC 28110-8858

Phone

(980) 333-5368

Fax

(888) 869-8634

NPI assigned

Apr 10, 2024

Last updated

Apr 10, 2024By 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

David Perry Smith, MDNPI 1144310624

Title

President

Phone

(704) 288-3961

Specialties & licenses 1

Addresses

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.

• David Perry Smith, MD, FAAFP

  • Family Medicine Physician
  • Charlotte, NC
  • NPI 1144310624
  NPD Authorized official

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

{
    "created_epoch": "1712707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1235982901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2062",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280792062",
            "telephone_number": "980-333-5368",
            "fax_number": "888-869-8634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 OLIVE BRANCH RD",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281108858",
            "telephone_number": "980-333-5368",
            "fax_number": "888-869-8634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST PANTALEON FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-10",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "PERRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-288-3961",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Clontz Spidel
• Joanna Helene Spielvogel, PHD, CCC-SLP
• Scott Michael Sprouse, CRNA
• SSC Monroe Operating Company LLC (Brian Center Health & Retirement - Monroe)
• St Mary's Medical Clinic,PC.
• Amanda Kae Stahr, OTR/L
• Leslie Carol Stanfield, MD
• Zachary Scott Stearns, PA-C
• Holly L. Stegall, MD
• Kathleen Stegeman

• Voluntary or Charitable Agency in Monroe, NC
• Providers in Monroe, NC by specialty
• Voluntary or Charitable Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; 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.