NPIMap

Organization Active NPI

Omnihealth Medical Group, P.a.

  • Specialist
  • Concord, NC
National Provider Identifier
1265592125
Registry record updated Oct 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
28841 Issued in NC
Legal business name
OMNIHEALTH MEDICAL GROUP, P.A.
Practice address
70 Lake Concord Road NE
Suite 100
Concord, NC 28025-3057
Phone
(704) 784-4445
Fax
(704) 784-4335
NPI assigned
Dec 11, 2006
Last updated
Oct 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2010

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

Authorized official

Name
Dr. Geoffrey Allen Rose, D.C.NPI 1891894382
Title
Practice Administrator
Phone
(704) 784-4445

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 28841 NC Primary

Addresses

Primary practice location

70 Lake Concord Road NE
Suite 100
Concord, NC 28025-3057

Mailing address

70 Lake Concord Road NE
Suite 100
Concord, NC 28025-3057
Phone (704) 784-4445

National Provider Directory

National Provider Directory

Locations

70 Lake Concord Rd NE
#100
Concord, NC 28025
Phone (704) 784-4445

70 Lake Concord Rd NE
Ste 100
Concord, NC 28025
Phone (704) 784-4445

70 Lake Concord Rd NE
Ste 100A
Concord, NC 28025
Phone (704) 784-4445

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287705600000",
    "number": "1265592125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 LAKE CONCORD ROAD NE",
            "address_2": "SUITE 100",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280253057",
            "telephone_number": "704-784-4445",
            "fax_number": "704-784-4335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 LAKE CONCORD ROAD NE",
            "address_2": "SUITE 100",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280253057",
            "telephone_number": "704-784-4445",
            "fax_number": "704-784-4335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNIHEALTH MEDICAL GROUP, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2010-10-22",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "704-784-4445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "28841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

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