Organization Active NPI

Mecklenburg Chest Medicine Inc. P.a.

  • Pulmonary Disease Physician
  • Charlotte, NC
National Provider Identifier
1285694471
Registry record updated Oct 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
88768 Issued in NC
Legal business name
MECKLENBURG CHEST MEDICINE INC. P.A.
Practice address
1918 Randolph Rd
Suite 450
Charlotte, NC 28207-1114
Phone
(704) 342-8140
NPI assigned
Mar 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2007

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

Authorized official

Name
Dr. Scott A Kremers, M.D.
Title
MD/President
Phone
(704) 342-8140

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X 88768 NC Primary

Addresses

Primary practice location

1918 Randolph Rd
Suite 450
Charlotte, NC 28207-1114

Mailing address

1918 Randolph Rd
Suite 450
Charlotte, NC 28207-1100
Phone (704) 342-8140

Other identifiers 1

IdentifierTypeStateIssuer
89011C1MedicaidNC

National Provider Directory

National Provider Directory

Locations

1918 Randolph Rd
Ste 450
Charlotte, NC 28207
Phone (704) 342-8140

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1285694471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1918 RANDOLPH RD",
            "address_2": "SUITE 450",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071100",
            "telephone_number": "704-342-8140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1918 RANDOLPH RD",
            "address_2": "SUITE 450",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071114",
            "telephone_number": "704-342-8140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MECKLENBURG CHEST MEDICINE INC. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-23",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "KREMERS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MD/PRESIDENT",
        "authorized_official_telephone_number": "704-342-8140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NC",
            "license": "88768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89011C1",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; 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.