Mecklenburg Radiology Associates, P.a.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

MECKLENBURG RADIOLOGY ASSOCIATES, P.A.

Practice address

3623 Latrobe Dr
Suite 216
Charlotte, NC 28211-1187

Phone

(704) 332-1291

Fax

(704) 332-5206

NPI assigned

Apr 19, 2006

Last updated

Feb 15, 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

Mrs. Catherine B French

Title

Executive Assistant

Phone

(980) 208-1704

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC, PA, NY, OH, FL, KY, IL, MI, AL, NV, MA, VA, WI, WA, CT15 enrollments

Enrollment records 15

Locations

Practitioners 130

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.

• Nicole Abinanti, M.D.

  • Diagnostic Radiology Physician
  • Charlotte, NC
  • NPI 1356324826
  Medicare reassignment Care Compare group NPD
• David A Altman, M.D.

  • Diagnostic Radiology Physician
  • Charlotte, NC
  • NPI 1255523791
  Medicare reassignment Care Compare group NPD
• Ryan Aronberg

  • Diagnostic Radiology Physician
  • Charlotte, NC
  • NPI 1679960926
  Medicare reassignment Care Compare group NPD
• Robert Marlowe Barr, M.D.

  • Diagnostic Radiology Physician
  • Charlotte, NC
  • NPI 1588647051
  Medicare reassignment Care Compare group NPD
• John William Black, M.D.

  • Diagnostic Radiology Physician
  • Charlotte, NC
  • NPI 1023092095
  Medicare reassignment Care Compare group NPD
• Emmanuel John Botzolakis, M.D., PH.D.

  • Diagnostic Radiology Physician
  • Charlotte, NC
  • NPI 1952612533
  Medicare reassignment Care Compare group NPD
• Martin Alan Burns, M.D.

  • Diagnostic Radiology Physician
  • Charlotte, NC
  • NPI 1972587210
  Medicare reassignment Care Compare group NPD
• Paul Ray Capito, MD

  • Diagnostic Radiology Physician
  • Charlotte, NC
  • NPI 1952306268
  Medicare reassignment Care Compare group NPD
• Kevin W Carroll, MD

  • Diagnostic Radiology Physician
  • Charlotte, NC
  • NPI 1265470421
  Medicare reassignment Care Compare group NPD
• Yin Jie Chen, MD

  • Diagnostic Radiology Physician
  • Charlotte, NC
  • NPI 1316205628
  Medicare reassignment Care Compare group NPD
• Jeffrey Chukwuneke, MD

  • Diagnostic Radiology Physician
  • Charlotte, NC
  • NPI 1477058873
  Medicare reassignment Care Compare group NPD
• Esther Chung, MD

  • Diagnostic Radiology Physician
  • Charlotte, NC
  • NPI 1043848864

  MA

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1295790657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 221249",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282221249",
            "telephone_number": "704-332-1291",
            "fax_number": "704-332-5206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3623 LATROBE DR",
            "address_2": "SUITE 216",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111187",
            "telephone_number": "704-332-1291",
            "fax_number": "704-332-5206"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Randolph Rd Ste 602",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282071122",
            "country_code": "US",
            "telephone_number": "704-384-9654",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "612 Mocksville Ave",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "NC",
            "postal_code": "281442732",
            "country_code": "US",
            "telephone_number": "704-210-5244",
            "fax_number": "704-210-5807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MECKLENBURG RADIOLOGY ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "FRENCH",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT",
        "authorized_official_telephone_number": "980-208-1704",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "204224B",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mecklenburg Open Door, Inc/RS
• Mecklenburg Open Door/Charlottetown Clinic
• Mecklenburg Open Door/Park Seneca Clinic
• Mecklenburg Psychological Group
• Mecklenburg Pulmonary Specialists, PLLC
• Med First Immediate Care & Family Practice, PA
• Med Tech, LLC (Med Tech)
• Med Xpress
• Ryan A Medas, PT
• Medassist of Mecklenburg (NC Medassist)

• Diagnostic Radiology Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Diagnostic Radiology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.