Novant Medical Group, Inc.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

NOVANT MEDICAL GROUP, INC.

Doing business as

Presbyterian Cosmetic and Laser Center

Practice address

17810 Statesville Rd
Suite 321
Cornelius, NC 28031-8148

Phone

(704) 895-5394

Fax

(704) 895-5399

NPI assigned

Nov 24, 2008

Last updated

Dec 2, 2008By 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

Mr. Dinesh S Pai

Title

VP of Operations

Phone

(704) 384-9104

Specialties & licenses 1

Addresses

Other names 1

• Presbyterian Cosmetic and Laser Center Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

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.

• Lester G Brown, M.D.

  • Family Medicine Physician
  • Kannapolis, NC
  • NPI 1164418331
  NPD

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

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228176000000",
    "number": "1306091939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19620 W CATAWBA AVE",
            "address_2": "SUITE 260",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280314052",
            "telephone_number": "704-384-1775",
            "fax_number": "704-384-1776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17810 STATESVILLE RD",
            "address_2": "SUITE 321",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280318148",
            "telephone_number": "704-895-5394",
            "fax_number": "704-895-5399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVANT MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-24",
        "last_updated": "2008-12-02",
        "status": "A",
        "authorized_official_last_name": "PAI",
        "authorized_official_first_name": "DINESH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "704-384-9104",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Presbyterian Cosmetic and Laser Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Novant Medical Group Inc (Novant Health Developmental & Behavioral Pediatrics)
• Novant Medical Group Inc (Novant Health Lakeside Family Physicians)
• Novant Medical Group Inc (Novant Health Lake Norman Rheumatology)
• Novant Medical Group Inc (Novant Health Addiction Recovery & Counseling)
• Novant Medical Group, Inc (Novant Health Maternal-Fetal Medicine)
• Novant Medical Group, Inc. (Presbyterian Novant Heart & Wellness)
• Nowicky Plastic Surgery, PA
• NTL Group Inc
• O'Brien and West, DMD VIII, PLLC (Night and Day Dental)
• Dena Nelson O'Connor, LMFT

• Ophthalmology Physician in Cornelius, NC
• Providers in Cornelius, NC by specialty
• Ophthalmology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2008; 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.