Four Jewels Healthways Inc.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

35007 Issued in NC

Legal business name

FOUR JEWELS HEALTHWAYS INC.

Practice address

320 Lillington Ave
Suite 201
Charlotte, NC 28204-3130

Phone

(704) 347-0049

Fax

(704) 347-0979

NPI assigned

Mar 24, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Masood N Khan, M.D.,F.A.C.P

Title

President

Phone

(704) 347-0049

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361836800000",
    "number": "1316907405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 LILLINGTON AVE.",
            "address_2": "SUITE 201",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28204",
            "telephone_number": "704-347-0049",
            "fax_number": "704-347-0979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 LILLINGTON AVE",
            "address_2": "SUITE 201",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043130",
            "telephone_number": "704-347-0049",
            "fax_number": "704-347-0979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR JEWELS HEALTHWAYS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-24",
        "last_updated": "2013-02-26",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "MASOOD",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-347-0049",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,F.A.C.P"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "35007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "0220P",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890220P",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Foundation Health Systems LLC
• Foundation of Hope, Inc.
• Shawn Lewis Fountain Jr., FNP-C
• Four Corners Testing LLC
• Four Jewels Healthways
• Rachael Rider Fournet, MD
• Caroline Fourrier
• John Giles Foushee Jr., DDS
• Robert Holt Foushee, D.D.S., M.S.
• Anna Meredith Foust, FNP-C

• Cardiovascular Disease Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Cardiovascular Disease Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; 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.