NPIMap

Organization Active NPI

Midcarolina Pediatrics

  • Pediatrics Physician
  • Charlotte, NC
National Provider Identifier
1336188184
Registry record updated Mar 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
200201480 Issued in NC
Legal business name
MIDCAROLINA PEDIATRICS
Practice address
2540 W Arrowood Rd Ste 100
Charlotte, NC 28273
Phone
(704) 588-0232
Fax
(704) 588-0445
NPI assigned
Jun 6, 2006
Last updated
Mar 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2011

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

Authorized official

Name
Dr. Andrew E Ighade, MDNPI 1336191048
Title
Owner
Phone
(704) 588-0232

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
Pediatrics Physician 208000000X 200201480 NC Primary

Addresses

Primary practice location

2540 W Arrowood Rd Ste 100
Charlotte, NC 28273

Mailing address

2540 W Arrowood Rd Ste 100
Charlotte, NC 28273-6198
Phone (704) 588-0232

Other identifiers 1

IdentifierTypeStateIssuer
18913257MedicaidNC

National Provider Directory

National Provider Directory

Locations

2607 W Arrowood Rd
Charlotte, NC 28273
Phone (704) 588-0232

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300060800000",
    "number": "1336188184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2540 W ARROWOOD RD STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282736198",
            "telephone_number": "704-588-0232",
            "fax_number": "704-588-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 W ARROWOOD RD STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28273",
            "telephone_number": "704-588-0232",
            "fax_number": "704-588-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDCAROLINA PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-06",
        "last_updated": "2011-03-14",
        "status": "A",
        "authorized_official_last_name": "IGHADE",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-588-0232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "200201480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18913257",
            "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 Mar 14, 2011; 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.