NPIMap

Organization Active NPI

Carolinas Fertility Institute, P.a.

  • Reproductive Endocrinology Physician
  • Charlotte, NC
National Provider Identifier
1336820752
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
Legal business name
CAROLINAS FERTILITY INSTITUTE, P.A.
Practice address
131 Providence Rd Ste 200
Charlotte, NC 28207-1235
Phone
(336) 448-9100
NPI assigned
Jul 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Authorized official

Name
Penny Rodriguez
Title
Ar Manager
Phone
(336) 448-9100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VE0102X Primary

Addresses

Primary practice location

131 Providence Rd Ste 200
Charlotte, NC 28207-1235

Mailing address

PO Box 25804
Winston Salem, NC 27114-5804
Phone (336) 448-9100

National Provider Directory

National Provider Directory
Tax ID family
Carolinas Fertility Institute PA9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1690416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690416000000",
    "number": "1336820752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25804",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271145804",
            "telephone_number": "336-448-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 PROVIDENCE RD STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071235",
            "telephone_number": "336-448-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINAS FERTILITY INSTITUTE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-27",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "PENNY",
        "authorized_official_title_or_position": "AR MANAGER",
        "authorized_official_telephone_number": "336-448-9100"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 27, 2023; 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.