Organization Active NPI

North Cross Medical Center PC

  • Family Medicine Physician
  • Charlotte, NC
National Provider Identifier
1346446309
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NORTH CROSS MEDICAL CENTER PC
Practice address
4920 Albermarle Rd
Charlotte, NC 28205-6618
Phone
(704) 568-2900
Fax
(704) 568-0164
NPI assigned
Jun 26, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mark Tuan Le, MDNPI 1417931213
Title
President
Phone
(704) 568-2900

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
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

4920 Albermarle Rd
Charlotte, NC 28205-6618

Mailing address

17705 Spring Winds Dr
Cornelius, NC 28031-7744
Phone (704) 895-3415

Other identifiers 1

IdentifierTypeStateIssuer
5900375MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Northcross Medical Cent4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346446309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17705 SPRING WINDS DR",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280317744",
            "telephone_number": "704-895-3415",
            "fax_number": "704-895-3416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4920 ALBERMARLE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282056618",
            "telephone_number": "704-568-2900",
            "fax_number": "704-568-0164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CROSS MEDICAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "TUAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-568-2900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5900375",
            "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 Aug 22, 2020; 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.