NPIMap

Organization Active NPI

ENT Carolina PA

  • Specialist
  • Shelby, NC
National Provider Identifier
1346471976
Registry record updated Jul 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ENT CAROLINA PA
Practice address
1180 Wyke Rd
Shelby, NC 28150-4259
Phone
(704) 487-9100
Fax
(704) 487-5230
NPI assigned
Jul 30, 2009
Last updated
Jul 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2009

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

Authorized official

Name
Dr. Frederic E Levy, MDNPI 1003801606
Title
Senior Partner
Phone
(704) 868-8400

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
Specialist 174400000X NU Primary

Addresses

Primary practice location

1180 Wyke Rd
Shelby, NC 28150-4259

Mailing address

2520 Aberdeen Blvd
Gastonia, NC 28054-0635
Phone (704) 868-8400

Other identifiers 1

IdentifierTypeStateIssuer
890171MMedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
ENT Carolina2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

2520 Aberdeen Blvd
Gastonia, NC 28054
Phone (704) 868-8400

Practitioners & affiliated clinicians

Practitioners 10

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": "1248912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248912000000",
    "number": "1346471976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 ABERDEEN BLVD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280540635",
            "telephone_number": "704-868-8400",
            "fax_number": "704-868-8493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 WYKE RD",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281504259",
            "telephone_number": "704-487-9100",
            "fax_number": "704-487-5230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENT CAROLINA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-30",
        "last_updated": "2009-07-30",
        "status": "A",
        "authorized_official_last_name": "LEVY",
        "authorized_official_first_name": "FREDERIC",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SENIOR PARTNER",
        "authorized_official_telephone_number": "704-868-8400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890171M",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2009; 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.