NPIMap

Organization Active NPI

Flexogenix North Carolina PC

  • Diagnostic Radiology Physician
  • Charlotte, NC
National Provider Identifier
1366826299
Registry record updated Mar 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
FLEXOGENIX NORTH CAROLINA PC
Practice address
6836 Morrison Blvd
Suite 101
Charlotte, NC 28211-2612
Phone
(800) 587-3436
NPI assigned
Jul 9, 2015
Last updated
Mar 30, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2016

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

Authorized official

Name
Sean P Whalen, MDNPI 1043429152
Title
President
Phone
(213) 622-6010

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085N0700X
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

6836 Morrison Blvd
Suite 101
Charlotte, NC 28211-2612

Mailing address

1000 S Hope St Ste 101
Los Angeles, CA 90015-4057
Phone (213) 622-6010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150915001750 NC Part B Supplier - Clinic/Group Practice 9638486251 Receives reassigned benefits from 6 practitioners
2 other NPIs on this enrollment
Practice locations: Cary, NC; Charlotte, NC; Greensboro, NC
O20160324000352 NC DME Supplier - Physician - General Practice 9638486251 Practice locations: Charlotte, NC

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1000 S Hope St
Ste 101
Los Angeles, CA 90015
Phone (213) 455-7803

6836 Carnegie Blvd
Ste 101
Charlotte, NC 28211
Phone (800) 587-3436

1414 Yanceyville St
Ste 200
Greensboro, NC 27405
Phone (336) 429-5993

Practitioners & affiliated clinicians

Practitioners 9

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": "1436400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459296000000",
    "number": "1366826299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 S HOPE ST STE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900154057",
            "telephone_number": "213-622-6010",
            "fax_number": "213-662-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6836 MORRISON BLVD",
            "address_2": "SUITE 101",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282112612",
            "telephone_number": "800-587-3436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLEXOGENIX NORTH CAROLINA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-09",
        "last_updated": "2016-03-30",
        "status": "A",
        "authorized_official_last_name": "WHALEN",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-622-6010",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Neuroradiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "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 Mar 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.