Active NPI
Teresa Romzick, MD
- General Practice Physician
- Statesville, NC
National Provider Identifier
1376645549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 9400625
- Practice address
- 2341 Simonton Rd
Statesville, NC 28625-8246 - Phone
- (704) 761-2400
- Fax
- (704) 761-2399
- NPI assigned
- Sep 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 59247 | NC | |
| General Practice Physician | 208D00000X | 9400625 | NC | Primary |
Addresses
Primary practice location
2341 Simonton Rd
Statesville, NC 28625-8246
Mailing address
2341 Simonton Rd
Statesville, NC 28625-8246
Phone (704) 761-2400
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 187631 | Other | SC | MEDCOST |
| P00655019 | Other | NC | RR MEDICARE NC |
| 8973065 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59247 | NC | MD | Family Medicine Physician |
| 9400625 | NC | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holy Family Memorial Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Manitowoc, WI
- NPI 1700998697
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401926400000",
"number": "1376645549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2341 SIMONTON RD",
"city": "STATESVILLE",
"state": "NC",
"postal_code": "286258246",
"telephone_number": "704-761-2400",
"fax_number": "704-761-2399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2341 SIMONTON RD",
"city": "STATESVILLE",
"state": "NC",
"postal_code": "286258246",
"telephone_number": "704-761-2400",
"fax_number": "704-761-2399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMZICK",
"first_name": "TERESA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-01",
"last_updated": "2014-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "59247",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NC",
"license": "9400625",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "187631",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE NC",
"identifier": "P00655019",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8973065",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Statesville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.