Urgent Cares of America North Carolina Inc

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

75966 Issued in NC

Legal business name

URGENT CARES OF AMERICA NORTH CAROLINA INC

Doing business as

Fastmed Urgent Care of Charlotte - Wilkinson

Practice address

3250 Wilkinson Blvd
Suite 1
Charlotte, NC 28208-5665

Phone

(704) 319-5176

NPI assigned

Jan 15, 2013

Organization subpart

Yes

Parent organization

MEDVANTX INCAs reported in NPPES

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

Authorized official

Name

Kenny Heine

Title

VP Ops

Phone

(858) 964-1506

Specialties & licenses 1

Addresses

Other names 1

• FASTMED URGENT CARE OF CHARLOTTE - WILKINSON Doing business as

Part of

Tri - State Medical Group Inc

Locations

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.

• Tyler Cherie Johnston, PA-C

  • Physician Assistant
  • Huntersville, NC
  • NPI 1770058786
  NPD (past)
• Anne M. McNamee, PA-C

  • Physician Assistant
  • Indian Trail, NC
  • NPI 1750815213
  NPD (past)

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

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358208000000",
    "number": "1376880096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5626 OBERLIN DR",
            "address_2": "110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 WILKINSON BLVD",
            "address_2": "SUITE 1",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282085665",
            "telephone_number": "704-319-5176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URGENT CARES OF AMERICA NORTH CAROLINA INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDVANTX INC",
        "enumeration_date": "2013-01-15",
        "last_updated": "2013-01-15",
        "status": "A",
        "authorized_official_last_name": "HEINE",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "VP OPS",
        "authorized_official_telephone_number": "858-964-1506"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NC",
            "license": "75966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FASTMED URGENT CARE OF CHARLOTTE - WILKINSON",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ian Urbaitis, CRNA
• Olivia Urban
• Urbana Wellness Online, Inc (Urbana)
• Urbanized LLC
• Tonya Ureda
• Urgent Cares of America North Carolina Inc (Fastmed Urgent Care of Charlotte - Mallard Creek)
• Urgent Cares of America North Carolina Inc
• Urgent Cares of America North Carolina Inc. (FastMed Urgent Care)
• Daniel Steven Uri, M.D.
• Juan B Uribe, N.D.

• Non-Pharmacy Dispensing Site in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Non-Pharmacy Dispensing Site in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; 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.