Active NPI
Medical Associates of Rock Hill
- Internal Medicine Physician
- Charlotte, NC
National Provider Identifier
1407185465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- MEDICAL ASSOCIATES OF ROCK HILL
- Practice address
- 13640 Steelecroft Pkwy
Suite 220
Charlotte, NC 28278-7565 - Phone
- (803) 328-0181
- Fax
- (803) 328-0553
- NPI assigned
- Dec 21, 2009
- Last updated
- Mar 22, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniel L. Wiens
- Title
- Senior Vice President of Operations
- Phone
- (704) 355-0648
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NU | Primary |
Addresses
Primary practice location
13640 Steelecroft Pkwy
Suite 220
Charlotte, NC 28278-7565
Mailing address
PO Box 601586
Charlotte, NC 28260-1586
Phone (803) 328-0181
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NPB359 | Medicaid | SC |
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Greater Carolinas Womens Center
- Obstetrics & Gynecology Physician
- Charlotte, NC
- NPI 1679896054
Member Of
-
dba Atrium Health Primary Care and Integrative Medicine
- Internal Medicine Physician
- Concord, NC
- NPI 1023445517
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261353600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1269216000000",
"number": "1407185465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 601586",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282601586",
"telephone_number": "803-328-0181",
"fax_number": "803-328-0553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13640 STEELECROFT PKWY",
"address_2": "SUITE 220",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282787565",
"telephone_number": "803-328-0181",
"fax_number": "803-328-0553"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL ASSOCIATES OF ROCK HILL",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-21",
"last_updated": "2010-03-22",
"status": "A",
"authorized_official_last_name": "WIENS",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "SENIOR VICE PRESIDENT OF OPERATIONS",
"authorized_official_telephone_number": "704-355-0648"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NPB359",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
- Stewart Medeiros Jr.
- Medemporium, LLC
- Medexpress Pharmacy, LTD.
- Kimberly Ann Medhane, MD
- Medical Assessment Clinic
- Medical Athletics LLC
- Medical Bariatrics, PC
- Medical Care of the Carolinas, PLLC
- Medical Center Orthotics and Prosthetics, LLC (ForMotion Clinic)
- Medical Finance Resources, Inc. (Network Medical Supply)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.