Organization Active NPI

Metrolina Neurological Associates

  • Specialist
  • Charlotte, NC
National Provider Identifier
1417137787
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
METROLINA NEUROLOGICAL ASSOCIATES
Practice address
10620 Park Rd Ste 230
Charlotte, NC 28210-0106
Phone
(704) 542-6698
NPI assigned
Nov 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2007

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

Authorized official

Name
Dr. Howard Mandell, M.D.
Title
Partner
Phone
(803) 366-6135

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

10620 Park Rd Ste 230
Charlotte, NC 28210-0106

Mailing address

10620 Park Rd Ste 230
Charlotte, NC 28210-0106
Phone (704) 542-6698

Other identifiers 1

IdentifierTypeStateIssuer
7902900MedicaidNC

National Provider Directory

National Provider Directory

Locations

10620 Park Rd
Ste 230
Charlotte, NC 28210
Phone (704) 542-6698

200 Herlong Ave S
Ste H
Rock Hill, SC 29732
Phone (803) 366-0111

NPI Registry JSON

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1417137787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10620 PARK RD STE 230",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282100106",
            "telephone_number": "704-542-6698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10620 PARK RD STE 230",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282100106",
            "telephone_number": "704-542-6698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROLINA NEUROLOGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-05",
        "last_updated": "2007-11-05",
        "status": "A",
        "authorized_official_last_name": "MANDELL",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "803-366-6135",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7902900",
            "state": "NC"
        }
    ],
    "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 Nov 5, 2007; 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.