NPIMap

Organization Active NPI

Carolinas Fertility Institute

  • Reproductive Endocrinology Physician
  • Charlotte, NC
National Provider Identifier
1457986937
Registry record updated Mar 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
Legal business name
CAROLINAS FERTILITY INSTITUTE
Practice address
2614 E 7TH St Ste C
Charlotte, NC 28204-4397
Phone
(980) 256-2233
Fax
(980) 256-2234
NPI assigned
Mar 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2020

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

Authorized official

Name
Penny Rodriguez
Title
Ar Manager
Phone
(336) 448-9100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VE0102X Primary

Addresses

Primary practice location

2614 E 7TH St Ste C
Charlotte, NC 28204-4397

Mailing address

PO Box 25804
Winston Salem, NC 27114-5804
Phone (336) 448-9100

National Provider Directory

National Provider Directory
Tax ID family
Carolinas Fertility Institute PA9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1583366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583366400000",
    "number": "1457986937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25804",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271145804",
            "telephone_number": "336-448-9100",
            "fax_number": "336-448-5282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2614 E 7TH ST STE C",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282044397",
            "telephone_number": "980-256-2233",
            "fax_number": "980-256-2234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINAS FERTILITY INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-05",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "PENNY",
        "authorized_official_title_or_position": "AR MANAGER",
        "authorized_official_telephone_number": "336-448-9100"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "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 5, 2020; 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.