Arboretum Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

ARBORETUM PEDIATRICS

Practice address

7800 Providence Rd
Ste 203
Charlotte, NC 28226-2952

Phone

(704) 512-2610

NPI assigned

Jul 2, 2006

Organization subpart

Yes

Parent organization

ARBORETUM PEDIATRICSAs reported in NPPES

Name

Scott Rissmiller

Title

Enterprise Evp

Phone

(704) 355-8675

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

• Ashley Coppage Honeycutt, MD

  • Pediatrics Physician
  • Charlotte, NC
  • NPI 1427029487

  Pediatrics

  NPD (past)
• Anthony Jamaal Johnson, MD

  • Pediatrics Physician
  • Charlotte, NC
  • NPI 1689060832

  Pediatrics

  NPD (past)
• Joseph Charles Loibissio, MD

  • Pediatrics Physician
  • Charlotte, NC
  • NPI 1457381600

  Pediatrics

  NPD (past)
• Krista Mockaitis

  • Nurse Practitioner
  • Charlotte, NC
  • NPI 1255428017
  NPD (past)
• Charles Todd Vedder, MD

  • Pediatrics Physician
  • Charlotte, NC
  • NPI 1588604201

  Pediatrics

  NPD (past)

Part of

Arboretum Pediatrics

• Arboretum Pediatrics Doing business as
• Atrium Health Levine Children's Arboretum Pediatrics Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 9, 2023.

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678320000000",
    "number": "1477582385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19305",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282199305",
            "telephone_number": "704-631-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 PROVIDENCE RD",
            "address_2": "STE 203",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282262952",
            "telephone_number": "704-512-2610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARBORETUM PEDIATRICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARBORETUM PEDIATRICS",
        "enumeration_date": "2006-07-02",
        "last_updated": "2023-03-09",
        "status": "A",
        "authorized_official_last_name": "RISSMILLER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "ENTERPRISE EVP",
        "authorized_official_telephone_number": "704-355-8675"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "ABILITY Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ambulatory@direct.carolinashealthcare.org",
            "affiliation": "Y",
            "affiliationName": "Atrium Health",
            "address_1": "7800 Providence Rd",
            "address_2": "Ste 203",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282262952",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Arboretum Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Atrium Health Levine Children's Arboretum Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Aravapalli, NP
• Meredith Sigmon Arbelo, MS, LCMHC
• Mitchell K. Arbogast
• Arboretum Obstetrics & Gynecology
• Arboretum Obstetrics & Gynecology
• Arboretum Urgent Care Center
• Arc Wilora Assisted Living LLC
• Dawn Marie Arcand
• Edwin Arce Jr., LCSW
• Hector Francisco Arce Jr., RN

• All providers in Charlotte, NC
• Pediatrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; 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.