Novant Medical Group. Inc

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

NOVANT MEDICAL GROUP. INC

Doing business as

Novant Health Gynecologic Oncology Associates

Practice address

2000 Wellness Blvd Ste 120
Monroe, NC 28110-3354

Phone

(704) 384-8200

Fax

(704) 384-8208

NPI assigned

May 29, 2014

Last updated

May 29, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Geoffrey K Gardner

Title

VP of Finance

Phone

(704) 384-8200

Specialties & licenses 1

Addresses

Other names 1

• Novant Health Gynecologic Oncology Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401321600000",
    "number": "1477965184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 WELLNESS BLVD STE 120",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281103354",
            "telephone_number": "704-384-8200",
            "fax_number": "704-384-8208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVANT MEDICAL GROUP. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-29",
        "last_updated": "2014-05-29",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "704-384-8200"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Novant Health Gynecologic Oncology Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Novant Medical Group Inc (Novant Health Pulmonary and Critical Care)
• Novant Medical Group, Inc (Total Spine Specialists)
• Novant Medical Group, Inc. (Center for Child & Adolescent Medicine-Monroe)
• Novant Medical Group, Inc. (Rocky River Family Physicians)
• Novant Medical Group, Inc. (Mid Carolina Cardiology)
• Susan E Nowak, PT
• Nurturing Hands Home Care LLC
• Drew Lewis Nutter, CPO
• Kylee Nutter, PA
• Andrew S O'Connor, DO

• Obstetrics & Gynecology Physician in Monroe, NC
• Providers in Monroe, NC by specialty
• Obstetrics & Gynecology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.