North Charlotte Family Medicine PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

200500253 Issued in NC

Legal business name

NORTH CHARLOTTE FAMILY MEDICINE PLLC

Practice address

2801 Crisman St
Charlotte, NC 28208-3847

Phone

(704) 392-4108

Fax

(704) 392-4109

NPI assigned

Mar 16, 2010

Last updated

Jul 19, 2010By 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

Dr. Steven Sewanyana, M.D.

Title

M.D./Owner

Phone

(704) 392-4108

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1268697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279497600000",
    "number": "1508180803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 CRISMAN ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282083847",
            "telephone_number": "704-392-4108",
            "fax_number": "704-392-4109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 CRISMAN ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282083847",
            "telephone_number": "704-392-4108",
            "fax_number": "704-392-4109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CHARLOTTE FAMILY MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-16",
        "last_updated": "2010-07-19",
        "status": "A",
        "authorized_official_last_name": "SEWANYANA",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "M.D./OWNER",
        "authorized_official_telephone_number": "704-392-4108",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200500253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5914149",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• North Carolina Neuropsychiatry
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• North Carolina Physicians Eyecare Group, P.C.
• North Carolina Total Home Care
• North Carolina Total Home Care Behavioral Health Services Inc
• North Charlotte Medical Specialists
• North Charlotte Pediatrics PLLC
• North Cross Medical Center PC
• North Karlovassi Enterprises, PC (TEAM CBT of Charlotte)
• North Mecklenburg Family Practice Group PA

• Family Medicine Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.

Verify at the official NPI Registry.