Organization Active NPI

Carolina Age Management Institute, PC

  • Internal Medicine Physician
  • Huntersville, NC
National Provider Identifier
1518358498
Registry record updated Feb 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2007-01965 Issued in NC
Legal business name
CAROLINA AGE MANAGEMENT INSTITUTE, PC
Practice address
8712 Lindholm Dr Ste 302
Huntersville, NC 28078-1872
Phone
(704) 997-6530
Fax
(704) 997-6529
NPI assigned
Feb 12, 2015
Last updated
Feb 12, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2015

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

Authorized official

Name
Dr. Stephen Robert Giordano, D.O.
Title
Owner/Ceo
Phone
(704) 997-6530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2007-01965 NC Primary

Addresses

Primary practice location

8712 Lindholm Dr Ste 302
Huntersville, NC 28078-1872

Mailing address

8712 Lindholm Dr Ste 302
Huntersville, NC 28078-1872
Phone (704) 997-6530

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423699200000",
    "number": "1518358498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8712 LINDHOLM DR STE 302",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280781872",
            "telephone_number": "704-997-6530",
            "fax_number": "704-997-6529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8712 LINDHOLM DR STE 302",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280781872",
            "telephone_number": "704-997-6530",
            "fax_number": "704-997-6529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA AGE MANAGEMENT INSTITUTE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-12",
        "last_updated": "2015-02-12",
        "status": "A",
        "authorized_official_last_name": "GIORDANO",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "704-997-6530",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2007-01965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; 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.