Organization Active NPI

ENT Carolina PA

  • Specialist
  • Belmont, NC
National Provider Identifier
1558592188
Registry record updated Jul 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ENT CAROLINA PA
Practice address
1212 Spruce St
Suite 207
Belmont, NC 28012-3385
Phone
(704) 671-6380
Fax
(704) 671-6386
NPI assigned
Jul 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2009

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

Authorized official

Name
Dr. Frederic E Levy, MD
Title
Senior Partner
Phone
(704) 868-8400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

1212 Spruce St
Suite 207
Belmont, NC 28012-3385

Mailing address

2520 Aberdeen Blvd
Gastonia, NC 28054-0635
Phone (704) 868-8400

Other identifiers 1

IdentifierTypeStateIssuer
890171MMedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
ENT Carolina2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1248912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248912000000",
    "number": "1558592188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 ABERDEEN BLVD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280540635",
            "telephone_number": "704-868-8400",
            "fax_number": "704-868-8493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 SPRUCE ST",
            "address_2": "SUITE 207",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280123385",
            "telephone_number": "704-671-6380",
            "fax_number": "704-671-6386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENT CAROLINA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-30",
        "last_updated": "2009-07-30",
        "status": "A",
        "authorized_official_last_name": "LEVY",
        "authorized_official_first_name": "FREDERIC",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SENIOR PARTNER",
        "authorized_official_telephone_number": "704-868-8400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890171M",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belmont, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2009; 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.