NPIMap

Organization Active NPI

Union Physicians Network Inc

Doing business as Union Medical Associates

  • Internal Medicine Physician
  • Monroe, NC
National Provider Identifier
1598854879
Registry record updated Aug 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
UNION PHYSICIANS NETWORK INC
Doing business as
Union Medical Associates
Practice address
1303 Dove St
Monroe, NC 28112-5012
Phone
(704) 282-0488
Fax
(704) 226-1778
NPI assigned
Oct 12, 2006
Last updated
Aug 19, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
UNION PHYSICIANS NETWORK INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 19, 2011

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

Authorized official

Name
Mr. Daniel L Wiens
Title
Senior Vice President
Phone
(704) 355-0648

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1303 Dove St
Monroe, NC 28112-5012

Mailing address

PO Box 60799
Charlotte, NC 28260-0799
Phone (704) 282-0488

Other identifiers 4

IdentifierTypeStateIssuer
5908003MedicaidNC
8943650MedicaidNC
NPB283MedicaidSC
019NEOtherNCBCBS

Other names 1

  • Union Medical Associates Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Union Physicians Network Inc24 organizations share this tax ID, including this one
Part of
Union Physicians Network Inc

Other organizations with this tax ID 23

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

View all 23

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313712000000",
    "number": "1598854879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60799",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600799",
            "telephone_number": "704-282-0488",
            "fax_number": "704-226-1778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 DOVE ST",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281125012",
            "telephone_number": "704-282-0488",
            "fax_number": "704-226-1778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION PHYSICIANS NETWORK INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNION PHYSICIANS NETWORK INC",
        "enumeration_date": "2006-10-12",
        "last_updated": "2011-08-19",
        "status": "A",
        "authorized_official_last_name": "WIENS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "704-355-0648",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5908003",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8943650",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NPB283",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "019NE",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Union Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monroe, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; 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.