Oweida and Christian Orthopaedic & Sports Medicine,PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

201593 Issued in NC

Legal business name

OWEIDA AND CHRISTIAN ORTHOPAEDIC & SPORTS MEDICINE,PA

Practice address

3541 Randolph Rd
Suite 210
Charlotte, NC 28211-1082

Phone

(704) 944-0143

Fax

(704) 944-7399

NPI assigned

Jul 28, 2006

Organization subpart

No

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

Authorized official

Name

Brenda Elaine Hagler

Title

Financial Manager

Phone

(704) 944-7313

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303084800000",
    "number": "1609880566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3541 RANDOLPH RD",
            "address_2": "SUITE 210",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111082",
            "telephone_number": "704-944-0143",
            "fax_number": "704-944-7399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3541 RANDOLPH RD",
            "address_2": "SUITE 210",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111082",
            "telephone_number": "704-944-0143",
            "fax_number": "704-944-7399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OWEIDA AND CHRISTIAN ORTHOPAEDIC & SPORTS MEDICINE,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2011-04-18",
        "status": "A",
        "authorized_official_last_name": "HAGLER",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "FINANCIAL MANAGER",
        "authorized_official_telephone_number": "704-944-7313"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": "28788",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": "201593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890238K",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Phillips Overton, MD
• Edward Anthony Overton, D.O.
• Jerome Ellis Overton, RN
• Lourdes Delacaridad Ovide, NP
• Erica Ovilma
• Oweida and Christian Orthopaedics & Sports Med,P.a.
• Jenna Marie Owen, FNP
• Kenneth D. Owen Jr., MD
• Laura Borders Owen, CRNA
• Scarlett Owen

• Specialist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.