Active NPI
Charlotte Lung and Health Center
- Pulmonary Disease Physician
- Charlotte, NC
National Provider Identifier
1629037965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 26374
- Legal business name
- CHARLOTTE LUNG AND HEALTH CENTER
- Practice address
- 1918 Randolph Rd
Ste. 400
Charlotte, NC 28207-1100 - Phone
- (704) 342-8143
- Fax
- (704) 926-8068
- NPI assigned
- Mar 23, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Selwyn Spangenthal, M.D.
- Title
- President
- Phone
- (704) 342-8143
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 26374 | NC | Primary |
Addresses
Primary practice location
1918 Randolph Rd
Ste. 400
Charlotte, NC 28207-1100
Mailing address
1918 Randolph Rd
Ste. 400
Charlotte, NC 28207-1100
Phone (704) 342-8143
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 891256U | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
1918 Randolph Rd
Ste 440
Charlotte, NC 28207
Phone (704) 342-8115
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Charlotte, NC
- NPI 1932187473
-
- Nurse Practitioner
- Charlotte, NC
- NPI 1891754800
-
- Internal Medicine Physician
- Charlotte, NC
- NPI 1780662239
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1629037965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1918 RANDOLPH RD",
"address_2": "STE. 400",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282071100",
"telephone_number": "704-342-8143",
"fax_number": "704-926-8068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1918 RANDOLPH RD",
"address_2": "STE. 400",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282071100",
"telephone_number": "704-342-8143",
"fax_number": "704-926-8068"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHARLOTTE LUNG AND HEALTH CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-23",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SPANGENTHAL",
"authorized_official_first_name": "SELWYN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "704-342-8143",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NC",
"license": "26374",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891256U",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
- Charlotte Home Health Care, Inc.
- Charlotte Lab School
- Charlotte Leadership Family Services
- Charlotte Limb Preservation & Diabetic Foot Center
- Charlotte Limb Preservation & Diabetic Foot Center PLLC
- Charlotte Manor, LLC
- Charlotte MC LLC
- Charlotte Mecklenburg Hospital Authority
- Charlotte Mecklenburg Hospital Authority
- Charlotte Medical Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.