Organization Active NPI

Southeast Bariatrics

  • Specialist
  • Charlotte, NC
National Provider Identifier
1669502647
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SOUTHEAST BARIATRICS
Practice address
2300 Randolph Rd Ste a
Charlotte, NC 28207-1586
Phone
(704) 347-4144
Fax
(704) 347-4148
NPI assigned
Mar 7, 2007
Last updated
Apr 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Authorized official

Name
Dr. David C Voellinger, MDNPI 1710978986
Title
President
Phone
(704) 347-4144

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NC Primary

Addresses

Primary practice location

2300 Randolph Rd Ste a
Charlotte, NC 28207-1586

Mailing address

2300 Randolph Rd Ste a
Charlotte, NC 28207-1586
Phone (704) 347-4144

Other identifiers 2

IdentifierTypeStateIssuer
132GXOtherNCBCBS
89132GXMedicaidNC

National Provider Directory

National Provider Directory

Locations

1918 Randolph Rd
Ste 320
Charlotte, NC 28207
Phone (704) 316-8000

Practitioners & affiliated clinicians

Practitioners 3

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": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1669502647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 RANDOLPH RD STE A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071586",
            "telephone_number": "704-347-4144",
            "fax_number": "704-347-4148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 RANDOLPH RD STE A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071586",
            "telephone_number": "704-347-4144",
            "fax_number": "704-347-4148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST BARIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "VOELLINGER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-347-4144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "132GX",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89132GX",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.