NPIMap

Organization Active NPI

The Presbyterian Hospital

  • Cardiovascular Disease Physician
  • Charlotte, NC
National Provider Identifier
1669716262
Registry record updated Apr 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
THE PRESBYTERIAN HOSPITAL
Practice address
8310 University Exec Park Dr
Suite 550
Charlotte, NC 28262-3383
Phone
(704) 384-0684
Fax
(704) 547-1643
NPI assigned
Nov 20, 2012
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Amy S Vance
Title
SVP & Coo Presbyterian Hospital
Phone
(704) 384-6299

Other NPIs on the same Medicare enrollment 34

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 34

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040223001121 NC Part B Supplier - Clinic/Group Practice 1153231907 Receives reassigned benefits from 988 practitioners
34 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Charlotte, NC; Cornelius, NC; Huntersville, NC; Matthews, NC; Monroe, NC; Mooresville, NC

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary

Addresses

NPPES NPI Registry

Primary practice location

8310 University Exec Park Dr
Suite 550
Charlotte, NC 28262-3383

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 384-0684

Other names 1

NPPES NPI Registry
  • Novant Health Heart and Vascular Institute Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 17, 2013.

{
    "created_epoch": "1353369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366156800000",
    "number": "1669716262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "704-384-0684",
            "fax_number": "704-547-1643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8310 UNIVERSITY EXEC PARK DR",
            "address_2": "SUITE 550",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282623383",
            "telephone_number": "704-384-0684",
            "fax_number": "704-547-1643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PRESBYTERIAN HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-20",
        "last_updated": "2013-04-17",
        "status": "A",
        "authorized_official_last_name": "VANCE",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "SVP & COO PRESBYTERIAN HOSPITAL",
        "authorized_official_telephone_number": "704-384-6299"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Novant Health Heart and Vascular Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.