NPIMap

Organization Active NPI

Rowan Regional Medical Center

Doing business as Novant Health Heart and Vascular Institute

  • Cardiovascular Disease Physician
  • Salisbury, NC
National Provider Identifier
1679812010
Registry record updated Apr 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
ROWAN REGIONAL MEDICAL CENTER
Doing business as
Novant Health Heart and Vascular Institute
Practice address
911 W Henderson St
Suite 230
Salisbury, NC 28144-2700
Phone
(704) 633-9620
Fax
(704) 633-7504
NPI assigned
Feb 5, 2013
Last updated
Apr 25, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2016

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

Authorized official

Name
Darise Caldwell
Title
President & Coo of NH RMC
Phone
(704) 384-7606

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X Primary

Addresses

Primary practice location

911 W Henderson St
Suite 230
Salisbury, NC 28144-2700

Mailing address

PO Box 751588
Charlotte, NC 28275-1588
Phone (704) 633-9620

Other identifiers 1

IdentifierTypeStateIssuer
1679812010MedicaidNC

Other names 1

  • Novant Health Heart and Vascular Institute Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040422001655 NC Part B Supplier - Clinic/Group Practice 3375452519 Receives reassigned benefits from 703 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Salisbury, NC; Statesville, NC

Other NPIs on the same Medicare enrollment 4

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

National Provider Directory

National Provider Directory
Tax ID family
Rowan Memorial Hospital13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Locations

631 Mocksville Ave
#1020
Salisbury, NC 28144
Phone (704) 210-7600

911 W Henderson St
Ste 230
Salisbury, NC 28144
Phone (704) 210-5000

Practitioners & affiliated clinicians

Practitioners 79

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.

View all 79

NPI Registry JSON

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

{
    "created_epoch": "1360022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461542400000",
    "number": "1679812010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751588",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751588",
            "telephone_number": "704-633-9620",
            "fax_number": "704-633-7504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 W HENDERSON ST",
            "address_2": "SUITE 230",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281442700",
            "telephone_number": "704-633-9620",
            "fax_number": "704-633-7504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROWAN REGIONAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-05",
        "last_updated": "2016-04-25",
        "status": "A",
        "authorized_official_last_name": "CALDWELL",
        "authorized_official_first_name": "DARISE",
        "authorized_official_title_or_position": "PRESIDENT & COO OF NH RMC",
        "authorized_official_telephone_number": "704-384-7606"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679812010",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Novant Health Heart and Vascular Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salisbury, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; 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.