Active NPI
Richard Lee Wing, M.D.
- Reproductive Endocrinology Physician
- Charlotte, NC
National Provider Identifier
1720184096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reproductive Endocrinology Physician
- License
- 000020990
- Practice address
- 1524 E Morehead St
Charlotte, NC 28207-1606 - Phone
- (704) 343-3400
- Fax
- (704) 343-3428
- NPI assigned
- Sep 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Reproductive Endocrinology Physician | 207VE0102X | 000020990 | NC | Primary |
Addresses
Primary practice location
1524 E Morehead St
Charlotte, NC 28207-1606
Mailing address
1524 E Morehead St
Charlotte, NC 28207-1606
Phone (704) 343-3400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20990 | Other | NC | MEDICAL BOARD LICENSE |
| 200001247769 | Other | NC | PHY PRIVILEGE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000020990 | NC | MD | Reproductive Endocrinology Physician |
| 20990 | NC | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reach Fertility, PLLC | Reproductive Endocrinology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Reproductive Endocrinology Physician
- Charlotte, NC
- NPI 1528669710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730678400000",
"number": "1720184096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1524 E MOREHEAD ST",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282071606",
"telephone_number": "704-343-3400",
"fax_number": "704-343-3428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1524 E MOREHEAD ST",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282071606",
"telephone_number": "704-343-3400",
"fax_number": "704-343-3428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WING",
"first_name": "RICHARD",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-15",
"last_updated": "2024-11-04",
"certification_date": "2024-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "NC",
"license": "000020990",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL BOARD LICENSE",
"identifier": "20990",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHY PRIVILEGE LICENSE",
"identifier": "200001247769",
"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 Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.