NPIMap

Organization Active NPI

Md2U North Carolina LLC

  • Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1720338247
Registry record updated Sep 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
MD2U NORTH CAROLINA LLC
Practice address
228 Westinghouse Blvd Ste 104
Charlotte, NC 28273-6246
Phone
(502) 327-9100
Fax
(855) 632-8329
NPI assigned
Sep 12, 2012
Organization subpart
Yes
Parent organization
MD2U MANAGEMENT LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 12, 2012

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

Authorized official

Name
Gregory David Latta
Title
Cio
Phone
(502) 416-1851

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

228 Westinghouse Blvd Ste 104
Charlotte, NC 28273-6246

Mailing address

140 Whittington Pkwy Ste 100
Louisville, KY 40222-4930
Phone (502) 327-9100

National Provider Directory

National Provider Directory

Locations

228 Westinghouse Blvd
Ste 104
Charlotte, NC 28273

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347408000000",
    "number": "1720338247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 WHITTINGTON PKWY STE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402224930",
            "telephone_number": "502-327-9100",
            "fax_number": "855-632-8329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 WESTINGHOUSE BLVD STE 104",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282736246",
            "telephone_number": "502-327-9100",
            "fax_number": "855-632-8329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD2U NORTH CAROLINA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MD2U MANAGEMENT LLC",
        "enumeration_date": "2012-09-12",
        "last_updated": "2012-09-12",
        "status": "A",
        "authorized_official_last_name": "LATTA",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CIO",
        "authorized_official_telephone_number": "502-416-1851"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 12, 2012; 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.