Active NPI
Richard W Zollinger II, M.D.
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Charlotte, NC
National Provider Identifier
1730393232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- License
- 29693
- Practice address
- 1601 Abbey Place
Charlotte, NC 28209 - Phone
- (704) 512-5360
- Fax
- (704) 512-5080
- NPI assigned
- May 10, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 29693 | NC | |
| Surgery Physician | 208600000X | 29693 | NC | |
| Clinic/Center | 261Q00000X | |||
| Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | 2083P0011X | 29693 | NC | Primary |
Addresses
Primary practice location
1601 Abbey Place
Charlotte, NC 28209
Mailing address
P.O. Box 473473
Charlotte, NC 28247
Phone (704) 335-5418
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 59-07660 | Medicaid | NC |
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 |
|---|---|---|---|
| 29693 | NC | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375142400000",
"number": "1730393232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 473473",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28247",
"telephone_number": "704-335-5418",
"fax_number": "704-314-0737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 ABBEY PLACE",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28209",
"telephone_number": "704-512-5360",
"fax_number": "704-512-5080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZOLLINGER",
"first_name": "RICHARD",
"middle_name": "W",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-10",
"last_updated": "2013-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "NC",
"license": "29693",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NC",
"license": "29693",
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
},
{
"code": "2083P0011X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
"state": "NC",
"license": "29693",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "59-07660",
"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 Jul 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.