Organization Active NPI

Alfa Medical Clinic, PA

  • Internal Medicine Physician
  • Charlotte, NC
National Provider Identifier
1750320271
Registry record updated Sep 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
200200148 Issued in NC
Legal business name
ALFA MEDICAL CLINIC, PA
Practice address
2540 W Arrowood Rd
Ste 110
Charlotte, NC 28273-6197
Phone
(704) 588-9997
Fax
(704) 588-9499
NPI assigned
Jun 6, 2006
Last updated
Sep 23, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2011

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

Authorized official

Name
Francis Obeng, MDNPI 1902866601
Title
Physician
Phone
(704) 588-9997

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 200200148 NC Primary

Addresses

Primary practice location

2540 W Arrowood Rd
Ste 110
Charlotte, NC 28273-6197

Mailing address

PO Box 77188
Charlotte, NC 28271-7004
Phone (704) 588-9997

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060915000452 NC Part B Supplier - Clinic/Group Practice 0840295382 Receives reassigned benefits from 1 practitioner
Practice locations: Charlotte, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D1055879Alfa Medical Clinic2540 West Arrowood Rd Ste 110, Charlotte, NC 28273AccreditationJul 11, 2027

National Provider Directory

National Provider Directory

Locations

2540 W Arrowood Rd
Ste 110
Charlotte, NC 28273
Phone (704) 588-9997

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316736000000",
    "number": "1750320271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 77188",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282717004",
            "telephone_number": "704-588-9997",
            "fax_number": "704-588-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 W ARROWOOD RD",
            "address_2": "STE 110",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282736197",
            "telephone_number": "704-588-9997",
            "fax_number": "704-588-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALFA MEDICAL CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-06",
        "last_updated": "2011-09-23",
        "status": "A",
        "authorized_official_last_name": "OBENG",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "704-588-9997",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "200200148",
            "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 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.