NPIMap

Organization Active NPI

Pathfinder Medical Group

  • Public Health & General Preventive Medicine Physician
  • Charlotte, NC
National Provider Identifier
1780070466
Registry record updated May 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
Legal business name
PATHFINDER MEDICAL GROUP
Practice address
301 McCullough Dr
Suite 400
Charlotte, NC 28262-3310
Phone
(847) 915-6389
NPI assigned
Apr 9, 2015
Organization subpart
Yes
Parent organization
PATHFINDER MEDICAL GROUP OF TEXAS PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 11, 2015

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

Authorized official

Name
Natasha Kuhns
Title
Billing Manager
Phone
(847) 915-6389

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2083P0901X Primary

Addresses

Primary practice location

301 McCullough Dr
Suite 400
Charlotte, NC 28262-3310

Mailing address

272 E Deerpath
Suite 204
Lake Forest, IL 60045-5314
Phone (847) 915-6389

National Provider Directory

National Provider Directory
Tax ID family
Pathfinder Medical Group3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431302400000",
    "number": "1780070466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 E DEERPATH",
            "address_2": "SUITE 204",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600455314",
            "telephone_number": "847-915-6389",
            "fax_number": "847-686-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MCCULLOUGH DR",
            "address_2": "SUITE 400",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282623310",
            "telephone_number": "847-915-6389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHFINDER MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PATHFINDER MEDICAL GROUP OF TEXAS PLLC",
        "enumeration_date": "2015-04-09",
        "last_updated": "2015-05-11",
        "status": "A",
        "authorized_official_last_name": "KUHNS",
        "authorized_official_first_name": "NATASHA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "847-915-6389"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "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 May 11, 2015; 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.