Caromont Medical Group Inc

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

CAROMONT MEDICAL GROUP INC

Doing business as

CaroMont Vascular Center

Practice address

2555 Court Dr
Ste 450
Gastonia, NC 28054-2134

Phone

(704) 671-7670

NPI assigned

Oct 7, 2009

Last updated

Jun 9, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Valinda Rutledge

Title

President, Ceo

Phone

(704) 834-2133

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CaroMont Vascular Center Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 3

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.

• James L Arter, MD

  • Cardiovascular Disease Physician
  • Gastonia, NC
  • NPI 1922008960
  NPD
• Charles Arthur Peach, M.D.

  • Obstetrics & Gynecology Physician
  • Gastonia, NC
  • NPI 1750385282
  NPD
• Patrick J Russo Jr., MD

  • Cardiovascular Disease Physician
  • Gastonia, NC
  • NPI 1861490195
  NPD

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

{
    "created_epoch": "1254873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276041600000",
    "number": "1790010890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 COURT DR",
            "address_2": "STE 450",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 COURT DR",
            "address_2": "STE 450",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542134",
            "telephone_number": "704-671-7670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROMONT MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-07",
        "last_updated": "2010-06-09",
        "status": "A",
        "authorized_official_last_name": "RUTLEDGE",
        "authorized_official_first_name": "VALINDA",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "704-834-2133"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5913804",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CaroMont Vascular Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Caromont Medical Group Inc (CaroMont Urgent Care)
• Caromont Medical Group Inc (CaroMont Neurology)
• Caromont Medical Group Inc (Atrium Women's Specialist)
• Caromont Medical Group Inc (Carolina Surgery)
• Caromont Medical Group Inc (Carolina Heart Specialists)
• Caromont Medical Group Inc (CaroMont Rheumatology)
• Caromont Medical Group Inc (CaroMont Health Maternity Clinic)
• Caromont Medical Group Inc (CaroMont Inpatient Neurology)
• Caromont Medical Group Inc (CaroMont Internal Medicine)
• Caromont Medical Group Inc (CaroMont Integrative Family Medicine)

• Vascular Surgery Physician in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Vascular Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.