Active NPI
Omnimed LLC
Doing business as Arrowood Medical Center
- Emergency Medicine Physician
- Charlotte, NC
National Provider Identifier
1811083868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- OMNIMED LLC
- Doing business as
- Arrowood Medical Center
- Practice address
- 9720 S Tryon St
Charlotte, NC 28273-6578 - Phone
- (704) 588-7362
- Fax
- (704) 588-9127
- NPI assigned
- Oct 5, 2006
- Last updated
- Apr 29, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Krista Burns
- Title
- Marketing Director
- Phone
- (803) 329-3136
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary | ||
| Physical Medicine & Rehabilitation Physician | 208100000X | |||
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | |||
| Physical Therapist | 225100000X | |||
| Radiologic Technologist | 247100000X | |||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
9720 S Tryon St
Charlotte, NC 28273-6578
Mailing address
9720 S Tryon St
Charlotte, NC 28273-6578
Phone (704) 588-7362
Other names 1
- Arrowood Medical Center
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Nurse Practitioner
- Charlotte, NC
- NPI 1407816754
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1272499200000",
"number": "1811083868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9720 S TRYON ST",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282736578",
"telephone_number": "704-588-7362",
"fax_number": "704-588-9127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9720 S TRYON ST",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282736578",
"telephone_number": "704-588-7362",
"fax_number": "704-588-9127"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OMNIMED LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-05",
"last_updated": "2010-04-29",
"status": "A",
"authorized_official_last_name": "BURNS",
"authorized_official_first_name": "KRISTA",
"authorized_official_title_or_position": "MARKETING DIRECTOR",
"authorized_official_telephone_number": "803-329-3136"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "2083P0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "247100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiologic Technologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Arrowood Medical Center",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Apr 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.