Active NPI
Emil J Menk, MD
- Anesthesiology Physician
- Charlotte, NC
National Provider Identifier
1821083262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 34402
- Practice address
- 200 Providence Rd
Suite101
Charlotte, NC 28207-1437 - Phone
- (704) 749-5800
- Fax
- (704) 749-5819
- NPI assigned
- Sep 13, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 34402 | NC | Primary |
Addresses
Primary practice location
200 Providence Rd
Suite101
Charlotte, NC 28207-1437
Mailing address
200 Providence Rd
Suite 101
Charlotte, NC 28207-1437
Phone (704) 749-5800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 895859F | 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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329696000000",
"number": "1821083262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 PROVIDENCE RD",
"address_2": "SUITE 101",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282071437",
"telephone_number": "704-749-5800",
"fax_number": "704-749-5819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 PROVIDENCE RD",
"address_2": "SUITE101",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282071437",
"telephone_number": "704-749-5800",
"fax_number": "704-749-5819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENK",
"first_name": "EMIL",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-13",
"last_updated": "2012-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NC",
"license": "34402",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "895859F",
"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 Feb 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.