Medvantage, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MEDVANTAGE, PLLC

Practice address

294 Hwy 16N
Ste C
Denver, NC 28037

Phone

(704) 489-2401

Fax

(704) 228-0009

NPI assigned

Apr 26, 2007

Organization subpart

No

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

Authorized official

Name

Jamie L Redelsperger

Title

Administrator

Phone

(704) 489-2401

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446076800000",
    "number": "1821218405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "294 HWY 16N",
            "address_2": "STE C",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "28037",
            "telephone_number": "704-489-2401",
            "fax_number": "704-228-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "294 HWY 16N",
            "address_2": "STE C",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "28037",
            "telephone_number": "704-489-2401",
            "fax_number": "704-228-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDVANTAGE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2015-10-29",
        "status": "A",
        "authorized_official_last_name": "REDELSPERGER",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "704-489-2401"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89133E0",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA7558",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "133E0",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Molly McCurdy, DDS
• Adelyne E McGinnis, ATC
• Keith Eric McManus, M.D.
• Medical Innovations Concepts, P.C.
• Medical Innovations Concepts, P.C.
• Heather Justine Melling, DC
• Michael P. Muckler, DDS, PA
• Kelli A Miller, APRN
• Ashley Caroline Mills, MSW, LCSW
• Taquita Milner, NURSE PRACTITIONER

• Internal Medicine Physician in Denver, NC
• Providers in Denver, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.