Carolinas Nephrology and Hypertension Associates, PA

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

200401554 Issued in NC

Legal business name

CAROLINAS NEPHROLOGY AND HYPERTENSION ASSOCIATES, PA

Practice address

1400 Medford Dr
Charlotte, NC 28205-5624

Phone

(704) 940-6644

NPI assigned

Apr 20, 2017

Organization subpart

No

Name

Sylvester Izuchukwu Ogbata, M.D.NPI 1346209707

Title

President and Medical Director

Phone

(203) 545-9119

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sylvester Izuchukwu Ogbata, M.D.

  • Nephrology Physician
  • Charlotte, NC
  • NPI 1346209707

  NC, Nephrology

  Medicare reassignment NPD Authorized official

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 23, 2021.

{
    "created_epoch": "1492646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632355200000",
    "number": "1851826499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7619 BERRYFIELD CT",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281739817",
            "telephone_number": "203-545-9119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 MEDFORD DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282055624",
            "telephone_number": "704-940-6644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINAS NEPHROLOGY AND HYPERTENSION ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-20",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A",
        "authorized_official_last_name": "OGBATA",
        "authorized_official_first_name": "SYLVESTER",
        "authorized_official_middle_name": "IZUCHUKWU",
        "authorized_official_title_or_position": "PRESIDENT AND MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "203-545-9119",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "NC",
            "license": "200401554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolinas Medical Equipment LLC
• Carolinas Medical Group-Psychiatric and Psychological Associates
• Carolinas Medicorp Enterprises Inc
• Carolinas Mental Health, PLLC
• Carolinas Mobile Dentistry
• Carolinas Pain Institute, PA
• Carolinas Pain Institute, PA
• Carolinas Pathology Group, PA
• Carolinas Physician Network, Inc.
• Carolinas Physician Network, Inc.

• All providers in Charlotte, NC
• Nephrology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; 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.