Individual provider Active NPI

Joseph Lake Trask Sr., MD

  • Cardiovascular Disease Physician
  • Huntersville, NC
National Provider Identifier
1871580688
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
2011-01744 Issued in NC
Practice address
10030 Gilead Rd Ste 201
Huntersville, NC 28078-7545
Phone
(704) 887-4530
Fax
(704) 887-4531
NPI assigned
Oct 6, 2005
Last updated
Jan 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 2011-01744 NC Primary
Cardiovascular Disease Physician 207RC0000X 12800 SC

Addresses

Primary practice location

10030 Gilead Rd Ste 201
Huntersville, NC 28078-7545

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 343-9800

Other practice location 1

1718 E 4th St
Suite 501
Charlotte, NC 28204-3261
Phone (704) 343-9800

Other practice location 2

134 Medical Park Rd Ste 200
Mooresville, NC 28117-8527
Phone (980) 302-7800

Other identifiers 1

IdentifierTypeStateIssuer
128007MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jtrask34603@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120131000585 NC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9234214875 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3545 Whitehall Park Dr
Suite 300
Charlotte, NC 28273-4179

480 W Hanes Mill Rd
Winston Salem, NC 27105-9667

PO Box
Charlotte, NC 28260

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
The Presbyterian Hospital Current Accepting new patients
Novant Health Mint Hill Medical Center, LLC CurrentSince Feb 20, 2019 Accepting new patients
Novant Health Matthews Medical Center LLC CurrentSince Jul 11, 2013 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Rowan Medical Center, LLC CurrentSince Apr 1, 2017 Accepting new patients
The Presbyterian Hospital Cardiovascular Disease CurrentSince Feb 1, 2023 Accepting new patients
Novant Health Medical Group, LLC Cardiovascular Disease CurrentSince Feb 1, 2023 Accepting new patients
Novant Health Rowan Medical Center LLC Current Accepting new patients
Rowan Regional Medical Center Cardiovascular Disease CurrentSince Apr 1, 2017 Accepting new patients
Strand Gi Associates PA CurrentSince Jun 29, 2011 Accepting new patients
Novant Health Ballantyne Medical Center LLC CurrentSince Sep 19, 2023 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Feb 1, 2023 Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

10905 Providence Rd W
Charlotte, NC 28277
Phone (980) 488-4000

125 Baldwin Ave
Ste 200
Charlotte, NC 28204
Phone (704) 384-5043

125 Queens Rd
Charlotte, NC 28204
Phone (704) 384-5043

125 Queens Rd
Ste 200
Charlotte, NC 28204

125 Queens Rd
Ste 250
Charlotte, NC 28204
Phone (704) 316-2340

125 Queens Rd
Ste 330
Charlotte, NC 28204
Phone (704) 384-5043

14035 Grandiflora Dr
Charlotte, NC 28278
Phone (704) 316-1074

15830 Ballantyne Medical Pl
Ste 275
Charlotte, NC 28277
Phone (704) 542-0744

1718 E 4th St
Ste 501
Charlotte, NC 28204
Phone (704) 868-3256

200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424

301 Hawthorne Ln
Ste 200
Charlotte, NC 28204
Phone (704) 316-5100

8201 Healthcare Loop
Charlotte, NC 28215
Phone (980) 302-1000

8201 Healthcare Loop
Ste 201
Charlotte, NC 28215
Phone (704) 316-3024

10030 Gilead Rd
Ste 201
Huntersville, NC 28078
Phone (704) 598-6042

1401 Matthews Township Pkwy
Ste 212312
Matthews, NC 28105
Phone (704) 316-3131

1500 Matthews Township Pkwy
Matthews, NC 28105
Phone (704) 384-6500

134 Medical Park Rd
Ste 200
Mooresville, NC 28117
Phone (704) 384-7972

612 Mocksville Ave
Salisbury, NC 28144
Phone (704) 210-5000

7900 N Kings Hwy
Myrtle Beach, SC 29572
Phone (843) 449-3381

Interoperability endpoints

  • Direct secure messaging: joseph.trask.1@14847.direct.athenahealth.com
  • Direct secure messaging: jtrask34603@direct.novanthealth.org

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1871580688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "704-343-9800",
            "fax_number": "704-347-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10030 GILEAD RD STE 201",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280787545",
            "telephone_number": "704-887-4530",
            "fax_number": "704-887-4531"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1718 E 4th St",
            "address_2": "Suite 501",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282043261",
            "country_code": "US",
            "telephone_number": "704-343-9800",
            "fax_number": "704-347-2011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "134 Medical Park Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Mooresville",
            "state": "NC",
            "postal_code": "281178527",
            "country_code": "US",
            "telephone_number": "980-302-7800",
            "fax_number": "980-302-7805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRASK",
        "first_name": "JOSEPH",
        "middle_name": "LAKE",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "2011-01744",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "SC",
            "license": "12800",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128007",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jtrask34603@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "1718 E 4th St",
            "address_2": "Suite 501",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282043261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

Verify at the official NPI Registry.