Novant Medical Group Inc

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

Legal business name

NOVANT MEDICAL GROUP INC

Doing business as

Novant Health Cancer Specialist

Practice address

1718 E 4TH St Ste 707
Charlotte, NC 28204-3282

Phone

(704) 316-4485

Fax

(704) 316-4490

NPI assigned

May 5, 2015

Last updated

Apr 20, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Geoffrey K Gardner

Title

VP NMG Finance

Phone

(704) 316-4485

Specialties & licenses 2

Addresses

Other names 1

• Novant Health Cancer Specialist Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 3

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.

• Christie Lynne McAleer, LCSW

  • Clinical Social Worker
  • Charlotte, NC
  • NPI 1497194401
  NPD
• Jason G Shultz, M.D.

  • Medical Oncology Physician
  • Charlotte, NC
  • NPI 1245468685

  Hematology & Oncology

  NPD
• Esther Aroom Wong, NP

  • Nurse Practitioner
  • Charlotte, NC
  • NPI 1528547833
  NPD

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

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492646400000",
    "number": "1871970251",
    "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": "704-316-4485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 E 4TH ST STE 707",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043282",
            "telephone_number": "704-316-4485",
            "fax_number": "704-316-4490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVANT MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-05",
        "last_updated": "2017-04-20",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "VP NMG FINANCE",
        "authorized_official_telephone_number": "704-316-4485"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NC",
            "license": null,
            "primary": true
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Novant Health Cancer Specialist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Novant Medical Group Inc (NH Palliative Care)
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• Novant Medical Group Inc (Novant Health Pediatric Neurology)
• Novant Medical Group Inc. (Novant Health Hepatobiliary & Pancreas Specialists)
• Novant Medical Group, Inc
• Novant Medical Group, Inc (Novant Health Developmental & Behavioral Pediatrics)
• Novant Medical Group, Inc (Novant Health Pulmonary & Critical Care)
• Novant Medical Group, Inc (Novant Health Rehabilitation Center)

• Hematology & Oncology Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Hematology & Oncology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; 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.