Organization Active NPI

Christopher E McIltrot MD PA

  • Surgery Physician
  • Salisbury, NC
National Provider Identifier
1891725636
Registry record updated Jan 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
9900937 Issued in NC
Legal business name
CHRISTOPHER E MCILTROT MD PA
Practice address
103 Dorsett Dr
Suite a
Salisbury, NC 28144-2278
Phone
(704) 638-5436
Fax
(704) 638-5438
NPI assigned
Jul 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2010

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

Authorized official

Name
Dr. Christopher Eugene McIltrot, MD
Title
President
Phone
(704) 638-5436

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 9900937 NC Primary

Addresses

Primary practice location

103 Dorsett Dr
Suite a
Salisbury, NC 28144-2278

Mailing address

PO Box 2148
Salisbury, NC 28145-2148
Phone (704) 638-5436

Other identifiers 2

IdentifierTypeStateIssuer
DE1950OtherNCRAILROAD MEDICARE
1223NOtherNCNORTH CAROLINA BC BS

National Provider Directory

National Provider Directory

Locations

103 Dorsett Dr
Ste A
Salisbury, NC 28144
Phone (704) 638-5436

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262563200000",
    "number": "1891725636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2148",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281452148",
            "telephone_number": "704-638-5436",
            "fax_number": "704-638-5438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 DORSETT DR",
            "address_2": "SUITE A",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281442278",
            "telephone_number": "704-638-5436",
            "fax_number": "704-638-5438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER E MCILTROT MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2010-01-04",
        "status": "A",
        "authorized_official_last_name": "MCILTROT",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-638-5436",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NC",
            "license": "9900937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DE1950",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA BC BS",
            "identifier": "1223N",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2010; 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.