NPIMap

Organization Active NPI

Vapourmd, P.a.

  • Anesthesiology Physician
  • Mooresville, NC
National Provider Identifier
1902101181
Registry record updated Jan 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
2005-01754 Issued in NC
Legal business name
VAPOURMD, P.A.
Practice address
340 Riverwood Rd
Mooresville, NC 28117-8896
Phone
(704) 928-5174
Fax
(704) 662-6946
NPI assigned
Jan 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2011

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

Authorized official

Name
Jonathan N McMullen, M.D.
Title
Incorporator
Phone
(704) 928-5174

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 2005-01754 NC Primary

Addresses

Primary practice location

340 Riverwood Rd
Mooresville, NC 28117-8896

Mailing address

PO Box 124
Salisbury, NC 28145-0124
Phone (704) 469-8473

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1295395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295395200000",
    "number": "1902101181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 124",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281450124",
            "telephone_number": "704-469-8473",
            "fax_number": "704-642-0529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 RIVERWOOD RD",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178896",
            "telephone_number": "704-928-5174",
            "fax_number": "704-662-6946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAPOURMD, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-19",
        "last_updated": "2011-01-19",
        "status": "A",
        "authorized_official_last_name": "MCMULLEN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "INCORPORATOR",
        "authorized_official_telephone_number": "704-928-5174",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": "2005-01754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2011; 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.