Active NPI
Mark L Elgart, CPO
- Prosthetist
- Charlotte, NC
National Provider Identifier
1912006628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- Practice address
- 2001 E 7TH St
Suite I
Charlotte, NC 28204-3311 - Phone
- (704) 334-1860
- Fax
- (704) 347-2785
- NPI assigned
- Sep 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetist | 224P00000X | Primary |
Addresses
Primary practice location
2001 E 7TH St
Suite I
Charlotte, NC 28204-3311
Mailing address
2001 E 7TH St
Suite I
Charlotte, NC 28204-3311
Phone (704) 334-1860
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14317 | Other | PARTNERS | |
| 7700566 | Medicaid | NC | |
| 7795076 | Medicaid | NC | |
| 7701450 | Medicaid | NC | |
| 0141350005 | Other | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faith Prosthetic-Orthotic Services Inc. | Past | Accepting new patients | |
| Faith Prosthetic-Orthotic Services, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Prosthetic/Orthotic Supplier
- Charlotte, NC
- NPI 1467459719
-
- Prosthetic/Orthotic Supplier
- Huntersville, NC
- NPI 1538306261
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326240000000",
"number": "1912006628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 E 7TH ST",
"address_2": "SUITE I",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282043311",
"telephone_number": "704-334-1860",
"fax_number": "704-347-2785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 E 7TH ST",
"address_2": "SUITE I",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282043311",
"telephone_number": "704-334-1860",
"fax_number": "704-347-2785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELGART",
"first_name": "MARK",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "CPO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2012-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARTNERS",
"identifier": "14317",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7700566",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7795076",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7701450",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "0141350005",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.