Active NPI
Cabarrus Ear Nose Throat & Facial Surgery Center PA
- Facial Plastic Surgery Physician
- Concord, NC
National Provider Identifier
1962535252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Facial Plastic Surgery Physician
- License
- 39284
- Legal business name
- CABARRUS EAR NOSE THROAT & FACIAL SURGERY CENTER PA
- Practice address
- 1018 Lee Ann Dr NE
Concord, NC 28025-2911 - Phone
- (704) 782-7111
- NPI assigned
- Mar 14, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Robert Clayton Jarchow, M.D.
- Title
- Medical Doctor
- Phone
- (704) 782-7111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Facial Plastic Surgery Physician | 207YS0123X | 39284 | NC | Primary |
Addresses
Primary practice location
1018 Lee Ann Dr NE
Concord, NC 28025-2911
Mailing address
1018 Lee Ann Dr NE
Concord, NC 28025-2911
Phone (704) 782-7111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890183R | Medicaid | NC |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1426032000000",
"number": "1962535252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1018 LEE ANN DR NE",
"city": "CONCORD",
"state": "NC",
"postal_code": "280252911",
"telephone_number": "704-782-7111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1018 LEE ANN DR NE",
"city": "CONCORD",
"state": "NC",
"postal_code": "280252911",
"telephone_number": "704-782-7111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CABARRUS EAR NOSE THROAT & FACIAL SURGERY CENTER PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-14",
"last_updated": "2015-03-11",
"status": "A",
"authorized_official_last_name": "JARCHOW",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "CLAYTON",
"authorized_official_title_or_position": "MEDICAL DOCTOR",
"authorized_official_telephone_number": "704-782-7111",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207YS0123X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "NC",
"license": "39284",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890183R",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.