NPIMap

Organization Active NPI

Union Physicians Network Inc

Doing business as Union Family Practice

  • Family Medicine Physician
  • Monroe, NC
National Provider Identifier
1962578682
Registry record updated Aug 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
UNION PHYSICIANS NETWORK INC
Doing business as
Union Family Practice
Practice address
1106 Reynolds St
Suite 100
Monroe, NC 28112-4350
Phone
(704) 289-5443
Fax
(704) 283-7655
NPI assigned
Nov 27, 2006
Last updated
Aug 19, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
UNION PHYSICIANS NETWORK INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 19, 2011

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

Authorized official

Name
Mr. Daniel L Wiens
Title
Senior Vice President
Phone
(704) 355-0648

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Durable Medical Equipment & Medical Supplies 332B00000X NC

Addresses

Primary practice location

1106 Reynolds St
Suite 100
Monroe, NC 28112-4350

Mailing address

P O Box 601888
Charlotte, NC 28260-0628
Phone (704) 289-5443

Other names 1

  • Union Family Practice Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Union Physicians Network Inc24 organizations share this tax ID, including this one
Part of
Union Physicians Network Inc

Other organizations with this tax ID 23

Organizations that report the same tax identification number in the National Provider Directory.

View all 23

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1000 Blythe Blvd
Fl 1
Charlotte, NC 28203
Phone (704) 355-0720

1900 Scott Ave
Ste 200
Charlotte, NC 28203
Phone (704) 381-0260

5727 Prosperity Crossing Dr
Ste 1400
Charlotte, NC 28269
Phone (704) 863-9970

5651 Poplar Tent Rd
Ste 102
Concord, NC 28027
Phone (704) 782-4878

332 N Trade St
Matthews, NC 28105
Phone (704) 302-8500

12016 Lemmond Farm Dr
#100
Mint Hill, NC 28227
Phone (704) 863-9600

8560 Cook St
Mt Pleasant, NC 28124
Phone (704) 403-1911

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313712000000",
    "number": "1962578682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 601888",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600628",
            "telephone_number": "704-289-5443",
            "fax_number": "704-283-7655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 REYNOLDS ST",
            "address_2": "SUITE 100",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281124350",
            "telephone_number": "704-289-5443",
            "fax_number": "704-283-7655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION PHYSICIANS NETWORK INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNION PHYSICIANS NETWORK INC",
        "enumeration_date": "2006-11-27",
        "last_updated": "2011-08-19",
        "status": "A",
        "authorized_official_last_name": "WIENS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "704-355-0648",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Union Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monroe, NC

Sources for this page

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