NPIMap

Organization Active NPI

Union Physicians Network Inc

  • 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
Practice address
1106 Reynolds St
Suite 100
Monroe, NC 28112-4350
Phone
(704) 289-5443
Fax
(704) 283-7655
NPI assigned
Nov 27, 2006
Organization subpart
Yes
Parent organization
UNION PHYSICIANS NETWORK INCAs reported in NPPES

Authorized official

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

Corporate family (same tax ID) 23

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

Member of 3

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

Member organizations 80

Organizations listed as members of this organization in the National Provider Directory.

View all 80

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory
Tax ID family
Union Physicians Network Inc (24 organizations share this tax ID)
Part of
Union Physicians Network Inc

Locations

10620 Park Rd
Charlotte, NC 28210
Phone (704) 543-2111

5435 Prosperity Church Rd Ste 1100a
Charlotte, NC 28269

1653 Campus Park Dr
Ste A
Monroe, NC 28112
Phone (704) 283-2000

Specialties & licenses 2

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

Addresses

NPPES NPI Registry

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 identifiers 4

NPPES NPI Registry
IdentifierTypeStateIssuer
5905686MedicaidNC
7705117MedicaidNC
018P6OtherNCBCBS
NPB206MedicaidSC

Other names 1

NPPES NPI Registry
  • Union Family Practice Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 19, 2011.

{
    "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5905686",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7705117",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "018P6",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NPB206",
            "state": "SC"
        }
    ],
    "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.