Southcross Family Medicine PLLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

SOUTHCROSS FAMILY MEDICINE PLLC

Practice address

1341 E Morehead Street
101
Charlotte, NC 28204

Phone

(704) 900-5163

Fax

(704) 900-5263

NPI assigned

Apr 23, 2012

Organization subpart

No

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

Authorized official

Name

Amir I Kaldas

Title

Owner

Phone

(704) 900-5163

Specialties & licenses 1

Addresses

Tax ID family

Southcross Family Medicine PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Northcross Nephrology and Hypertension,PLLC

  • Nephrology Physician
  • Davidson, NC
  • NPI 1972800704
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Southcross Family Medicine PLLC

  • Non-Pharmacy Dispensing Site
  • Charlotte, NC
  • NPI 1801168216
  NPPES parent name

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

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335139200000",
    "number": "1972860310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1341 E MOREHEAD STREET",
            "address_2": "101",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28204",
            "telephone_number": "704-900-5163",
            "fax_number": "704-900-5263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1341 E MOREHEAD STREET",
            "address_2": "101",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28204",
            "telephone_number": "704-900-5163",
            "fax_number": "704-900-5263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHCROSS FAMILY MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-23",
        "last_updated": "2012-04-23",
        "status": "A",
        "authorized_official_last_name": "KALDAS",
        "authorized_official_first_name": "AMIR",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-900-5163"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Park Aesthetics
• South Park Behavioral
• South Park Oral Surgery
• Katherine Allison South
• Southcross Family Medicine PLLC
• Southeast Addiction Institute and Learning Center, Inc
• Southeast Anesthesiology Consultants, PLLC
• Southeast Bariatrics
• Southeast Family Care PLLC
• Southeast Pain Management Services, PLLC

• Nephrology Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Nephrology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.

Verify at the official NPI Registry.