Active NPI
Cleveland Health Ventures LLC
- Obstetrics & Gynecology Physician
- Kings Mountain, NC
National Provider Identifier
1982927364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- CLEVELAND HEALTH VENTURES LLC
- Practice address
- 821 E King St
Kings Mountain, NC 28086-3186 - Phone
- (704) 734-0304
- Fax
- (704) 734-0309
- NPI assigned
- Mar 12, 2010
- Organization subpart
- Yes
- Parent organization
- CLEVELAND HEALTH VENTURES LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniel L Wiens
- Title
- Senior Vice President Operations
- Phone
- (704) 355-0648
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
821 E King St
Kings Mountain, NC 28086-3186
Mailing address
PO Box 601884
Charlotte, NC 28260-1884
Phone (704) 734-0304
Other names 1
- Shelby Women's Care
National Provider Directory
National Provider Directory- Part of
- Carolinas Hospitalist Group
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Family Medicine Physician
- Grover, NC
- NPI 1740210897
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268352000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1359072000000",
"number": "1982927364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 601884",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282601884",
"telephone_number": "704-734-0304",
"fax_number": "704-734-0309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "821 E KING ST",
"city": "KINGS MOUNTAIN",
"state": "NC",
"postal_code": "280863186",
"telephone_number": "704-734-0304",
"fax_number": "704-734-0309"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLEVELAND HEALTH VENTURES LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CLEVELAND HEALTH VENTURES LLC",
"enumeration_date": "2010-03-12",
"last_updated": "2013-01-25",
"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 OPERATIONS",
"authorized_official_telephone_number": "704-355-0648"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Shelby Women's Care",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Kings Mountain, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.