NOVANT HEALTH HEART AND VASCULAR INSTITUTE
NPI 1295142792
Pediatrics - Pediatric Cardiology in Salisbury, NC

NPI Status: Active since July 16, 2014

Contact Information

530 CORPORATE CIR
SUITE 200
SALISBURY, NC
ZIP 28147
Phone: (704) 316-1220
Fax: (704) 316-1230

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  • Organization
  • Pediatrics
  • Pediatric Cardiology
  • CLIA Number: 34D2064492
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 07-31-2026

About NOVANT HEALTH HEART AND VASCULAR INSTITUTE

This page provides the complete NPI Profile along with additional information for Novant Health Heart And Vascular Institute, a pediatrician established in Salisbury, North Carolina operating as a Pediatrics, focusing in pediatric cardiology . The healthcare provider is registered in the NPI registry with number 1295142792 assigned on July 2014. The practitioner's primary taxonomy code is 2080P0202X. The provider is registered as an organization and their NPI record was last updated 10 years ago. Novant Health Heart And Vascular Institute operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Novant Health Heart And Vascular Institute. The authorized official of this NPI record is Geoffrey K. Gardner (Vp Of Finance)

NPI
1295142792
Provider Legal Name
NOVANT MEDICAL GROUP INC
Other Organization Name
NOVANT HEALTH HEART AND VASCULAR INSTITUTE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
530 CORPORATE CIR SUITE 200 SALISBURY, NC 28147
Location Phone
(704) 316-1220
Location Fax
(704) 316-1230
Mailing Address
PO BOX 60447 CHARLOTTE, NC 28260
Mailing Phone
(704) 316-1220
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-16-2014
Last Update Date
03-11-2015
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A pediatrician like Novant Health Heart And Vascular Institute is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics Pediatric Cardiology

Taxonomy Code
2080P0202X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

GEOFFREY K. GARDNER

Authorized Official Title
VP OF FINANCE
Authorized Official Phone
(704) 316-1220

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
34D2064492
Facility Type
Physician Office
Certificate Effective Date
August 01, 2024
Certificate Expiration Date
July 31, 2026
Laboratory Director
ROBERT, E. MOUTLON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Novant Health Heart And Vascular Institute to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1295142792
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22185244718
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 8 + 5 + 2 + 4 + 4 + 7 + 1 + 8 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1295142792 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1811334923NOVANT MEDICAL GROUP INC
Organization
Pediatrics530 CORPORATE CIR SUITE 200
SALISBURY, NC 28147
(704) 638-1550
1851602353 ASHLEY MIRIAM FERGUSON M.D.
Individual
Pediatrics530 CORPORATE CIR SUITE 200
SALISBURY, NC 28147
(704) 638-1550
1740459098 PAULA M. ISSINGHOFF NP
Individual
Nurse Practitioner (Neonatal)530 CORPORATE CIR SUITE 200
SALISBURY, NC 28147
(704) 384-6296
1659367449DR. WILLARD RAY THOMPSON JR. M.D.
Individual
Otolaryngology530 CORPORATE CIR
SALISBURY, NC 28147
(704) 637-0158
1649473745 TRUDY R. POLLOCK NP
Individual
Nurse Practitioner (Neonatal)530 CORPORATE CIR SUITE 200
SALISBURY, NC 28147
(704) 638-1550
1801217948CHARLOTTE EYE EAR NOSE & THROAT ASSOCIATES, PA
Organization
Ophthalmology530 CORPORATE CIR
SALISBURY, NC 28147
(704) 637-0158
1588061261NOVANT MEDICAL GROUP INC
Organization
Surgery (Vascular Surgery)530 CORPORATE CIR SUITE 200
SALISBURY, NC 28147
(704) 638-4361
1538587936 ALEXANDER C BARNES MD
Individual
Ophthalmology530 CORPORATE CIR
SALISBURY, NC 28147
(704) 637-0158

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295142792, enumerated in the NPI registry as an "organization" on July 16, 2014

The provider is located at 530 Corporate Cir Suite 200 Salisbury, Nc 28147 and the phone number is (704) 316-1220

This medical organization specializes in Pediatrics with taxonomy code 2080P0202X with a focus in Pediatric Cardiology

The provider's CLIA number is 34D2064492 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on July 16, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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