INDIAN TRAIL PEDIATRICS
NPI 1730198185
Pediatrics in Indian Trail, NC

NPI Status: Active since August 05, 2006

Contact Information

6030 W HIGHWAY 74
SUITE F
INDIAN TRAIL, NC
ZIP 28079
Phone: (704) 246-2900
Fax: (704) 246-2899

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  • Organization
  • Pediatrics

About INDIAN TRAIL PEDIATRICS

This page provides the complete NPI Profile along with additional information for Indian Trail Pediatrics, a pediatrician established in Indian Trail, North Carolina operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1730198185 assigned on August 2006. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Indian Trail Pediatrics. The authorized official of this NPI record is Daniel L Wiens (Senior Vice President)

NPI
1730198185
Provider Legal Name
CAROLINAS PHYSICIANS NETWORK INC
Other Organization Name
INDIAN TRAIL PEDIATRICS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
6030 W HIGHWAY 74 SUITE F INDIAN TRAIL, NC 28079
Location Phone
(704) 246-2900
Location Fax
(704) 246-2899
Mailing Address
PO BOX 60026 CHARLOTTE, NC 28260
Mailing Phone
(704) 246-2900
Mailing Fax
(704) 246-2899
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-05-2006
Last Update Date
08-22-2020
Code Navigator

A pediatrician like Indian Trail Pediatrics 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

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

DANIEL L WIENS

Authorized Official Title
SENIOR VICE PRESIDENT
Authorized Official Phone
(704) 355-0648

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
017GYOTHER (01)NCBLUE CROSS - BLUE SHIELD
5901967MEDICAID (05)NC 
NPB120MEDICAID (05)SC 

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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.
1730198185
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27602916116
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 6 + 0 + 2 + 9 + 1 + 6 + 1 + 1 + 6 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1730198185 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1659380079UNION URGENT CARE LLC
Organization
Family Medicine6030 W HIGHWAY 74 SUITE A
INDIAN TRAIL, NC 28079
(704) 246-2777
1952477671UNION PHYSICIANS NETWORK INC
Organization
Pediatrics6030 W HIGHWAY 74 SUITE F
INDIAN TRAIL, NC 28079
(704) 246-2900
1528324365UNION PHYSICIANS NETWORK INC
Organization
Internal Medicine (Pulmonary Disease)6030 W HIGHWAY 74 STE D
INDIAN TRAIL, NC 28079
(704) 226-0413
1194733774DR. EDUARDO A GEMBS M.D.
Individual
Family Medicine6030 W HIGHWAY 74 SUITE A
INDIAN TRAIL, NC 28079
(704) 246-2777
1972711562 IAN WILDS
Individual
Emergency Medicine6030 W HIGHWAY 74 SUITE A
INDIAN TRAIL, NC 28079
(704) 246-2777
1548220726 JOSEPH PERRY MD
Individual
Family Medicine6030 W HIGHWAY 74 SUITE A
INDIAN TRAIL, NC 28079
(704) 246-2777
1881940252CAROLINAS PHYSICIANS NETWORK INC
Organization
Obstetrics & Gynecology6030 W HIGHWAY 74 STE B
INDIAN TRAIL, NC 28079
(704) 289-2553
1992755680UNION MEDICAL SERVICES LLC
Organization
Specialist6030 W HIGHWAY 74 SUITE C
INDIAN TRAIL, NC 28079
(704) 246-2999
1235186784 THOMAS SNYDER MD
Individual
Emergency Medicine6030 W HIGHWAY 74 STE A
INDIAN TRAIL, NC 28079
(704) 246-2777
1841579588 ZACHARY BETTERS PA
Individual
Physician Assistant6030 W HIGHWAY 74 STE A
INDIAN TRAIL, NC 28079
(704) 246-2777
1548598857EASTOVER OBSTETRICS AND GYNECOLOGY ASSOCIATES INC
Organization
Obstetrics & Gynecology6030 W HIGHWAY 74 STE B
INDIAN TRAIL, NC 28079
(704) 446-7800
1740535657CAROLINAS PHYSICIANS NETWORK INC
Organization
Family Medicine6030 W HIGHWAY 74 STE D
INDIAN TRAIL, NC 28079
(704) 246-2800
1851649180CAROLINAS PHYSICIANS NETWORK INC
Organization
Family Medicine6030 W HIGHWAY 74 STE A
INDIAN TRAIL, NC 28079
(704) 246-2777
1861747479CAROLINAS PHYSICIANS NETWORK INC
Organization
Pediatrics6030 W HIGHWAY 74 STE F
INDIAN TRAIL, NC 28079
(980) 993-7400
1306307285 STEVEN ALEXANDRE GREENBERG MD
Individual
Family Medicine6030 W HIGHWAY 74 STE A
INDIAN TRAIL, NC 28079
(704) 246-2777
1306012679 STEPHEN JOSEPH BLAHA MD
Individual
Obstetrics & Gynecology6030 W HIGHWAY 74 STE B
INDIAN TRAIL, NC 28079
(980) 993-2030
1356030316 CHANTAL ALEIS LADUKE CNM
Individual
Advanced Practice Midwife6030 W HIGHWAY 74 STE B
INDIAN TRAIL, NC 28079
(980) 993-2030
1376880922 TAISIYA NETREBKO MD
Individual
Internal Medicine6030 W HIGHWAY 74 STE D
INDIAN TRAIL, NC 28079
(704) 246-2800
1457610891 MILDRED KAAGAZA MD
Individual
Pediatrics6030 W HIGHWAY 74 STE F
INDIAN TRAIL, NC 28079
(980) 993-7400
1487822664 TAMARA LYNN ALEXANDER FNP
Individual
Nurse Practitioner (Family)6030 W HIGHWAY 74 STE D
INDIAN TRAIL, NC 28079
(704) 246-2800

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730198185, enumerated in the NPI registry as an "organization" on August 05, 2006

The provider is located at 6030 W Highway 74 Suite F Indian Trail, Nc 28079 and the phone number is (704) 246-2900

This medical organization specializes in Pediatrics with taxonomy code 208000000X

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on August 05, 2006. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.