QUEEN CITY GASTROENTEROLOGY & HEPATOLOGY, PC
NPI 1750682431
Internal Medicine - Gastroenterology in Charlotte, NC

NPI Status: Active since November 10, 2010

Contact Information

320 LILLINGTON AVE
SUITE 101
CHARLOTTE, NC
ZIP 28204
Phone: (704) 362-4403
Fax: (704) 362-4405

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  • Organization
  • Internal Medicine
  • Gastroenterology
  • CLIA Number: 34D2156916
  • CLIA Cert. Type: Independent
  • CLIA Exp. Date: 11-14-2025

About QUEEN CITY GASTROENTEROLOGY & HEPATOLOGY, PC

This page provides the complete NPI Profile along with additional information for Queen City Gastroenterology & Hepatology, Pc, an internist established in Charlotte, North Carolina operating as a Internal Medicine, focusing in gastroenterology . The healthcare provider is registered in the NPI registry with number 1750682431 assigned on November 2010. The practitioner's primary taxonomy code is 207RG0100X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Queen City Gastroenterology & Hepatology, Pc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Michelle Ogunwale (Administrator / Manager)

NPI
1750682431
Provider Name
QUEEN CITY GASTROENTEROLOGY & HEPATOLOGY, PC
Entity Type
Organization
Location Address
320 LILLINGTON AVE SUITE 101 CHARLOTTE, NC 28204
Location Phone
(704) 362-4403
Location Fax
(704) 362-4405
Mailing Address
320 LILLINGTON AVE SUITE 101 CHARLOTTE, NC 28204
Mailing Phone
(704) 362-4403
Mailing Fax
(704) 362-4405
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-10-2010
Last Update Date
02-21-2020
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An internist like Queen City Gastroenterology & Hepatology, Pc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, 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

Internal Medicine Gastroenterology

Taxonomy Code
207RG0100X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

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

MICHELLE OGUNWALE

Authorized Official Title
ADMINISTRATOR / MANAGER
Authorized Official Phone
(704) 362-4403

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
34D2156916
Facility Type
Independent
Certificate Effective Date
November 15, 2023
Certificate Expiration Date
November 14, 2025
Laboratory Director
NATHAN C. PULKINGHAM
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Queen City Gastroenterology & Hepatology, Pc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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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.
1750682431
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27100128446
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 2 + 8 + 4 + 4 + 6 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1750682431 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1851566558MR. DAVID D BARTELS MS
Individual
Audiologist320 LILLINGTON AVE
CHARLOTTE, NC 28204
(704) 332-1574
1225261209 PAMELA H. BASHOR CCC-SLP
Individual
Speech-Language Pathologist320 LILLINGTON AVE SUITE 202
CHARLOTTE, NC 28204
(704) 375-5231
1316907405FOUR JEWELS HEALTHWAYS INC.
Organization
Internal Medicine (Cardiovascular Disease)320 LILLINGTON AVE SUITE 201
CHARLOTTE, NC 28204
(704) 347-0049
1821331067 SHARON M CONTE
Individual
Hearing Instrument Specialist320 LILLINGTON AVE SUITE 101
CHARLOTTE, NC 28204
(704) 332-1574
1710327333 JESSICA JEANNE WEIGLEIN M.S. ED.
Individual
Speech-Language Pathologist320 LILLINGTON AVE SUITE 202
CHARLOTTE, NC 28204
(704) 375-5231
1184674707DR. BERTHA PARTHENIA RICHARDSON MD
Individual
Internal Medicine (Gastroenterology)320 LILLINGTON AVE SUITE 202
CHARLOTTE, NC 28204
(704) 372-0638
1104880244 MICHELLE D OGUNWALE PA-C
Individual
Physician Assistant320 LILLINGTON AVE SUITE 101
CHARLOTTE, NC 28204
(704) 362-4403
1720126600 BEN O OGUNWALE M.D.
Individual
Internal Medicine (Gastroenterology)320 LILLINGTON AVE SUITE 101
CHARLOTTE, NC 28204
(704) 362-4403
1659361210CENTER FOR SPEECH EXCELLENCE INC
Organization
Speech-Language Pathologist320 LILLINGTON AVE STE 202
CHARLOTTE, NC 28204
(704) 375-5231

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750682431, enumerated in the NPI registry as an "organization" on November 10, 2010

The provider is located at 320 Lillington Ave Suite 101 Charlotte, Nc 28204 and the phone number is (704) 362-4403

This medical organization specializes in Internal Medicine with taxonomy code 207RG0100X with a focus in Gastroenterology

The provider's CLIA number is 34D2156916 for a "independent" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..

This NPI record was last updated on November 10, 2010. 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.