NPI Database
Lookup NPI Numbers from the NPI Registry

Contact Information

OMNIMED LLC
9720 S TRYON ST
CHARLOTTE, NC28273-6578
 Phone: 704-588-7362
 Fax: 704-588-9127
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Preventive Medicine/Occupational-Environmental Medicine

2083P0500X 84 Physician/Preventive Medicine
 

Radiologic Technologist

247100000X
Indicates primary specialty

NPI Profile & details for OMNIMED LLC

NPI Number 1811083868
LBN Legal business name OMNIMED LLC
Authorized official KRISTA BURNS - (MARKETING DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/05/2006
Last updated 04/29/2010 - About 16 years ago
Identifiers
NC Other 015V0 BLUE CROSS BLUE SHIELD NC
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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