LAKE NORMAN HEMATOLOGY AND ONCOLOGY SPECIALISTS PA
NPI 1104854587
Internal Medicine - Hematology & Oncology in Mooresville, NC

Q: What is Lake Norman Hematology And Oncology Specialists PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Active since June 28, 2006

170 MEDICAL PARK RD, SUITE 101, MOORESVILLE, NC 28117(704) 799-3946(704) 799-3956 Get Directions Write a Review

NPPES record last updated: April 11, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Lake Norman Hematology And Oncology Specialists Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKE NORMAN HEMATOLOGY AND ONCOLOGY SPECIALISTS PA (NPI 1104854587) is a healthcare organization registered as a hematology & oncology in Mooresville, North Carolina and active in the NPI registry since June 2006. The organization lists Richard Krumdieck, President, as its authorized official.

NPPES Registry Identity

NPI1104854587

Entity TypeOrganization

Primary Taxonomy207RH0003X

Legal Business NameLAKE NORMAN HEMATOLOGY AND ONCOLOGY SPECIALISTS PA

Location Address170 MEDICAL PARK RD, SUITE 101Mooresville, NC 28117-8540

Mailing Address170 Medical Park Rd, Suite 101Mooresville, NC 28117-8540 · (704) 799-3946 · Fax (704) 799-3956

Phone(704) 799-3946

Fax(704) 799-3956

Organization SubpartNo

Authorized OfficialRichard KrumdieckPresident · (704) 799-3946

Enumeration DateJune 28, 2006

Last NPPES UpdateApril 11, 2017

✔ NPI 1104854587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

170 MEDICAL PARK RD, Mooresville, NC 28117

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Other Identifiers 4

Other012AXBcbs Of Nc

Medicare NSC5951230001NC

Medicare ID-Type Unspecified2327628

Medicaid89012AXNC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RADIATION ONCOLOGY CENTERS OF THE CAROLINAS, INC.

Radiology (Radiation Oncology)

170 MEDICAL PARK RD, SUITE 100
MOORESVILLE, NC 28117

Iredell County (704) 235-2580

LAILA NOOR MENON M.D.

Internal Medicine (Gastroenterology)

170 MEDICAL PARK RD
MOORESVILLE, NC 28117

Iredell County (704) 664-9506

PATRICK L. FRY MD

Internal Medicine

170 MEDICAL PARK RD, STE 140A
MOORESVILLE, NC 28117

Iredell County (704) 663-4443

WILLIAM JOHN EDMISTON JR. MD

Pain Medicine (Interventional Pain Medicine)

170 MEDICAL PARK RD, SUITE 301
MOORESVILLE, NC 28117

Iredell County (704) 360-4378

JOHN MICHAEL LESHER MD

Physical Medicine & Rehabilitation

170 MEDICAL PARK RD
MOORESVILLE, NC 28117

Iredell County (704) 664-9506

PAULA GLOVER HARRIS FNP

Nurse Practitioner (Family)

170 MEDICAL PARK RD, STE 140A
MOORESVILLE, NC 28117

Iredell County (704) 663-4443

MOORESVILLE HOSPITAL MANAGEMENT ASSOCIATES LLC

Home Health

170 MEDICAL PARK RD, SUITE 208
MOORESVILLE, NC 28117

Iredell County (704) 660-4480

ALEJANDRA MARIA TORO BEJARANO MD

Obstetrics & Gynecology

170 MEDICAL PARK RD
MOORESVILLE, NC 28117

Iredell County (704) 801-7370

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lake Norman Hematology And Oncology Specialists PA's NPI number?

The NPI number for Lake Norman Hematology And Oncology Specialists PA is 1104854587. It was assigned to this organization in the NPPES registry on June 28, 2006.

Where is Lake Norman Hematology And Oncology Specialists PA located?

Lake Norman Hematology And Oncology Specialists PA is located at 170 Medical Park Rd Suite 101, Mooresville, NC 28117. The listed phone number is (704) 799-3946.

What is Lake Norman Hematology And Oncology Specialists PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

When was this NPI record last updated?

The NPPES record for Lake Norman Hematology And Oncology Specialists PA was last updated on April 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.