STEPHEN LEE WALLENHAUPT MD
NPI 1164421285
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Charlotte, NC

Q: What is Stephen Wallenhaupt's NPI number?

The NPI number for Stephen Wallenhaupt is 1164421285. It was assigned to this individual provider in the NPPES registry on July 20, 2005.

Q: What is Stephen Wallenhaupt's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Active since July 20, 2005

1718 E 4TH ST, SUITE 701, CHARLOTTE, NC 28204(704) 316-5100(704) 316-5101 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Stephen Lee Wallenhaupt Md NPPES

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

STEPHEN LEE WALLENHAUPT MD (NPI 1164421285) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Charlotte, North Carolina, licensed in North Carolina (26402) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1164421285

Entity TypeIndividualMale

Primary Taxonomy208G00000X

Provider Legal NameSTEPHEN LEE WALLENHAUPTCredential: MD

Location Address1718 E 4TH ST, SUITE 701Charlotte, NC 28204-3261

Mailing Address1718 E 4th St, Suite 701Charlotte, NC 28204-3261 · (704) 316-5100 · Fax (704) 316-5101

Phone(704) 316-5100

Fax(704) 316-5101

Sole ProprietorNo

Enumeration DateJuly 20, 2005

Last NPPES UpdateJuly 8, 2007

✔ NPI 1164421285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

License✔ Licensed in NC · 26402

Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

1718 E 4TH ST, Charlotte, NC 28204

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Other Identifiers 2

Medicaid8985522NC

Medicare UPINC86973

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.

LABORATORY CORPORATION OF AMERICA HOLDINGS

Clinical Medical Laboratory

1718 E 4TH ST, SUITE 707
CHARLOTTE, NC 28204

Mecklenburg County (704) 598-7320

DR. PHILIP WILLIAM DE HOFF M. D.

Obstetrics & Gynecology

1718 E 4TH ST, SUITE 907
CHARLOTTE, NC 28204

Mecklenburg County (704) 372-4000

STEPHANIE DAWN RITCHIE PA-C

Physician Assistant (Surgical)

1718 E 4TH ST, SUITE 701
CHARLOTTE, NC 28204

Mecklenburg County (704) 316-5100

NOVANT MEDICAL GROUP

Internal Medicine (Infectious Disease)

1718 E 4TH ST, SUITE 401
CHARLOTTE, NC 28204

Mecklenburg County (704) 384-7840

JESSICA PUSKARICH NP

Nurse Practitioner

1718 E 4TH ST, SUITE 307
CHARLOTTE, NC 28204

Mecklenburg County (704) 333-1259

KAO NU LY PA-C

Physician Assistant (Surgical)

1718 E 4TH ST, SUITE 805
CHARLOTTE, NC 28204

Mecklenburg County (704) 376-5636

ROBERT BRIAN FAZIA MD

Internal Medicine (Cardiovascular Disease)

1718 E 4TH ST, SUITE 501
CHARLOTTE, NC 28204

Mecklenburg County (704) 343-9800

NOVANT HEALTH MEDICAL GROUP, LLC

Obstetrics & Gynecology

1718 E 4TH ST, SUITE 201
CHARLOTTE, NC 28204

Mecklenburg County (704) 384-0560

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 Stephen Wallenhaupt's NPI number?

The NPI number for Stephen Wallenhaupt is 1164421285. It was assigned to this individual provider in the NPPES registry on July 20, 2005.

Where is Stephen Wallenhaupt located?

Stephen Wallenhaupt practices at 1718 E 4th St Suite 701, Charlotte, NC 28204. The listed phone number is (704) 316-5100.

What is Stephen Wallenhaupt's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

When was this NPI record last updated?

The NPPES record for Stephen Wallenhaupt was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.