LAKE NORMAN HEMATOLOGY ONCOLOGY SPECIALISTS, PA
NPI 1376568378
Specialist in Mooresville, NC

Active since July 12, 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: January 23, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lake Norman Hematology Oncology Specialists, Pa NPPES

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

LAKE NORMAN HEMATOLOGY ONCOLOGY SPECIALISTS, PA (NPI 1376568378) is a healthcare organization registered as a specialist in Mooresville, North Carolina and active in the NPI registry since July 2006. The organization lists Richard Krumdieck, President, as its authorized official.

NPPES Registry Identity

NPI1376568378
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameLAKE NORMAN HEMATOLOGY 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
Fax(704) 799-3956
Organization SubpartNo
Authorized OfficialRichard KrumdieckPresident · (704) 799-3946
Enumeration DateJuly 12, 2006
Last NPPES UpdateJanuary 23, 2008
NPI 1376568378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in NC · 9701019
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
170 MEDICAL PARK RD, Mooresville, NC 28117

Other Identifiers 5

Medicare ID-Type Unspecified2280628CNC · Eagle, David A
Medicare UPINH16149NC
Medicare ID-Type Unspecified2245302DNC · Krumdieck, Richard
Medicare UPINE20805NC
Medicare UPINI37030

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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.

Radiology (Radiation Oncology)
170 MEDICAL PARK RD, SUITE 100
MOORESVILLE, NC 28117
Internal Medicine (Gastroenterology)
170 MEDICAL PARK RD
MOORESVILLE, NC 28117
Internal Medicine
170 MEDICAL PARK RD, STE 140A
MOORESVILLE, NC 28117
Pain Medicine (Interventional Pain Medicine)
170 MEDICAL PARK RD, SUITE 301
MOORESVILLE, NC 28117
Physical Medicine & Rehabilitation
170 MEDICAL PARK RD
MOORESVILLE, NC 28117
Nurse Practitioner (Family)
170 MEDICAL PARK RD, STE 140A
MOORESVILLE, NC 28117
Internal Medicine (Hematology & Oncology)
170 MEDICAL PARK RD, SUITE 101
MOORESVILLE, NC 28117
Home Health
170 MEDICAL PARK RD, SUITE 208
MOORESVILLE, NC 28117

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 Oncology Specialists, PA's NPI number?

The NPI number for Lake Norman Hematology Oncology Specialists, PA is 1376568378. It was assigned to this organization in the NPPES registry on July 12, 2006.

Where is Lake Norman Hematology Oncology Specialists, PA located?

Lake Norman Hematology 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 Oncology Specialists, PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Lake Norman Hematology Oncology Specialists, PA was last updated on January 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.