Gonzalo A Wallis
MD | Pediatric Cardiology | Male
Gonzalo A Wallis, MD is a Charlotte, North Carolina based Pediatric doctor with medical specialization in
Pediatric Cardiology.
Current practice location of Gonzalo A Wallis is
1001 Blythe Blvd, Ste 500, Charlotte, North Carolina - 28203-5866. He can be contacted on phone at
704-373-1813.
Gonzalo A Wallis is a sole proprietor of his business.
NPI number (Unique professional ID) for Gonzalo A Wallis is
1417179078 which was assigned by NPPES on 03 May, 2007 and it was last updated on 04 May, 2023.
Gonzalo A Wallis license number is
2013-02269 for Pediatrics, Pediatric Cardiology (2080P0202X) in North Carolina.
Gonzalo A Wallis provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Complete Profile:
Gonzalo A Wallis basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics, Pediatric Cardiology |
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| Provider Name : | Gonzalo A Wallis |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Gonzalo A Wallis address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1001 Blythe Blvd, Ste 500
Charlotte, NC, 28203-5866
United States |
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| Phone Number : | 704-373-1813 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1417179078 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 03 May, 2007 |
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| Last Updated On : | 04 May, 2023 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Gonzalo A Wallis are as mentioned. Primary taxonomy code for Gonzalo A Wallis, MD is
2080P0202X (Pediatrics, Pediatric Cardiology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0202X | Pediatrics, Pediatric Cardiology | Yes | 2013-02269 | NC |
| 208000000X | Pediatrics | No | 2013-02269 | NC |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
1781 TATE BLVD SE, STE 203
HICKORY, NC, 28602-4251
United States | HICKORY, NC | 704-381-3970 |
100 MEDICAL PARK DR, STE 310
CONCORD, NC, 28025-2948
United States | CONCORD, NC | 704-403-2860 |
1550 FAULK ST, STE 3100
MONROE, NC, 28112-5086
United States | MONROE, NC | 704-667-3410 |
134 MEDICAL PARK RD, STE 111 - ADULT CARDIOLOGY
MOORESVILLE, NC, 28117-8526
United States | MOORESVILLE, NC | 704-801-9100 |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | gwallis128527@CarolinasHealthcareSystem.direct-ci.com
| |
|
| 1001 Blythe Blvd, Ste 500
Charlotte, NC, 28203-5866
United States |
CONNECT
(CONNECT URL) | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
2.16.840.1.113883.3.667.2 | | OTHER
Other
CMS esMD eMDR |
| 100 N 6th St Ste 900A,
Minneapolis, MN, 55403-1516
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 19305
Charlotte, NC, 28219-9305
United States |
|---|
Business Location:
Patients can refer following map for directions to
Gonzalo A Wallis practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.