John Paschal Licata
MD | Pediatrics | Male
John Paschal Licata, MD is a Charlotte, North Carolina based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of John Paschal Licata is
13640 Steelecroft Pkwy, Ste 210, Charlotte, North Carolina - 28278-7565. He can be contacted on phone at
704-512-6100.
John Paschal Licata is a sole proprietor of his business.
NPI number (Unique professional ID) for John Paschal Licata is
1740711076 which was assigned by NPPES on 27 Mar, 2017 and it was last updated on 04 May, 2023.
John Paschal Licata license number is
2020-00623 for Pediatrics (208000000X) in North Carolina.
John Paschal Licata is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
John Paschal Licata basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | John Paschal Licata |
|---|
| Credential : | MD |
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| Gender : | Male |
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Business Address:
John Paschal Licata 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 : | 13640 Steelecroft Pkwy, Ste 210
Charlotte, NC, 28278-7565
United States |
|---|
| Phone Number : | 704-512-6100 |
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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 : | 1740711076 |
|---|
| NPI Entity Type : | Individual |
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| First Enrolment Date : | 27 Mar, 2017 |
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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 John Paschal Licata are as mentioned. Primary taxonomy code for John Paschal Licata, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 2020-00623 | NC |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
332 N TRADE ST, STE 1500
MATTHEWS, NC, 28105-1728
United States | MATTHEWS, NC | 704-512-6820 |
1656 RIVERCHASE BLVD, STE 3400
ROCK HILL, SC, 29732-2084
United States | ROCK HILL, SC | 803-328-6281 |
4501 CAMERON VALLEY PKWY, STE 100
CHARLOTTE, NC, 28211-4297
United States | CHARLOTTE, NC | 704-367-7400 |
6235 BLAKENEY PARK DR, STE 100
CHARLOTTE, NC, 28277-5658
United States | CHARLOTTE, NC | 704-512-5060 |
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) | jlicata136898@CarolinasHealthcareSystem.direct-ci.com
| |
|
| 13640 Steelecroft Pkwy, Ste 210
Charlotte, NC, 28278-7565
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
John Paschal Licata practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.