Tonya Kristin Obita

MD | Pediatrics | Female

---

Complete Profile:

Tonya Kristin Obita basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics
Provider Name :	Tonya Kristin Obita
Credential :	MD
Gender :	Female

Business Address:

Tonya Kristin Obita 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, Medical Center Plaza Suite 200 Charlotte, NC, 28203-5866 United States
Phone Number :	704-381-8840

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 :	1497841019
NPI Entity Type :	Individual
First Enrolment Date :	04 Oct, 2006
Last Updated On :	04 May, 2023

Medicare Participation:

Tonya Kristin Obita participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	8022089747
Medicare Enrollment ID :	I20210721000212
Primary Specialty :	Pediatric Medicine
Medical School :	Wake Forest University School Of Medicine
Graduation Year :	2001
Accepts Medicare?	Yes. Tonya Kristin Obita accepts medicare insurance.

Group Practice Association:

Tonya Kristin Obita is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Tonya Kristin Obita is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Carolinas Medical Center	4789597477	728	1000 Blythe Blvd Charlotte, NC - 282035812	Yes

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 Tonya Kristin Obita are as mentioned. Primary taxonomy code for Tonya Kristin Obita, MD is 208000000X (Pediatrics).

Taxonomy Code	Speciality	Primary	License No.	State
208M00000X	Hospitalist	No	2021-00919	NC
208000000X	Pediatrics	Yes	2021-00919	NC

Other Practice Locations:

Practice Address	City, State	Phone Number
920 CHURCH ST N, CONCORD, NC, 28025-2927 United States	CONCORD, NC	704-403-3664
100 MEDICAL PARK DR, STE 310 CONCORD, NC, 28025-2948 United States	CONCORD, NC	704-403-2660
1090 NE GATEWAY CT NE, STE 204 CONCORD, NC, 28025-2414 United States	CONCORD, NC	704-381-8840

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).

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 Tonya Kristin Obita practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.