Basic Information
| Provider Information | |||||||||
| NPI: | 1164490975 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LOVEJOY | ||||||||
| FirstName: | HUGH | ||||||||
| MiddleName: | M | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | JR. | ||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6035 FAIRVIEW RD | ||||||||
| Address2: | |||||||||
| City: | CHARLOTTE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 282103256 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7042953000 | ||||||||
| FaxNumber: | 7042953468 | ||||||||
| Practice Location | |||||||||
| Address1: | 2325 W ARBORS DR | ||||||||
| Address2: | SUITE 201 | ||||||||
| City: | CHARLOTTE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 282622663 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7042953000 | ||||||||
| FaxNumber: | 7048388494 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/08/2006 | ||||||||
| LastUpdateDate: | 03/30/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/30/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Y00000X | 38375 | NC | Y | Allopathic & Osteopathic Physicians | Otolaryngology |
ID Information
| ID | Type | State | Issuer | Description | 7953149 | 05 | NC | MEDICAID | 000000293140 | 01 | SC | UNISON HEALTH PLAN SC | OTHER | 10471 | 01 | NC | KANAWHA | OTHER | 53149 | 01 | NC | BCBS | OTHER | 6865 | 01 | NC | PARTNERS | OTHER | N38375 | 05 | SC | MEDICAID | 276581 | 01 | NC | MAMSI | OTHER | 6191 | 01 | NC | DOCTORS HEALTH PLAN | OTHER | 20096147 | 01 | SC | SELECT HEALTH OF SC | OTHER | 141011 | 01 | NC | COVENTRY HEALTHCARE | OTHER | 1876141001 | 01 | NC | CIGNA | OTHER | 4324455 | 01 | NC | AETNA | OTHER | 51709 | 01 | NC | MEDCOST | OTHER | 1041432 | 01 | NC | UNITED HEALTHCARE | OTHER | 10589 | 01 | NC | WELLPATH | OTHER |