Healthcare Provider Details

I. General information

NPI: 1134181191
Provider Name (Legal Business Name): FRANK R. ARKO III MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2006
Last Update Date: 07/17/2024
Certification Date: 04/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1237 HARDING PL STE 4400
CHARLOTTE NC
28204
US

IV. Provider business mailing address

PO BOX 19305
CHARLOTTE NC
28219-9305
US

V. Phone/Fax

Practice location:
  • Phone: 704-373-0212
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number2011-00903
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number2011-00903
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number2011-00903
License Number StateNC
# 4
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number2011-00903
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: