CAROLINAS HEALTHCARE SYSTEM (NPI# 1053651034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053651034 |
| Entity Type | Organization |
| Organization Name | CAROLINAS HEALTHCARE SYSTEM |
| Practice Address |
1010 Edgehill Rd N Department of Neurology Charlotte NC 28207-1885 |
| Practice Telephone | 7043559434 |
| Practice Fax Number | 7043559296 |
| Mailing Telephone | 7043559434 |
| Mailing Fax Number | 7043559296 |
| Enumeration Date | 2013-02-27 |
| Last Update Date | 2013-02-27 |
| Authorized Official Name | PROF. MOHAMMED S SANJAK (SENIOR SCIENTIST/PHYSICAL THERAPIST) |
| Authorized Official Telephone | 7043559434 |
| Authorized Official Credential | PHD, PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
11465 | NC | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861939621 | Carolinas Healthcare System | General Acute Care Hospital | 3329 Weston St, Charlotte, NC 28209 | 2017-01-31 |
| 1992254213 | Carolinas Healthcare System | Clinic/Center | 4525 Cameron Valley Pkwy, Suite 3100, Charlotte, NC 28211-4369 | 2016-09-28 |
| 1598210908 | Carolinas Healthcare System | Genetic Counselor, MS | 1021 Morehead Medical Dr, Ste 2300, Charlotte, NC 28204-2990 | 2016-08-16 |
| 1326487349 | Carolinas Healthcare System | General Acute Care Hospital | 1025 Morehead Medical Dr, Suite 300, Charlotte, NC 28204-2963 | 2013-06-24 |
| 1275793192 | Carolinas Healthcare System | General Acute Care Hospital | 8800 N Tryon St, Anesthesia/or, Charlotte, NC 28262-3300 | 2008-06-13 |
| 1255501235 | Carolinas Healthcare System | General Acute Care Hospital | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2008-03-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | Carolinas HealthCare System ACO LLC | 1111 Metropolitan Avenue Suite 600, Charlotte, NC 28204-3407 |
| Street Address |
1010 EDGEHILL RD N DEPARTMENT OF NEUROLOGY |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28207-1885 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710959929 | Benjamin Brooks | Psychiatry & Neurology | 1010 Edgehill Rd N, Charlotte, NC 28207-1885 | 2006-02-02 |
| 1437771557 | Danielle Margaret Altieri | Nurse Practitioner | 1010 Edgehill Rd N, Charlotte, NC 28207-1885 | 2020-05-12 |
| 1265947279 | Keaton Bennett | Physician Assistant | 1010 Edgehill Rd N, Charlotte, NC 28207-1885 | 2017-12-13 |
| 1720514177 | Amy Klett | Psychologist | 1010 Edgehill Rd N, Charlotte, NC 28207-1885 | 2017-05-04 |
| 1922548379 | Brooke Morford | Nurse Practitioner | 1010 Edgehill Rd N, Charlotte, NC 28207-1885 | 2017-03-06 |
| 1245773498 | Ama Adusei | Physician Assistant | 1010 Edgehill Rd N, Charlotte, NC 28207-1885 | 2016-11-21 |
| 1104208800 | Michael Schecter | Psychiatry & Neurology | 1010 Edgehill Rd N, Charlotte, NC 28207-1885 | 2015-06-18 |
| 1043691660 | Kasser Saba | Psychiatry & Neurology | 1010 Edgehill Rd N, Charlotte, NC 28207-1885 | 2015-06-10 |
| 1528455888 | Nicholas Fleming | Psychiatry & Neurology | 1010 Edgehill Rd N, Charlotte, NC 28207-1885 | 2015-04-23 |
| 1598165037 | Shivangee Thorne | Social Worker | 1010 Edgehill Rd N, Charlotte, NC 28207-1885 | 2014-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013560739 | Louis Roncaglione | Dentist | 8815 Christenbury Pkway, Concord, NC 28207 | 2019-07-22 |
| 1619430014 | Khrystyna Levytska | Student in an Organized Health Care Education/Training Program | Myers Park Clinic Ob/gyn, 1350 S. Kings Dr., Charlotte, NC 28207 | 2019-04-11 |
| 1649743584 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 1005 South Kings Drive, Charlotte, NC 28207 | 2019-01-03 |
| 1023584489 | Herron and Smith Associates, Pllc | Dentist | 135 Perrin Place, Suite 100, Charlotte, NC 28207 | 2018-10-23 |
| 1588161640 | Lauren Mogk | Student in an Organized Health Care Education/Training Program | Myers Park Clinical Internal Medicine, 1350 S. Kings Dr., 3rd Floor, Charlotte, NC 28207 | 2018-04-06 |
| 1518462241 | Sarah Hollyn Carlock | Student in an Organized Health Care Education/Training Program | Myers Park Clinic Internal Medicine, 1350 S Kings Dr, 3rd Floor, Charlotte, NC 28207 | 2018-03-26 |
| 1083118178 | Claire Milam | Student in an Organized Health Care Education/Training Program | Cmc/department of Emergency Medicine, 100 Blythe Blvd, Charlotte, NC 28207 | 2018-03-22 |
| 1811422256 | Complete Care At Dartmouth LLC | Skilled Nursing Facility | 300 Province Road, Charlotte, NC 28207 | 2017-04-24 |
| 1063945467 | Kaitlyn O'keefe | Internal Medicine | 1350 S. Kings Dr., 3rd Floor, Myers Park Clinic Internal Medicine, Charlotte, NC 28207 | 2017-04-04 |
| 1811432024 | Advanced Prosthetics of Easley, Inc | Durable Medical Equipment & Medical Supplies | 2310 Randolph Rd Ste A, Charlotte, NC 28207 | 2016-12-23 |
| Find all providers in zip 28207 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063027597 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 3611 Mt Holly Hntrsvl Rd Bldg 200, Charlotte, NC 28216-8636 | 2020-09-11 |
| 1861042574 | Trainer's B's Fitness World, Inc. | Clinic/Center | 1225 S Church St Ste B, Charlotte, NC 28203-4197 | 2019-09-14 |
| 1659300838 | Presbyterian Orthopaedic Hospital | Clinic/Center | 400 E Morehead St, Charlotte, NC 28202-2610 | 2006-07-01 |
| 1689622847 | Select Physical Therapy Holdings Inc | Clinic/Center | 8420 University City Blvd, Charlotte, NC 28213-3561 | 2006-05-04 |
| 1457759128 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 3600 Park Rd, C/o Atria Merrywood, Charlotte, NC 28209-4102 | 2014-12-12 |
| 1225436264 | Truly Therapeutic Rehab Solutions, Pllc | Clinic/Center | 10130 Perimeter Pkwy, Suite 200, Charlotte, NC 28216-2447 | 2014-12-08 |
| 1497183891 | Eaton County Health and Rehabilitation Services | Clinic/Center | 530 Beech St, Charlotte, MI 48813-1016 | 2013-10-22 |
| 1912228735 | Legacy Healthcare Services | Clinic/Center | 5114 Providence Rd, Charlotte, NC 28226-5852 | 2010-06-15 |
| 1053641670 | New Millennium Therapy | Clinic/Center | 8213 Escaflowne Ave, Charlotte, NC 28216-2265 | 2010-01-04 |
| 1669432175 | Select Physical Therapy Holdings Inc | Clinic/Center | 10512 Park Rd, Ste 209, Charlotte, NC 28210-8475 | 2006-03-27 |
| Find all providers in CHARLOTTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.