CAROLINA HEALTHCARE ASSOCIATES INC (NPI# 1114223583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114223583 |
| Entity Type | Organization |
| Organization Name | CAROLINA HEALTHCARE ASSOCIATES INC |
| Other Organization Name | CAPE FEAR HEART ASSOCIATES |
| Practice Address |
1415 Physicians Dr Wilmington NC 28401-7338 |
| Mailing Address |
Po Box 19305 Charlotte NC 28219-9305 |
| Practice Telephone | 9108153420 |
| Mailing Telephone | 7046310002 |
| Enumeration Date | 2011-02-02 |
| Last Update Date | 2020-08-31 |
| Authorized Official Name | DANIEL GOODWIN (VICE-PRESIDENT) |
| Authorized Official Telephone | 9106677597 |
| Is Organization Subpart | Y |
| Parent Organization Name | CAROLINA HEALTHCARE ASSOCIATES INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
Allopathic & Osteopathic Physicians | ||
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians | ||
| N | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Cape Fear Heart Associates | Doing Business As Name - Organization |
| Cape Fear Heart Associates | Other Name - Individual/Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2000 Brabham Ave, Jacksonville, NC 285460201 | 9106629500 | |
| 3009 Medical Plaza Ln, Southport, NC 284615194 | 9106629500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184279390 | Carolina Healthcare Associates Inc | Physical Therapist | 2710 Market St, Wilmington, NC 28403-1218 | 2019-08-05 |
| 1245519032 | Carolina Healthcare Associates Inc | Internal Medicine | 221 Memorial Dr, Jacksonville, NC 28546-6333 | 2011-08-10 |
| 1073821781 | Carolina Healthcare Associates Inc | Urology | 209b Us Highway 117 N, Burgaw, NC 28425-5101 | 2010-09-15 |
| 1265765325 | Carolina Healthcare Associates Inc | Urology | 3009 Medical Plaza Ln, Southport, NC 28461-5194 | 2009-09-08 |
| 1841674264 | Carolina Healthcare Associates Inc | Obstetrics & Gynecology | 2150 Shipyard Blvd, Wilmington, NC 28403-8052 | 2015-07-15 |
| 1033597224 | Carolina Healthcare Associates Inc | Psychiatry & Neurology | 1509 Doctors Cir, Bldg C, Wilmington, NC 28401-7403 | 2015-05-08 |
| 1417334145 | Carolina Healthcare Associates Inc | Internal Medicine | 1509 Doctors Cir, Bldg C, Wilmington, NC 28401-7403 | 2015-05-01 |
| 1518216118 | Carolina Healthcare Associates Inc | Obstetrics & Gynecology | 1809 Glen Meade Rd, Wilmington, NC 28403-6022 | 2012-08-29 |
| 1649529231 | Carolina Healthcare Associates Inc | Obstetrics & Gynecology | 1333 S Dickinson Dr, Suite 110, Leland, NC 28451-6430 | 2012-08-29 |
| 1609124650 | Carolina Healthcare Associates Inc | Clinic/Center | 1415 Medical Center Dr, Wilmington, NC 28401-7504 | 2012-08-23 |
| Street Address |
1415 PHYSICIANS DR |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28401-7338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679577407 | Robert Alan Ashworth | Pharmacist | 1415 Physicians Dr, Wilmington, NC 28401-7338 | 2005-06-09 |
| 1972158434 | Mary Hamrick | Nurse Practitioner | 1415 Physicians Dr, Wilmington, NC 28401-7338 | 2019-08-01 |
| 1750892865 | Danielle Wright | Pharmacist | 1415 Physicians Dr, Wilmington, NC 28401-7338 | 2017-10-16 |
| 1881120806 | Christina Lafoon | Nurse Practitioner | 1415 Physicians Dr, Wilmington, NC 28401-7338 | 2017-05-11 |
| 1912354739 | Tristan Mckenna | Nurse Practitioner | 1415 Physicians Dr, Wilmington, NC 28401-7338 | 2016-05-23 |
| 1982006110 | David Ryan | Nurse Practitioner | 1415 Physicians Dr, Wilmington, NC 28401-7338 | 2014-09-18 |
| 1922431576 | Edith Mintz | Physician Assistant | 1415 Physicians Dr, Wilmington, NC 28401-7338 | 2013-08-19 |
| 1740523976 | George Mcleod | Internal Medicine | 1415 Physicians Dr, Wilmington, NC 28401-7338 | 2013-04-06 |
| 1275889602 | Rachel March | Social Worker | 1415 Physicians Dr, Wilmington, NC 28401-7338 | 2012-08-03 |
| 1134400799 | Monica Hill | Nurse Practitioner | 1415 Physicians Dr, Wilmington, NC 28401-7338 | 2011-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275002461 | Thrivetothrive, LLC | Physical Therapist | 1606 Physicians Drive, Inside Promina Health, Wilmington, NC 28401 | 2018-11-16 |
| 1841787454 | Kevin Christopher Panebianco | Family Medicine | 1911 S 17th St Ste 130a, Wilmington, NC 28401 | 2018-04-18 |
| 1518472588 | Michelle Bruin | Family Medicine | 415 S. 2nd Street, Wilmington, NC 28401 | 2017-12-12 |
| 1639617343 | Anna Farwell | Behavior Technician | 3904 Oleander Dr. Suite 102, Wilmington, NC 28401 | 2017-02-02 |
| 1588034144 | Dimitri Zivko Pitovski | Allergy & Immunology | 1099 Medical Center Dr Unit 100b, Wilmington, NC 28401 | 2015-09-25 |
| 1629457007 | Megan Havel | Counselor | 1512 E Lakeshore Drive, Wilmington, NC 28401 | 2015-05-19 |
| 1154709251 | Lance Hutchens | Dentist | 1611 Doctors Cir, Wilmington, NC 28401 | 2015-05-11 |
| 1609281161 | Diane Pittman Whitford | Counselor | 313 Walnut St., Wilmington, NC 28401 | 2014-06-24 |
| 1942550728 | Bryan Cole Chalk | Nurse Anesthetist, Certified Registered | 2131 S 17th Street, Wilmington, NC 28401 | 2012-09-19 |
| 1740566546 | Valerie Baars | Pharmacist | 2302 S 17th Street, Wilmington, NC 28401 | 2011-10-25 |
| Find all providers in zip 28401 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437430741 | Kenneth M. Corrin, Jr., M.d., P.a. | Internal Medicine | 1307 N Rodney St, Wilmington, DE 19806-4226 | 2011-08-31 |
| 1437278082 | Elinor Miller | Internal Medicine | 721 Blackshire Rd, Wilmington, DE 19805-2837 | 2007-03-28 |
| 1720147903 | Cardiology Assoc LLC | Internal Medicine | 2101 Faulk Road, Wilmington, DE 19170 | 2006-12-06 |
| 1871651380 | Delaware Medical Associates P.a. | Internal Medicine | 2101 Foulk Road, Wilmington, DE 19810 | 2006-12-05 |
| 1376581363 | Delaware Medical Group, LLC | Internal Medicine | 2006 Limestone Rd Ste 3, Wilmington, DE 19808-5553 | 2006-06-03 |
| 1659334696 | Hassan F Hamed | Internal Medicine | 1150 W Locust St Ste 300, Wilmington, OH 45177-2063 | 2006-04-10 |
| 1134189046 | Wilmington Cardiology Pllc | Internal Medicine | 1725 New Hanover Medical Park Dr, Wilmington, NC 28403-5345 | 2006-03-24 |
| 1437122868 | Syed S Husain | Internal Medicine | 630 W Main St Ste 105, Wilmington, OH 45177-2171 | 2006-02-08 |
| 1780677187 | William A Crafford Jr. | Internal Medicine | 1515 Doctors Cir, Hanover Medical Specialists, P.a., Wilmington, NC 28401-7403 | 2005-08-31 |
| 1902805922 | Kamar T Adeleke | Internal Medicine | 2401 Pennsylvania Ave, Ste 101, Wilmington, DE 19806-1432 | 2005-07-20 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28401 |
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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.