CAROLINA HEALTHCARE ASSOCIATES INC (NPI# 1134447378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134447378 |
| Entity Type | Organization |
| Organization Name | CAROLINA HEALTHCARE ASSOCIATES INC |
| Other Organization Name | CHA DIVISION OF PEDIATRIC SURGERY |
| Practice Address |
2131 S 17th St Wilmington NC 28401-7407 |
| Mailing Address |
Po Box 19305 Charlotte NC 28219-9305 |
| Practice Telephone | 9108155830 |
| Mailing Telephone | 7046310002 |
| Enumeration Date | 2010-05-12 |
| 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 |
|---|---|---|---|---|---|
| Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| CHA Division of Pediatric Surgery | |
| CHA Division of Pediatric Surgery | Doing Business As Name - Organization |
| CHA Division of Pediatric Surgery | Other Name - Individual/Organization |
| NHRMC PG Pediatric Surgery | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2000 Brabham Ave, Jacksonville, NC 285460201 | 9106628888 | |
| 1960 S 16th St, Wilmington, NC 284016676 | 9106626100 |
| 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 |
2131 S 17TH ST |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28401-7407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992708747 | Wilmington Anesthesiologists Pllc | Anesthesiology | 2131 S 17th St, Wilmington, NC 28401-7407 | 2005-05-24 |
| 1316548159 | Thomas Martin Leighton | Nurse Practitioner | 2131 S 17th St, Wilmington, NC 28401-7407 | 2020-11-06 |
| 1902406176 | Jeff Marsh | Registered Nurse | 2131 S 17th St, Wilmington, NC 28401-7407 | 2020-10-27 |
| 1629685664 | Bobbie Sheatsley | Nurse Anesthetist, Certified Registered | 2131 S 17th St, Wilmington, NC 28401-7407 | 2020-09-24 |
| 1699393504 | Megan Grogan | Nurse Anesthetist, Certified Registered | 2131 S 17th St, Wilmington, NC 28401-7407 | 2020-07-07 |
| 1215556550 | Salman Khan | Student in an Organized Health Care Education/Training Program | 2131 S 17th St, Wilmington, NC 28401-7407 | 2020-04-15 |
| 1760001028 | John William Miller Jr. | Student in an Organized Health Care Education/Training Program | 2131 S 17th St, Wilmington, NC 28401-7407 | 2020-04-15 |
| 1588283246 | Amanda Kristin Briese | Student in an Organized Health Care Education/Training Program | 2131 S 17th St, Wilmington, NC 28401-7407 | 2020-04-13 |
| 1689293300 | Broc D Astill | Student in an Organized Health Care Education/Training Program | 2131 S 17th St, Wilmington, NC 28401-7407 | 2020-04-13 |
| 1467071423 | Siten Patel | Student in an Organized Health Care Education/Training Program | 2131 S 17th St, Wilmington, NC 28401-7407 | 2020-04-10 |
| 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 | 2086S0120X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Pediatric Surgery |
| A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952569022 | Brian J. Duffy | Surgery | 1600 Rockland Road, Wilmington, DE 19803-3607 | 2008-05-27 |
| 1669691168 | Jeffrey Dehmer | Surgery | 2131 S 17th St, Wilmington, NC 28401-7407 | 2007-04-24 |
| 1205928090 | Stephen G. Murphy | Surgery | A.i. Dupont Hospital for Children, 1600 Rockland Road, Wilmington, DE 19803-3607 | 2006-09-29 |
| 1508814146 | Matthew L Moront | Surgery | 1600 Rockland Rd, Nemours Dupont Pediatrics, Wilmington, DE 19803-3607 | 2006-05-05 |
| 1164484143 | Charles D. Vinocur | Surgery | A.i. Dupont Hospital for Children, 1600 Rockland Road, Wilmington, DE 19803-3607 | 2006-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225525538 | Jessica Marie Pierce | Surgery | 1900 Randolph Rd Ste 210, Charlotte, NC 28207-1106 | 2018-04-23 |
| 1750695078 | Pamela Artise Patrick-roberts | Surgery | N Carolina Baptist Hospital, Medical Center Blvd, Winston Salem, NC 27157-0001 | 2010-07-28 |
| 1346376423 | Daniel Andrew Bambini | Surgery | 1900 Randolph Rd., Ste. 210, Charlotte, NC 28207-1106 | 2007-02-26 |
| 1821085838 | Gregory Hoy | Surgery | 105 Wando Cir, Hertford, NC 27944-8951 | 2005-10-04 |
| 1982269346 | Wakemed Specialists Group, LLC | Surgery | 23 Sunnybrook Rd, Raleigh, NC 27610-1855 | 2019-05-01 |
| 1194157388 | Carolinas Physicians Network Inc | Surgery | 1025 Morehead Medical Dr, Ste 275, Charlotte, NC 28204-2963 | 2013-07-30 |
| 1730520396 | Carolinas Physicians Network Inc | Surgery | 100 Medical Park Dr, Ste 310, Concord, NC 28025-2948 | 2013-07-11 |
| 1740441088 | Leah M Sieren | Surgery | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2008-06-19 |
| 1275741076 | Graham Harvey Cosper | Surgery | 1900 Randolph Rd., Ste. 210, Charlotte, NC 28207-1106 | 2007-05-18 |
| 1174640163 | Pediatric Surgical Associates, P.a. | Surgery | 1900 Randolph Rd, Ste 210, Charlotte, NC 28207-1106 | 2007-03-23 |
| Find all providers with the same taxonomy | ||||
| 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.