CAROLINA PARK MEDICAL CENTER PLLC (NPI# 1154740561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154740561 |
| Entity Type | Organization |
| Organization Name | CAROLINA PARK MEDICAL CENTER PLLC |
| Other Organization Name | ARIA HEALTHCARE AND MEDISPA PLLC |
| Practice Address |
984 Thompson St Suite E2 Pittsboro NC 27312 |
| Mailing Address |
Po Box 400 Sanford NC 27331-0400 |
| Practice Telephone | 9195334804 |
| Practice Fax Number | 9197048552 |
| Mailing Telephone | 9195334804 |
| Mailing Fax Number | 9197745957 |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2015-12-14 |
| Authorized Official Name | DR. AJAY K AJMANI (PRESIDENT) |
| Authorized Official Telephone | 9197745911 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 199625 | NC | Allopathic & Osteopathic Physicians |
| N | 207N00000X | Dermatology | 199625 | NC | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 199625 | NC | Allopathic & Osteopathic Physicians |
| N | 207RA0201X |
Internal Medicine Specialization: Allergy & Immunology |
199625 | NC | Allopathic & Osteopathic Physicians |
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
199625 | NC | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 199625 | NC | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | 199625 | NC | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Aria Healthcare and Medispa PLLC | Former Legal Business Name - Organization |
| Street Address |
984 THOMPSON ST SUITE E2 |
| City | PITTSBORO |
| State | NC |
| Zip Code | 27312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205445814 | Tanisha Baptist | Home Health Aide | 488 State Highway 87 N, Pittsboro, NC 27312 | 2020-07-29 |
| 1720648330 | Merrill Jane Wood | Counselor | 222 Penny Lane, Pittsboro, NC 27312 | 2019-06-17 |
| 1225695083 | Restored Family Care | Custodial Care Facility | 3116 New Hill Hollemen Rd., New Hill, NC 27312 | 2019-05-28 |
| 1417427055 | Megan M Ribbing | Nurse Practitioner | 287 East St. Suite 221, Pittsboro, NC 27312 | 2018-11-27 |
| 1346726205 | Clear Hearing Solutions IIi, LLC | Audiologist-Hearing Aid Fitter | 959 East Street, Suite A, Platinum Commons, Pittsboro, NC 27312 | 2018-07-13 |
| 1578056362 | Veronica Zeugner | Physical Therapist | 75 U.S. Hwy 15/501, Pittsboro, NC 27312 | 2018-06-07 |
| 1528590759 | Tracey King | Occupational Therapist | 50 Craggenmore Rd, Pittsboro, NC 27312 | 2017-03-28 |
| 1194196683 | Pine Ridge of Pittsboro Primary Care LLC | Clinic/Center | 628-b Highway 64 East, Pittsboro, NC 27312 | 2015-10-09 |
| 1821489618 | Melissa Tutwiler | Physical Therapist | 75 Freedom Parkway, Suite E, Pittsboro, NC 27312 | 2015-02-15 |
| 1013316041 | Katherine Kennedy | Physical Therapist | 75 Freedom Parkway, Suite E, Pittsboro, NC 27312 | 2014-08-14 |
| Find all providers in zip 27312 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417289927 | Edward Allen Kelly | General Practice | 315 Hillsboro St, Pittsboro, NC 27312-9313 | 2010-02-08 |
| 1477677086 | Christie Carol Yerby | General Practice | 432 Powell Pl, Pittsboro, NC 27312 | 2007-03-19 |
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| Find all providers with the same taxonomy | ||||
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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.