THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY (NPI# 1194090613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194090613 |
| Entity Type | Organization |
| Organization Name | THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY |
| Other Organization Name | LEVINE CANCER INSTITUTE |
| Practice Address |
10660 Park Rd Ste 2100 Charlotte NC 28210-8413 |
| Mailing Address |
Po Box 19305 Charlotte NC 28219-9305 |
| Practice Telephone | 7043028700 |
| Mailing Telephone | 7046310002 |
| Enumeration Date | 2012-03-16 |
| Last Update Date | 2020-08-31 |
| Authorized Official Name | THOMAS LAYMON (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 7044468250 |
| Is Organization Subpart | Y |
| Parent Organization Name | THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RH0000X |
Internal Medicine Specialization: Hematology |
Allopathic & Osteopathic Physicians | ||
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
Allopathic & Osteopathic Physicians | ||
| Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Levine Cancer Institute | Doing Business As Name - Organization |
| Levine Cancer Institute | Other Name - Individual/Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10650 Park Rd, Suite 250, Charlotte, NC 282108538 | 9804422000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225649718 | The Charlotte-mecklenburg Hospital Authority | Surgery | 101 E Wt Harris Blvd Ste 5500a, Charlotte, NC 28262-3485 | 2020-08-10 |
| 1922563923 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 447 Billingsley Rd, Cottage A, Charlotte, NC 28211 | 2019-02-04 |
| 1215399852 | The Charlotte-mecklenburg Hospital Authority | Clinic/Center | 840 Warren C. Coleman Blvd, Concord, NC 28025 | 2016-03-23 |
| 1942674775 | The Charlotte-mecklenburg Hospital Authority | Skilled Nursing Facility | 625 Bethany Road, Albemarle, NC 28001 | 2015-11-17 |
| 1356778567 | The Charlotte-mecklenburg Hospital Authority | Internal Medicine | 101 E W T Harris Blvd Bldg 3000, Ste 3301e, Charlotte, NC 28262-3485 | 2013-10-02 |
| 1588978290 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 441 Mcalister Road, Suite 1100b, Lincolnton, NC 28092-0000 | 2010-08-05 |
| 1477884302 | The Charlotte-mecklenburg Hospital Authority | Orthopaedic Surgery | 275 Highway 16 N, Suite 202, Denver, NC 28037-3002 | 2010-01-15 |
| 1326088139 | The Charlotte-mecklenburg Hospital Authority | General Acute Care Hospital | 433 Mcalister Drive, Lincolnton, NC 28092-4147 | 2006-06-08 |
| 1114564416 | The Charlotte-mecklenburg Hospital Authority | Pediatrics | 150 Winchester Ave, Monroe, NC 28110-3161 | 2019-12-05 |
| 1538637137 | The Charlotte-mecklenburg Hospital Authority | Internal Medicine | 2301 Us Highway 74 W, Wadesboro, NC 28170-7554 | 2018-11-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | The Charlotte-Mecklenburg Hospital Authority | 1111 Metropolitan Avenue, Suite 600, Charlotte, NC 28204 |
| Washington State Corporations | THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY | 1000 Blythe Blvd, Charlotte, NC 28203 |
| Colorado Business Entities | The Charlotte-Mecklenburg Hospital Authority | C/o Office of General Counsel, 1000 Blythe Boulevard, Charlotte, NC 28203 |
| Alabama Business Registrations | The Charlotte-Mecklenburg Hospital Authority | 1000 Blythe Boulevard, Charlotte, NC 28203 |
| Virginia Business Entities | The Charlotte-Mecklenburg Hospital Authority | 1111 Metropolitan Avenue Suite 600, Charlotte, North Carolina 28204 |
| Street Address |
10660 PARK RD STE 2100 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28210-8413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477533115 | Heather Mertz | Obstetrics & Gynecology | 10660 Park Rd, Ste 4300, Charlotte, NC 28210-8413 | 2006-01-19 |
| 1669005369 | Rebecca Haug | Physician Assistant | 10660 Park Rd, Ste 3100, Charlotte, NC 28210-8413 | 2020-02-20 |
| 1770121667 | Elizabeth Mclean | Physician Assistant | 10660 Park Rd, Ste 3100, Charlotte, NC 28210-8413 | 2019-12-11 |
| 1356880009 | Margaret Moorhead | Nurse Practitioner | 10660 Park Rd, Ste 2100, Charlotte, NC 28210-8413 | 2017-02-14 |
| 1437692035 | Kristin Monza | Nurse Practitioner | 10660 Park Rd, Ste 3400, Charlotte, NC 28210-8413 | 2016-11-30 |
| 1215330121 | Rebecca Edwards | Nurse Practitioner | 10660 Park Rd, Ste 1100, Charlotte, NC 28210-8413 | 2014-10-06 |
| 1942603139 | Kia Kayasith | Nurse Practitioner | 10660 Park Rd, Ste 2100, Charlotte, NC 28210-8413 | 2014-10-01 |
| 1730590050 | Megan Jagosky | Internal Medicine | 10660 Park Rd, Ste 2100, Charlotte, NC 28210-8413 | 2014-05-09 |
| 1407277536 | The Charlotte-mecklenburg Hospital Authority | Internal Medicine | 10660 Park Rd, Ste 1100, Charlotte, NC 28210-8413 | 2013-12-16 |
| 1023366242 | Carolinas Physicians Network Inc | Nutritionist | 10660 Park Rd, Ste 4400, Charlotte, NC 28210-8413 | 2012-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952920860 | Rx Care 14 LLC | Pharmacy | 7701 Sharon Lakes Road, Suite H, Charlotte, NC 28210 | 2020-04-10 |
| 1427697622 | David Durant Dinsmore | Nurse Anesthetist, Certified Registered | Atrium Health Pineville, 10628 Park Road, Charlotte, NC 28210 | 2020-01-06 |
| 1790256964 | Tele Phys Inc | Internal Medicine | 10035 Park Center Dr., Ste 100, Charlotte, NC 28210 | 2018-12-16 |
| 1104395896 | Bridgett Williams | Behavior Technician | 7806 Andover Woods Drive, Charlotte, NC 28210 | 2018-11-26 |
| 1053880518 | Low-t Physicians Professional Association | Internal Medicine | 10430 Park Road Suite 100a, Charlotte, NC 28210 | 2018-11-14 |
| 1053895102 | Carolinas Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 7701 Sharon Lakes Blvd, Ste A., Charlotte, NC 28210 | 2018-09-24 |
| 1679066658 | Afc Urgent Care and Family Care of Wnc, Pllc | Clinic/Center | 10102 Johnston Rd, Charlotte, NC 28210 | 2018-06-13 |
| 1346777018 | Hopeway Foundation | Clinic/Center | 1717 Sharon Road West, Charlotte, NC 28210 | 2017-05-12 |
| 1891154688 | Jessie Lee Ogienko | Social Worker | 5960 Fairview Rd Ste 328, Charlotte, NC 28210 | 2016-02-22 |
| 1699151985 | Carolina Complete Psychiatry, Pllc | Physician Assistant | 5950 Fairview Road, Suite 708, Charlotte, NC 28210 | 2015-08-10 |
| Find all providers in zip 28210 | ||||
| Taxonomy Code | 2086X0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Oncology |
| A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
| Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578072989 | Carter Martens | Surgery | 2104 Randolph Rd, Charlotte, NC 28207-1522 | 2017-09-28 |
| 1033489687 | The Charlotte-mecklenburg Hospital Authority | Surgery | 10826 Mallard Creek Rd, Suite 100, Charlotte, NC 28262-7782 | 2012-01-12 |
| 1699902742 | Amy Voci | Surgery | 1350 S Kings Dr, Charlotte, NC 28207-2134 | 2009-06-16 |
| 1861645046 | Zvonimir Milas | Surgery | 1021 Morehead Medical Dr, Ste A, Charlotte, NC 28204-2990 | 2008-10-31 |
| 1508021932 | Ashley Stewart | Surgery | 1350 S Kings Dr, Charlotte, NC 28207-2134 | 2008-07-24 |
| 1770769705 | Lee Ocuin | Surgery | 1025 Morehead Medical Dr, Suite 600, Charlotte, NC 28204-2963 | 2008-01-22 |
| 1063698686 | Lejla Hadzikadic Gusic | Surgery | 1350 S Kings Dr, Charlotte, NC 28207-2134 | 2008-01-14 |
| 1427266501 | Meghan Forster | Surgery | 1025 Morehead Medical Dr, Ste 300, Charlotte, NC 28204-2963 | 2007-05-20 |
| 1679619837 | Joshua Hill | Surgery | 1021 Morehead Medical Dr, Ste A, Charlotte, NC 28204-2990 | 2007-01-29 |
| 1609890656 | Richard White | Surgery | 1021 Morehead Medical Dr, Ste A, Charlotte, NC 28204-2990 | 2006-07-26 |
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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.