CAROLINAS PHYSICIANS NETWORK, INC. (NPI# 1265757686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265757686 |
Entity Type | Organization |
Organization Name | CAROLINAS PHYSICIANS NETWORK, INC. |
Other Organization Name | THE SANGER CLINIC |
Practice Address |
709 N Dekalb St Shelby NC 28150-3911 |
Mailing Address |
Po Box 601067 Charlotte NC 28260-1067 |
Practice Telephone | 7043730212 |
Practice Fax Number | 7043425871 |
Mailing Telephone | 7043730212 |
Mailing Fax Number | 7043425871 |
Enumeration Date | 2010-03-29 |
Last Update Date | 2016-08-18 |
Authorized Official Name | MR. THOMAS FORD LAYMON (SVP) |
Authorized Official Telephone | 7046310002 |
Is Organization Subpart | Y |
Parent Organization Name | CAROLINAS PHYSICIANS NETWORK INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 5900202 | 05 | |
SC | NPB093 | 05 |
Other Name | Type Code |
---|---|
The Sanger Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285080341 | Carolinas Physicians Network, Inc. | Orthopaedic Surgery | 1201-1203 Colonial Commons Court, Lancaster, SC 29720 | 2016-05-09 |
1417367640 | Carolinas Physicians Network, Inc. | Non-Pharmacy Dispensing Site | 1091a 521 Red Ventures Drive, Fort Mill, SC 29707 | 2014-04-28 |
1467882803 | Carolinas Physicians Network, Inc. | Internal Medicine | 10650 Park Rd Ste 250, Charlotte, NC 28210-0204 | 2013-11-21 |
1275858698 | Carolinas Physicians Network, Inc. | Pediatrics | 705 Griffith Street, Suite 100, Davidson, NC 28036-9305 | 2010-03-29 |
1073838496 | Carolinas Physicians Network, Inc. | Pediatrics | 6030 West Highway 74, Suite F, Indian Trail, NC 28079-3469 | 2010-03-29 |
1215252739 | Carolinas Physicians Network, Inc. | Internal Medicine | 19620 West Catawba Avenue, Suite 204, Cornelius, NC 28031-4054 | 2010-03-29 |
1952626376 | Carolinas Physicians Network, Inc. | Pediatrics | 14214 Ballantyne Lake Road, Suite 150, Charlotte, NC 28277-3373 | 2010-03-29 |
1679896054 | Carolinas Physicians Network, Inc. | Obstetrics & Gynecology | 5425 Prosperity Church Rd, 2nd Floor, Charlotte, NC 28269-1134 | 2010-03-12 |
1053642363 | Carolinas Physicians Network, Inc. | Psychologist | 5435 Prosperity Church Road, Ste 2200, Charlotte, NC 28269-2344 | 2010-01-26 |
1184852105 | Carolinas Physicians Network, Inc. | Internal Medicine | 52 Hospital Dr, Suite 3-a, Columbus, NC 28722-8516 | 2009-06-29 |
Street Address |
709 N DEKALB ST |
City | SHELBY |
State | NC |
Zip Code | 28150-3911 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952337289 | Shelby Children's Clinic | Pediatrics | 709 N Dekalb St, Shelby, NC 28150-3911 | 2006-06-26 |
1043865314 | Gracie Crowder | Nurse Practitioner | 709 N Dekalb St, Shelby, NC 28150-3911 | 2019-08-05 |
1669996807 | Susannah Stewart | Nurse Practitioner | 709 N Dekalb St, Shelby, NC 28150-3911 | 2017-07-31 |
1700228418 | Carolinas Physicians Network Inc | Dietitian, Registered | 709 N Dekalb St, Shelby, NC 28150-3911 | 2013-07-23 |
1285973677 | Julissa Garrido De Joyce | Pediatrics | 709 N Dekalb St, Shelby, NC 28150-3911 | 2013-02-05 |
1376809608 | Morkor Newman | Pediatrics | 709 N Dekalb St, Shelby, NC 28150-3911 | 2012-04-11 |
1033409156 | Elaine Porter | Pediatrics | 709 N Dekalb St, Shelby, NC 28150-3911 | 2011-04-10 |
1144535386 | Cmc-northeast, Inc. | Psychiatry & Neurology | 709 N Dekalb St, Carolinas Pediatric Neurology Care - Shelby, Shelby, NC 28150-3911 | 2010-08-12 |
1356665756 | Pediatric Endocrinology & Diabetes Specialists | Pediatrics | 709 N Dekalb St, Shelby, NC 28150-3911 | 2010-03-15 |
1558596940 | Amy Buttrick | Dietitian, Registered | 709 N Dekalb St, Shelby, NC 28150-3911 | 2009-05-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154981652 | Benjamin Caple | Dentist | 139 W Ross Grove Rd, Shelby, NC 28150 | 2019-06-17 |
1003471103 | Anne Marie Lackey | Physician Assistant | 215 Stacey Street, Lawndale, NC 28150 | 2019-05-03 |
1174001937 | Allstate Medical Equipment & Supplies | Durable Medical Equipment & Medical Supplies | 607 W Grover St, Shelby, NC 28150 | 2018-08-03 |
1013494970 | Shannon Bumgardner Standish | Nurse Practitioner | 1019 N Lafayette Street, Suite 1, Shelby, NC 28150 | 2018-07-24 |
1205323078 | Focused Care, Inc | Community/Behavioral Health | 834 Churchill Dr, Shelby, NC 28150 | 2018-04-17 |
1508373507 | Janelle Marie Velasco | Acupuncturist | 115 E Sumter St, Shelby, NC 28150 | 2017-12-29 |
1902344666 | Georgette Johnson | Durable Medical Equipment & Medical Supplies | 607 West Grover Street, Shelby, NC 28150 | 2017-02-02 |
1457703126 | Sweet Caroline Assisted Living LLC | Assisted Living Facility | 110 Greene Drive, Shelby, NC 28150 | 2016-07-06 |
1972954113 | Self Determination, LLC | Community Based Residential Treatment Facility, Mental Illness | 423 Millsap Rd, Shelby, NC 28150 | 2016-06-29 |
1306217666 | Living Family Supportive Services | Clinic/Center | 2538 West Dixon Blvd., Shelby, NC 28150 | 2015-10-13 |
Find all providers in zip 28150 |
Taxonomy Code | 2080P0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Cardiology |
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912354374 | Carolina Children's Heart Specialists | Pediatrics | 1018 W H Smith Boulevard, Greenville, NC 27834 | 2016-05-16 |
1215317060 | Forsyth Memorial Hospital, Inc | Pediatrics | 1941 New Garden Road, Suite 216, Greensboro, NC 27410 | 2015-06-08 |
1487903423 | Private Diagnostic Clinic, Pllc | Pediatrics | 540 New Waverly Place, Ste.101, Cary, NC 27518-7422 | 2012-09-06 |
1548525470 | Bailliard Henry Pediatric Cardiology | Pediatrics | 4301 Lake Boone Trail, Suite 300, Raleigh, NC 27607 | 2012-07-06 |
1275858698 | Carolinas Physicians Network, Inc. | Pediatrics | 705 Griffith Street, Suite 100, Davidson, NC 28036-9305 | 2010-03-29 |
1073838496 | Carolinas Physicians Network, Inc. | Pediatrics | 6030 West Highway 74, Suite F, Indian Trail, NC 28079-3469 | 2010-03-29 |
1952626376 | Carolinas Physicians Network, Inc. | Pediatrics | 14214 Ballantyne Lake Road, Suite 150, Charlotte, NC 28277-3373 | 2010-03-29 |
1902121320 | Carolinas Physicians Network Inc | Pediatrics | 16623 Birkdale Cmns Pkwy Ste 110, Huntersville, NC 28078-5622 | 2010-03-29 |
1801023494 | Patsy W Park | Pediatrics | 1545 Orchard Villas Ave Ste 110, Apex, NC 27502-4339 | 2009-06-22 |
1114152469 | Frances Chen Travelli | Pediatrics | 1718 E 4th St Ste 605, Charlotte, NC 28204-3282 | 2009-05-15 |
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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.