CAROLINAS PHYSICIANS NETWORK INC (NPI# 1356880801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356880801 |
| Entity Type | Organization |
| Organization Name | CAROLINAS PHYSICIANS NETWORK INC |
| Other Organization Name | CAROLINAS HEALTHCARE SYSTEM PEDIATRIC UROLOGY |
| Practice Address |
1025 Morehead Medical Dr Ste 275 Charlotte NC 28204-2963 |
| Mailing Address |
Po Box 19305 Charlotte NC 28219-9305 |
| Practice Telephone | 7044465070 |
| Mailing Telephone | 7046310002 |
| Enumeration Date | 2017-02-16 |
| 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 | CAROLINAS PHYSICIANS NETWORK INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2088P0231X |
Urology Specialization: Pediatric Urology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Carolinas HealthCare System Pediatric Urology | Doing Business As Name - Organization |
| Carolinas HealthCare System Pediatric Urology | Other Name - Individual/Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 14214 Ballantyne Lake Rd, Ste 300, Charlotte, NC 282773372 | 7044463350 | |
| 14214 Ballantyne Lake Rd, Ste 300, Charlotte, NC 282773372 | 7044465070 | |
| 1781 Tate Blvd Se, Ste 203, Hickory, NC 286024251 | 7044463350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619582343 | Carolinas Physicians Network Inc | Pediatrics | 9908 Couloak Dr Ste 103, Charlotte, NC 28216-8678 | 2020-09-10 |
| 1992310627 | Carolinas Physicians Network Inc | Pediatrics | 1585 Forney Creek Pkwy Ste 2100, Denver, NC 28037-9520 | 2020-09-10 |
| 1518571421 | Carolinas Physicians Network Inc | Pediatrics | 1154 Carolina Pl, Fort Mill, SC 29708-7063 | 2020-09-08 |
| 1568075422 | Carolinas Physicians Network Inc | Orthopaedic Surgery | 10660 Park Rd Ste 3100, Charlotte, NC 28210-8420 | 2020-08-28 |
| 1861004426 | Carolinas Physicians Network Inc | Pediatrics | 4501 Cameron Valley Pkwy Ste 200-b, Charlotte, NC 28211-4297 | 2020-08-17 |
| 1821613480 | Carolinas Physicians Network Inc | Internal Medicine | 8815 Christenbury Pkwy Ste 30, Concord, NC 28027-0261 | 2020-06-10 |
| 1932722980 | Carolinas Physicians Network Inc | Internal Medicine | 2041 South Blvd, Ste 100, Charlotte, NC 28203-5062 | 2020-05-26 |
| 1902429863 | Carolinas Physicians Network Inc | Orthopaedic Surgery | 2700 Providence Rd S Ste 225, Waxhaw, NC 28173-6314 | 2020-05-26 |
| 1184244881 | Carolinas Physicians Network Inc | Obstetrics & Gynecology | 150 Professional Park Dr Ste 200, Mooresville, NC 28117-5604 | 2020-04-22 |
| 1649890468 | Carolinas Physicians Network Inc | Family Medicine | 150 Professional Park Dr Ste 400, Mooresville, NC 28117-5604 | 2020-04-22 |
| Street Address |
1025 MOREHEAD MEDICAL DR STE 275 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28204-2963 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447257332 | David Iannitti | Surgery | 1025 Morehead Medical Dr, Ste 300, Charlotte, NC 28204-2963 | 2005-07-07 |
| 1336760628 | Victoria Cleveland | Physician Assistant | 1025 Morehead Medical Dr, Ste 300, Charlotte, NC 28204-2963 | 2020-04-28 |
| 1093349656 | Leah Carnick Ledford | Nurse Practitioner | 1025 Morehead Medical Dr, Ste 500 5th Floor, Charlotte, NC 28204-2963 | 2020-02-23 |
| 1700429222 | Mary Irvine | Nurse Practitioner | 1025 Morehead Medical Dr, Suite 600, Charlotte, NC 28204-2963 | 2019-10-28 |
| 1780231340 | Lauren Lover | Physician Assistant | 1025 Morehead Medical Dr, Ste 200, Charlotte, NC 28204-2963 | 2019-08-19 |
| 1760037634 | Lisa Johnston | Nurse Practitioner | 1025 Morehead Medical Dr, Suite 600, Charlotte, NC 28204-2963 | 2019-08-07 |
| 1104470392 | Claire Lawson | Nurse Practitioner | 1025 Morehead Medical Dr, Suite 600, Charlotte, NC 28204-2963 | 2019-07-26 |
| 1457904971 | Megan Cosgrove | Nurse Practitioner | 1025 Morehead Medical Dr, Suite 300, Charlotte, NC 28204-2963 | 2019-07-23 |
| 1629637061 | Lisa Dunton | Advanced Practice Midwife | 1025 Morehead Medical Dr, Ste 400, Charlotte, NC 28204-2963 | 2019-06-10 |
| 1194282061 | Amy Slana | Nurse Practitioner | 1025 Morehead Medical Dr, Ste 300, Charlotte, NC 28204-2963 | 2019-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285263582 | Precise Home Care Service LLC | In Home Supportive Care | 1935 Baxter Street, Unit 101, Charlotte, NC 28204 | 2020-04-07 |
| 1285276253 | Shannon Miller | Counselor | 1432 E Seventh Street, Charlotte, NC 28204 | 2019-10-11 |
| 1194282202 | Madison Joann Mcgarrigle | Behavior Technician | 1401 East 7th Street, Charlotte, NC 28204 | 2019-02-25 |
| 1255802674 | Stacey D. Alston, Dds, Pa | Dentist | 1020 E. 10th St., Suite 1, Charlotte, NC 28204 | 2018-12-11 |
| 1972082097 | Kim Webb Talbert | Nurse Practitioner | Novant Health Presbyterian Medical Center Charlotte, 200 Hawthorne Lane, Charlotte, NC 28204 | 2018-08-09 |
| 1164910535 | Jesse Elijah Roberts | Counselor | 1801 E 5th Street, #208, Charlotte, NC 28204 | 2018-05-01 |
| 1336696848 | Eight Healthcare | Exclusive Provider Organization | 2455 Weddington Ave, 2110, Charlotte, NC 28204 | 2016-09-01 |
| 1225480551 | Kathleen Quintana Bradley | Physician Assistant | 1523 Elizabeth Ave., Suite 200, Charlotte, NC 28204 | 2016-07-11 |
| 1184049777 | Della Franklin | Speech-Language Pathologist | 1021 Morehead Medical Dr Ste 3300, Charlotte, NC 28204 | 2014-02-19 |
| 1225459845 | Healing Arts Medical, Pa | Family Medicine | 335 N. Caswell Rd., Charlotte, NC 28204 | 2013-12-27 |
| Find all providers in zip 28204 | ||||
| Taxonomy Code | 2088P0231X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| Specialization | Pediatric Urology |
| Surgeons who can diagnose, treat, and manage children’s urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele). |
| Notes: Source: American Academy of Pediatrics [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164678819 | Scott A. Berkman, Md, Plc | Urology | 17332 Newlands Corner Lane, Charlotte, NC 28277-1073 | 2008-08-13 |
| 1861715245 | Carolinas Physicians Network Inc | Urology | 101 E W T Harris Blvd, Suite 3301, Charlotte, NC 28262-3485 | 2010-03-12 |
| 1447573209 | Carolinas Physicians Network Inc | Urology | 1001 Blythe Blvd, Suite 200, Charlotte, NC 28203-5866 | 2010-03-09 |
| 1871713859 | Joseph A. Molitierno Jr. | Urology | 3125 Springbank Ln, Suite E, Charlotte, NC 28226-3379 | 2007-05-01 |
| 1952434672 | Carolinas Physicians Network, Inc. | Urology | 3125 Springbank Ln, Suite E, Charlotte, NC 28226-3378 | 2007-03-13 |
| 1851496392 | Mark Williams | Urology | 1025 Morehead Medical Dr, Ste 275, Charlotte, NC 28204-2963 | 2006-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306169768 | Carolinas Physicians Network, Inc. | Urology | 9625 Northcross Center Ct, Suite 102, Huntersville, NC 28078-7348 | 2010-03-12 |
| 1780907220 | Carolinas Physicians Network Inc | Urology | 50 Hospital Dr, Suite 1c, Hendersonville, NC 28792-5248 | 2010-03-11 |
| 1114240652 | Carolinas Physicians Network, Inc. | Urology | 100 Medical Park Drive, Suite 310, Concord, NC 28025-2966 | 2010-03-11 |
| 1376866129 | Carolinas Physicians Network, Inc. | Urology | 1781 Tate Blvd Se, Hickory, NC 28602-4251 | 2010-03-09 |
| 1881707487 | Novant Medical Group, Inc. | Urology | 16525 Holly Crest Ln, Suite 230, Huntersville, NC 28078-4909 | 2006-08-16 |
| 1780601120 | Pediatric Urology of North Carolina | Urology | 2406 Blue Ridge Rd, Suite 190, Raleigh, NC 27607-6678 | 2006-07-15 |
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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.