CAROLINAS PHYSICIANS NETWORK, INC. (NPI# 1376866129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376866129 |
Entity Type | Organization |
Organization Name | CAROLINAS PHYSICIANS NETWORK, INC. |
Other Organization Name | PEDIATRIC UROLOGY ASSOCIATES |
Practice Address |
1781 Tate Blvd Se Hickory NC 28602-4251 |
Mailing Address |
Po Box 602148 Charlotte NC 28260-2148 |
Practice Telephone | 7043813510 |
Practice Fax Number | 7045403668 |
Mailing Telephone | 7043813510 |
Mailing Fax Number | 7045403668 |
Enumeration Date | 2010-03-09 |
Last Update Date | 2016-08-16 |
Authorized Official Name | MR. THOMAS FORD LAYMON (SENIOR VICE PRESIDENT) |
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 | 2088P0231X |
Urology Specialization: Pediatric Urology |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 5906249 | 05 | |
SC | NPB228 | 05 |
Other Name | Type Code |
---|---|
Pediatric Urology Associates | 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 |
1781 TATE BLVD SE |
City | HICKORY |
State | NC |
Zip Code | 28602-4251 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558350504 | Craig A. Greene | Pediatrics | 1781 Tate Blvd Se, Suite 203, Hickory, NC 28602-4251 | 2005-10-20 |
1194263087 | Dlp Frye Medical Group LLC | Obstetrics & Gynecology | 1781 Tate Blvd Se, Suite 201, Hickory, NC 28602-4251 | 2017-02-10 |
1922464213 | Dlp Central Carolina Physician Practices LLC | Nurse Practitioner | 1781 Tate Blvd Se, Ste 201, Hickory, NC 28602-4251 | 2016-01-03 |
1184045221 | Fryecare Women's Services, LLC | Obstetrics & Gynecology | 1781 Tate Blvd Se, Suite 201, Hickory, NC 28602-4251 | 2013-12-16 |
1235566829 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 1781 Tate Blvd Se, Hickory, NC 28602-4251 | 2013-09-27 |
1013351824 | S. Ross Penland Dmd Pa | Dentist | 1781 Tate Blvd Se, Hickory, NC 28602-4251 | 2013-04-23 |
1760742472 | Jessica Wiedey Tomberlin | Dentist | 1781 Tate Blvd Se, Suite 204, Hickory, NC 28602-4251 | 2012-05-29 |
1700177797 | Carolinas Medical Center | Pediatrics | 1781 Tate Blvd Se, Hickory, NC 28602-4251 | 2011-04-25 |
1033424270 | Cmc-northeast, Inc. | Psychiatry & Neurology | 1781 Tate Blvd Se, Carolinas Pediatric Neurology Care - Hickory, Hickory, NC 28602-4251 | 2010-08-12 |
1013232438 | Carolinas Physicians Network Inc | Pediatrics | 1781 Tate Blvd Se, Ste 203, Hickory, NC 28602-4251 | 2010-03-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063983286 | Ivan Ortega | Health Educator | 810 Fairgrove Church Road Se, Hickory, NC 28602 | 2018-12-16 |
1578078895 | Zachary Chad Greer | Physician Assistant | 1927 3rd Ave Ln Se, Hickory, NC 28602 | 2017-12-08 |
1952842015 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 2264 Us Highway 70 Se, Hickory, NC 28602 | 2017-03-09 |
1013456318 | Juanita Brown | Counselor | 306 4th St Sw, Hickory, NC 28602 | 2017-02-20 |
1639616725 | Francisca Blanco | Clinic/Center | 5276 0lde School Dr, Hickory, NC 28602 | 2017-01-26 |
1982155263 | Livanta Medical Center | Physician Assistant | 2105 Catawba Valley Blvd Se, Hickory, NC 28602 | 2016-10-20 |
1225588817 | Melike Demirozu | Social Worker | 738 4th St. Sw, Hickory, NC 28602 | 2016-10-07 |
1528411592 | April Prout | Social Worker | 1053 13th St Se, Hickory, NC 28602 | 2016-07-14 |
1457706921 | Maitry Parikh | Dentist | 2535 Us Highway 70 Se Ste 112, Hickory, NC 28602 | 2016-05-03 |
1245614510 | Doran Stilwell | Physical Therapy Assistant | 4161 South Fork Avenue, Hickory, NC 28602 | 2015-07-16 |
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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 |
1356880801 | Carolinas Physicians Network Inc | Urology | 1025 Morehead Medical Dr, Ste 275, Charlotte, NC 28204-2963 | 2017-02-16 |
1861715245 | Carolinas Physicians Network Inc | Urology | 101 E W T Harris Blvd, Suite 3301, Charlotte, NC 28262-3485 | 2010-03-12 |
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 |
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 |
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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.