CAROLINAS PHYSICIANS NETWORK INC (NPI# 1487907531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487907531 |
Entity Type | Organization |
Organization Name | CAROLINAS PHYSICIANS NETWORK INC |
Other Organization Name | THE SANGER CLINIC |
Practice Address |
200 Medical Park Dr Ste 230 Concord NC 28025-2982 |
Mailing Address |
Po Box 19305 Charlotte NC 28219-9305 |
Practice Telephone | 7044031349 |
Mailing Telephone | 7046310002 |
Enumeration Date | 2012-10-25 |
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 |
---|---|---|---|---|---|
N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians | ||
Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
The Sanger Clinic | Doing Business As Name - Organization |
The Sanger Clinic | Other Name - Individual/Organization |
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 |
200 MEDICAL PARK DR STE 230 |
City | CONCORD |
State | NC |
Zip Code | 28025-2982 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346245040 | Myron Roddenberry | Physician Assistant | 200 Medical Park Dr, Suite 230, Concord, NC 28025-2982 | 2005-06-17 |
1679183776 | Carolinas Physicians Network Inc | Orthopaedic Surgery | 200 Medical Park Dr, Ste 500, Concord, NC 28025-2982 | 2020-08-04 |
1518577832 | Leah Mccain | Nurse Practitioner | 200 Medical Park Dr, Ste 230, Concord, NC 28025-2982 | 2020-08-01 |
1477198091 | Ryan Cannici | Nurse Practitioner | 200 Medical Park Dr, Ste 550, Concord, NC 28025-2982 | 2019-11-07 |
1881159341 | Jessica Surane | Physician Assistant | 200 Medical Park Dr, Ste 230, Concord, NC 28025-2982 | 2019-02-08 |
1740756253 | Samantha Mason | Nurse Practitioner | 200 Medical Park Dr, Ste 550, Concord, NC 28025-2982 | 2018-10-23 |
1700361466 | Montana Poe | Nurse Practitioner | 200 Medical Park Dr, Ste 550, Concord, NC 28025-2982 | 2018-09-28 |
1932695574 | Stephanie White | Nurse Practitioner | 200 Medical Park Dr, Ste 430, Concord, NC 28025-2982 | 2018-07-06 |
1487185534 | Mukunda Singh | Internal Medicine | 200 Medical Park Dr, Ste 550, Concord, NC 28025-2982 | 2017-03-21 |
1497207641 | Jessica Marchal | Physician Assistant | 200 Medical Park Dr, Ste 230, Concord, NC 28025-2982 | 2016-11-03 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053910729 | Renewed Mindset Therapeutic Services, Pllc | Social Worker | 349 Copperfield Blvd Suite L #334, Concord, NC 28025 | 2020-10-22 |
1194284380 | Carolinas Physicians Network Inc | Internal Medicine | 610 Alfred Brown Jr. Court, Concord, NC 28025 | 2019-03-18 |
1164913596 | Damarius Raymond Faggart | Counselor | 503 Amhurst Drive, Concord, NC 28025 | 2018-05-22 |
1437677085 | Kathryn Emily Kanauer | Counselor | 280 Executive Park Dr Ne, Concord, NC 28025 | 2017-09-05 |
1649794439 | Foster Health & Homecare, LLC | Home Health | 363 Church Street North, Suite 260-i, Concord, NC 28025 | 2017-08-02 |
1326569336 | Jessie Leigh Tilley-compton | Social Worker | 371 Amhurst St Sw, Concord, NC 28025 | 2017-06-29 |
1609305663 | Sarah Katherine Thompson | Licensed Practical Nurse | 248 Executive Park Dr, Concord, NC 28025 | 2017-06-05 |
1023463098 | Kiera Brown | Social Worker | 219 Lephillip Court, Concord, NC 28025 | 2016-04-27 |
1992169445 | Brittiny N. Ingram Vanterpool | Counselor | 250 Branchview Dr Sw, Concord, NC 28025 | 2016-04-11 |
1215399852 | The Charlotte-mecklenburg Hospital Authority | Clinic/Center | 840 Warren C. Coleman Blvd, Concord, NC 28025 | 2016-03-23 |
Find all providers in zip 28025 |
Taxonomy Code | 2086S0129X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Vascular Surgery |
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114188455 | Marc Anthony Camacho | Surgery | 246 Pleasant St., Memorial Building, West, Ground Floor, Concord, NH 03301-2548 | 2008-06-19 |
1588821615 | Reshma P. Duffy | Surgery | 246 Pleasant St., Memorial Building, West, Ground Floor, Concord, NH 03301-2548 | 2008-05-16 |
1962471144 | Joseph P Meyer | Surgery | 246 Pleasant St, Memorial Building Suite 205, Concord, NH 03301-2548 | 2006-03-17 |
1770552358 | Richard K Murphy | Surgery | 246 Pleasant St, Suite 205, Concord, NH 03301-2548 | 2006-03-16 |
1922078153 | Samuel C Aldridge | Surgery | 246 Pleasant St., Memorial Building, West, Ground Floor, Concord, NH 03301-2548 | 2006-01-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831717693 | Mcleod Physician Associates II | Surgery | 690 Sunset Blvd N Ste 208, Sunset Beach, NC 28468-5332 | 2020-07-08 |
1053785220 | Novant Medical Group, Inc. | Surgery | 1420 Us Highway North 52, Suite B, Albermarle, NC 28001 | 2015-11-25 |
1962756148 | Vein Essentials, PC | Surgery | 580 Mccarthy Blvd, New Bern, NC 28562-5217 | 2012-11-09 |
1548544984 | Statesville Hma Medical Group, LLC | Surgery | 1703 Davie Ave, Statesville, NC 28677-3521 | 2011-10-04 |
1639310642 | Vcp Raleigh, LLC | Surgery | 6905 Knightdale Blvd Ste 105, Knightdale, NC 27545-6504 | 2009-03-20 |
1104001742 | Raleigh Vein & Laser Center Pa | Surgery | 10000 Falls of Neuse Rd., Suite 303, Raleigh, NC 27614 | 2008-01-02 |
1265613624 | Pinehurst Surgical Clinic Pa | Surgery | 1705b Berwick Dr, Laurinburg, NC 28352-5523 | 2007-11-14 |
1871791301 | Kathryn Lorann Davis | Surgery | 2001 Vail Ave Ste 320, Charlotte, NC 28207-1222 | 2007-07-05 |
1578656773 | Coastal Carolina Surgical Associates, P.a. | Surgery | 1411 Physicians Drive, Wilmington, NC 28401-7338 | 2006-10-02 |
1750499851 | Michael David Lininger | Surgery | 149 Macarthur St, Asheboro, NC 27203-5410 | 2006-08-28 |
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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.