CALDWELL MEMORIAL HOSPITAL, INC (NPI# 1689881831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689881831 |
| Entity Type | Organization |
| Organization Name | CALDWELL MEMORIAL HOSPITAL, INC |
| Other Organization Name | THE FALLS PEDIATRICS |
| Practice Address |
4355 Hickory Blvd Ste 2 Granite Falls NC 28630 |
| Mailing Address |
321 Mulberry St Sw Medical Staff Services Lenoir NC 28645-5720 |
| Practice Telephone | 8287575050 |
| Practice Fax Number | 8287575051 |
| Mailing Telephone | 8287575965 |
| Mailing Fax Number | 8287575104 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2018-07-18 |
| Authorized Official Name | REBECCA T SMITH (VP/COO/CNO) |
| Authorized Official Telephone | 8287575100 |
| Is Organization Subpart | Y |
| Parent Organization Name | CALDWELL MEMORIAL HOSPITAL, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBSNC | 019UG | 01 |
| NC | 5908591 | 05 |
| Other Name | Type Code |
|---|---|
| The Falls Pediatrics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477839108 | Caldwell Memorial Hospital, Inc | Internal Medicine | 401 Mulberry St Sw Ste 207, Lenoir, NC 28645-5463 | 2011-10-26 |
| 1114222072 | Caldwell Memorial Hospital, Inc | Clinic/Center | 6619 Highway 34, Chatham, LA 71226-9326 | 2011-01-24 |
| 1811516446 | Caldwell Memorial Hospital, Inc | Orthopaedic Surgery | 401 Mulberry St Sw Ste 102, Lenoir, NC 28645-5463 | 2020-04-14 |
| 1346658531 | Caldwell Memorial Hospital, Inc | Surgery | 1031 Morganton Blvd Sw, Suite C, Lenoir, NC 28645-5677 | 2014-07-31 |
| 1356695456 | Caldwell Memorial Hospital, Inc | Family Medicine | 1814 Morganton Blvd Sw, Lenoir, NC 28645-5337 | 2012-10-29 |
| 1174882344 | Caldwell Memorial Hospital, Inc | Family Medicine | 906 College Ave Sw, Suite A, Lenoir, NC 28645-5428 | 2012-05-09 |
| 1033475421 | Caldwell Memorial Hospital, Inc | Family Medicine | 109 Fairway Shopping Ctr, Hudson, NC 28638-2440 | 2012-04-10 |
| 1811902349 | Caldwell Memorial Hospital, Inc | Family Medicine | 4355 Hickory Blvd, Upper Suite, Granite Falls, NC 28630-1992 | 2006-07-31 |
| 1922013457 | Caldwell Memorial Hospital, Inc | Pediatrics | 906 College Ave Sw, Suite C, Lenoir, NC 28645-5428 | 2006-07-31 |
| 1417962150 | Caldwell Memorial Hospital, Inc | Internal Medicine | 1731 Connelly Springs Rd, Lenoir, NC 28645-7827 | 2006-07-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CALDWELL MEMORIAL HOSPITAL, INCORPORATED | 321 Mulberry St Sw, Lenoir, NC 28645-5720 |
| Street Address |
4355 HICKORY BLVD STE 2 |
| City | GRANITE FALLS |
| State | NC |
| Zip Code | 28630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083706816 | David Lee Masters | Pediatrics | 4355 Hickory Blvd Ste 2, Granite Falls, NC 28630 | 2006-09-29 |
| 1134774235 | Jessica Oxidine | Nurse Practitioner | 4355 Hickory Blvd Ste 2, Granite Falls, NC 28630-2014 | 2019-08-06 |
| 1629445697 | Elizabeth Caldwell | Nurse Practitioner | 4355 Hickory Blvd Ste 2, Granite Falls, NC 28630 | 2015-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710528377 | Grace Village Inc | Assisted Living Facility | 501 River Bend Dr., Granite Falls, NC 28630 | 2019-10-04 |
| 1437623626 | Prime Surgical Suites, LLC | Clinic/Center | 180 Riverbend Dr, Granite Falls, NC 28630 | 2019-01-22 |
| 1477943785 | Sarah Thompson | Pharmacist | 2630 Connelly Springs Road, Granite Falls, NC 28630 | 2015-01-26 |
| 1235577602 | Lesley Macinnes | Pediatrics | 4355 Hickory Blvd., Lower Suite, Granite Falls, NC 28630 | 2013-06-07 |
| 1538426648 | Cynthia Ann Hack | Physical Therapy Assistant | 100 Sunset St., Granite Falls, NC 28630 | 2012-04-13 |
| 1730330267 | Richelle C Miller | Nurse Practitioner | 160 River Bend Drive, Suite A, Granite Falls, NC 28630 | 2008-10-02 |
| 1043350804 | Community Pharmacy of Granite Falls, LLC | Pharmacy | 21 Falls Ave, Granite Falls, NC 28630 | 2007-02-08 |
| 1790720829 | Sally Rae Soucy | Advanced Practice Midwife | 4355 Hickory Blvd Ste 1, Granite Falls, NC 28630 | 2006-06-20 |
| 1184603896 | Kirsten Kerr | Legal Medicine | One Trade Street, Granite Falls, NC 28630 | 2006-01-11 |
| 1174177620 | Sondra Nicole Henderson | Speech-Language Pathologist | 4012 Hickory Blvd, Granite Falls, NC 28630 | 2019-08-01 |
| Find all providers in zip 28630 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235577602 | Lesley Macinnes | Pediatrics | 4355 Hickory Blvd., Lower Suite, Granite Falls, NC 28630 | 2013-06-07 |
| 1083706816 | David Lee Masters | Pediatrics | 4355 Hickory Blvd Ste 2, Granite Falls, NC 28630 | 2006-09-29 |
| 1134193337 | Terry Clanton Dodds | Pediatrics | 4355 Hickory Blvd Ste 3, Granite Falls, NC 28630-1992 | 2006-02-14 |
| 1508880873 | Jonathan C Mcmath | Pediatrics | 4355 Hickory Blvd, Lower Suite, Granite Falls, NC 28630-1992 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627146 | Kidzcare Pediatrics, PC | Pediatrics | Kidzcare Pediatrics, PC, 312 South Mccaskey Road, Williamston, NC 27892-2150 | 2020-10-21 |
| 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 |
| 1861004426 | Carolinas Physicians Network Inc | Pediatrics | 4501 Cameron Valley Pkwy Ste 200-b, Charlotte, NC 28211-4297 | 2020-08-17 |
| 1871114470 | Kidzcare Pediatrics, PC | Pediatrics | 327 W College Ave, Shelby, NC 28152-8111 | 2020-05-05 |
| 1568082212 | Kidzcare Pediatrics, PC | Pediatrics | 416 Mccullough Dr Ste 140, Charlotte, NC 28262-4390 | 2020-04-23 |
| 1881222404 | Victoria Marie Carvajal | Pediatrics | Cmc/levine's Children's Hospital 1000 Blythe Blvd, 4th Floor, Meb, Charlotte, NC 28203-8812 | 2020-03-30 |
| 1386271930 | Irina Maria Geiculescu | Pediatrics | 1000 Blythe Blvd Fl 4 Meb, Charlotte, NC 28203 | 2020-03-24 |
| 1689201568 | Mark Selna | Pediatrics | 13 Weybridge Pl, Chapel Hill, NC 27517-8938 | 2020-03-23 |
| 1407488349 | Beth A Scisciani | Pediatrics | 8654 Walsham Dr, Charlotte, NC 28277-1850 | 2020-02-09 |
| Find all providers with the same taxonomy | ||||
| City | GRANITE FALLS |
| Zip Code | 28630 |
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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.