CAROLINAS MEDICAL CENTER (NPI# 1700177797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700177797 |
| Entity Type | Organization |
| Organization Name | CAROLINAS MEDICAL CENTER |
| Other Organization Name | LEVINE CHILDREN'S SPECIALTY CENTER - HICKORY |
| Practice Address |
1781 Tate Blvd Se Hickory NC 28602-4251 |
| Mailing Address |
Po Box 601372 Charlotte NC 28260-1372 |
| Practice Telephone | 7043813950 |
| Enumeration Date | 2011-04-25 |
| Last Update Date | 2011-04-25 |
| Authorized Official Name | MR. DENNIE UNDERWOOD (VICE PRESIDENT) |
| Authorized Official Telephone | 7043553147 |
| Is Organization Subpart | Y |
| Parent Organization Name | CAROLINAS MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Levine Children's Specialty Center - Hickory | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871998575 | Carolinas Medical Center | General Acute Care Hospital | 2001 Vail Ave., Charlotte, NC 28207-1219 | 2014-10-24 |
| 1750546347 | Carolinas Medical Center | Clinic/Center | 1216 North Tryon Street, Behavioral Health Center Cmc Randolph, Charlotte, NC 28206-3256 | 2008-07-23 |
| 1366558959 | Carolinas Medical Center | Pharmacy | 1350 S Kings Dr Ste 101, Charlotte, NC 28207-2134 | 2006-08-23 |
| 1063900405 | Carolinas Medical Center | Internal Medicine | 126 Milestone Way, Greenville, SC 29615-5065 | 2018-05-01 |
| 1780197335 | Carolinas Medical Center | Internal Medicine | 11 Gateway Corners Park, Columbia, SC 29203-8902 | 2017-11-06 |
| 1578086187 | Carolinas Medical Center | Internal Medicine | 10502 Park Rd, Suite 110, Charlotte, NC 28210-8479 | 2017-07-25 |
| 1821467911 | Carolinas Medical Center | General Acute Care Hospital | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2015-09-18 |
| 1346648235 | Carolinas Medical Center | General Acute Care Hospital | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2014-12-09 |
| 1962825166 | Carolinas Medical Center | Surgery | 200 Medical Park Dr, Ste 320, Concord, NC 28025-2982 | 2014-01-24 |
| 1851712582 | Carolinas Medical Center | Family Medicine | 10650 Park Rd, Charlotte, NC 28210-8538 | 2013-12-24 |
| 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 |
| 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 |
| 1003130493 | Pediatric Endocrinology & Diabetes Specialists | Pediatrics | 1781 Tate Blvd Se, Ste 203, Hickory, NC 28602-4251 | 2010-03-15 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 28602 | ||||
| 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 |
|---|---|---|---|---|
| 1619961166 | Angela M Frierson | Pediatrics | 1375 4th Street Dr Nw, Hickory, NC 28601-2523 | 2005-09-09 |
| 1902890452 | Laura J Luckadoo | Pediatrics | 1455 25th Avenue Dr Ne, Hickory, NC 28601-9677 | 2005-09-09 |
| 1831191402 | William M Barrett | Pediatrics | 240 18th Street Cir Se, Unifour Medical Commons, Hickory, NC 28602-1361 | 2005-08-12 |
| 1336633270 | Ann Marie Adams | Pediatrics | 1455 25th Avenue Dr Ne, Hickory, NC 28601-9677 | 2018-06-14 |
| 1679083083 | Anew Health LLC | Pediatrics | 925 10th Avenue Dr Nw, Hickory, NC 28601-3577 | 2017-10-11 |
| 1205362639 | Susan Scarlett | Pediatrics | 1170 Fairgrove Church Rd, Suite A, Hickory, NC 28602-9695 | 2017-05-04 |
| 1093250904 | Pediatric Housecall Services Pllc | Pediatrics | 1899 Tate Blvd Se, Suite 2108, Hickory, NC 28602-4200 | 2017-01-01 |
| 1891087466 | Alyssa Henson | Pediatrics | 240 18th Street Cir Se, Hickory, NC 28602-1361 | 2011-05-13 |
| 1578520177 | Joy Sigmon Lowry | Pediatrics | 240 18th Street Cir Se, Hickory, NC 28602-1361 | 2006-04-27 |
| 1649234238 | Tatyana V Golub | Pediatrics | 1375 4th Street Dr Nw, Hickory, NC 28601-2523 | 2006-04-12 |
| Find all providers in HICKORY | ||||
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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.