CAROLINA'S CANCER CARE 2LLC (NPI# 1720201643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720201643 |
Entity Type | Organization |
Organization Name | CAROLINA'S CANCER CARE 2LLC |
Practice Address |
411 Billingsley Rd Suite 103 Charlotte NC 28211-1046 |
Mailing Address |
Po Box 468329 Atlanta GA 31146-8329 |
Practice Telephone | 4049430205 |
Mailing Telephone | 4049430205 |
Enumeration Date | 2007-04-10 |
Last Update Date | 2020-08-22 |
Authorized Official Name | ALICIA HOLDEN (LEAD) |
Authorized Official Telephone | 4049430205 |
Authorized Official Credential | ACCOUNTING |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
Allopathic & Osteopathic Physicians |
Street Address |
411 BILLINGSLEY RD SUITE 103 |
City | CHARLOTTE |
State | NC |
Zip Code | 28211-1046 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235126517 | Carolinas Cancer Care Pa | Specialist | 411 Billingsley Rd, Suite 103, Charlotte, NC 28211-1066 | 2005-10-03 |
1073979431 | Bunny Yun | Dentist | 411 Billingsley Rd, 102, Charlotte, NC 28211-1046 | 2016-01-14 |
1194086744 | Logan Elizabeth Webb | Dentist | 411 Billingsley Rd, Suite 106, Charlotte, NC 28211-1046 | 2012-05-30 |
1043580681 | Charlotte Mecklenburg Hospital Authority | Internal Medicine | 411 Billingsley Rd, Suite 103, Charlotte, NC 28211-1046 | 2012-01-12 |
1881992659 | R K Yeager & Assoc Dds Pa & S | Dentist | 411 Billingsley Rd, Suite 102, Charlotte, NC 28211-1046 | 2011-03-03 |
1740590074 | Carolinas Physicians Network Inc | Internal Medicine | 411 Billingsley Rd, Suite 103, Charlotte, NC 28211-1046 | 2010-10-20 |
1598959538 | Oms Facility Services LLC | Dentist | 411 Billingsley Rd, Suite 105, Charlotte, NC 28211-1046 | 2007-09-04 |
1649475005 | John Carson Nale | Oral & Maxillofacial Surgery | 411 Billingsley Rd, Suite 105, Charlotte, NC 28211-1046 | 2007-06-18 |
1962612259 | Stanley Michalski IIi | Dentist | 411 Billingsley Rd, Suite 102, Charlotte, NC 28211-1046 | 2007-05-23 |
1518176668 | Thomas Pinnavaia | Dentist | 411 Billingsley Rd, Suite 102, Charlotte, NC 28211-1046 | 2007-05-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184277832 | I and J Wheelchair Transportation | Non-emergency Medical Transport (VAN) | 1512 Delane Avenue, Charlotte, NC 28211 | 2019-07-22 |
1922563923 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 447 Billingsley Rd, Cottage A, Charlotte, NC 28211 | 2019-02-04 |
1649798273 | Ally Home Care Charlotte LLC | In Home Supportive Care | 3711 Latrobe Drive Suite 520, Charlotte, NC 28211 | 2017-09-04 |
1154866770 | Vaibhav Bajaj | Dentist | 2809 Coltsgate Rd Ste 200, Charlotte, NC 28211 | 2017-01-05 |
1508254939 | Lindsay Marie Smits | Speech-Language Pathologist | 427 N. Wendover Rd., Charlotte, NC 28211 | 2015-01-08 |
1457755480 | Kristen Hammer | Physical Therapy Assistant | 4120 Providence Rd Apt D, Charlotte, NC 28211 | 2014-10-20 |
1669805610 | Carla Elizabeth Scott | Physical Therapist | 3500 Ellington Street, Dr. Carlton Watkins Center, Charlotte, NC 28211 | 2013-08-14 |
1760726368 | Jill Hensdale Shipp | Social Worker | 307 Hunter Lane, Charlotte, NC 28211 | 2012-11-20 |
1346592722 | Danielle Marie Benoit | Occupational Therapist | 3541 Randolph Road Suite 100 W, Charlotte, NC 28211 | 2012-10-09 |
1487910832 | John Joseph Marcel Jr. | Orthopaedic Surgery | 449 North Wendover Rd Ste A, Charlotte, NC 28211 | 2012-04-10 |
Find all providers in zip 28211 |
Taxonomy Code | 207VX0201X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Gynecologic Oncology |
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902846330 | Novant Medical Group, Inc. | Obstetrics & Gynecology | 1918 Randolph Rd Ste 175, Charlotte, NC 28207-1107 | 2006-06-07 |
1477171759 | The Presbyterian Hospital | Obstetrics & Gynecology | 125 Queens Rd Ste 540, Charlotte, NC 28204-3215 | 2020-07-13 |
1174966451 | Brittany Lees | Obstetrics & Gynecology | 1350 S Kings Dr, Charlotte, NC 28207-2134 | 2013-04-17 |
1114285350 | Malcolm Strachan Ross | Obstetrics & Gynecology | 1918 Randolph Rd Ste 175, Charlotte, NC 28207-1107 | 2012-04-25 |
1750594800 | Erin Crane | Obstetrics & Gynecology | 1350 S Kings Dr, Charlotte, NC 28207-2134 | 2007-05-07 |
1972685105 | Jubilee Brown | Obstetrics & Gynecology | 1021 Morehead Medical Dr, Ste A, Charlotte, NC 28204-2990 | 2006-10-19 |
1730196098 | Robert Naumann | Obstetrics & Gynecology | 1021 Morehead Medical Dr, Ste A, Charlotte, NC 28204-2990 | 2006-08-01 |
1063429322 | Robert Higgins | Obstetrics & Gynecology | 1021 Morehead Medical Dr, Ste A, Charlotte, NC 28204-2990 | 2006-08-01 |
1215969613 | David Tait | Obstetrics & Gynecology | 1350 S Kings Dr, Charlotte, NC 28207-2134 | 2006-07-07 |
1881679439 | Brigitte Miller | Obstetrics & Gynecology | 1350 S Kings Dr, Charlotte, NC 28207-2134 | 2005-12-07 |
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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.