CAROLINAS PHYSICIANS NETWORK INC (NPI# 1821469735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821469735 |
| Entity Type | Organization |
| Organization Name | CAROLINAS PHYSICIANS NETWORK INC |
| Other Organization Name | SHELBY SURGICAL ASSOCIATES |
| Practice Address |
200 W Grover St Shelby NC 28150-3708 |
| Mailing Address |
Po Box 19305 Charlotte NC 28219-9305 |
| Practice Telephone | 7044878591 |
| Mailing Telephone | 7046310002 |
| Enumeration Date | 2015-10-19 |
| 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 | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Shelby Surgical Associates | |
| Shelby Surgical Associates | Doing Business As Name - Organization |
| Shelby Surgical Associates | Other Name - Individual/Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 181 Daniel Rd, Forest City, NC 280437151 | 9804871850 |
| 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 W GROVER ST |
| City | SHELBY |
| State | NC |
| Zip Code | 28150-3708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699753251 | Robert Laney IIi | Surgery | 200 W Grover St, Shelby, NC 28150-3708 | 2006-01-04 |
| 1255683405 | Wendy England | Nurse Practitioner | 200 W Grover St, Shelby, NC 28150-3708 | 2012-10-12 |
| 1730449273 | Jiselle Marie Bock | Surgery | 200 W Grover St, Shelby, NC 28150-3708 | 2012-05-17 |
| 1164795845 | Kellie Vanhoy | Physician Assistant | 200 W Grover St, Shelby, NC 28150-3708 | 2012-02-10 |
| 1639464720 | Amanda Eckenrode | Surgery | 200 W Grover St, Shelby, NC 28150-3708 | 2011-06-16 |
| 1538452610 | Tamera Cox | Surgery | 200 W Grover St, Shelby, NC 28150-3708 | 2011-05-23 |
| 1508185604 | Stephen Von | Surgery | 200 W Grover St, Shelby, NC 28150-3708 | 2010-05-28 |
| 1245498013 | Joseph Smith | Surgery | 200 W Grover St, Shelby, NC 28150-3708 | 2008-05-29 |
| 1861580664 | Shelby Surgical Associates, Pa | Surgery | 200 W Grover St, Shelby, NC 28150-3708 | 2006-10-10 |
| 1295781136 | James M Potts | Surgery | 200 W Grover St, Shelby, NC 28150-3708 | 2006-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154981652 | Benjamin Caple | Dentist | 139 W Ross Grove Rd, Shelby, NC 28150 | 2019-06-17 |
| 1003471103 | Anne Marie Lackey | Physician Assistant | 215 Stacey Street, Lawndale, NC 28150 | 2019-05-03 |
| 1174001937 | Allstate Medical Equipment & Supplies | Durable Medical Equipment & Medical Supplies | 607 W Grover St, Shelby, NC 28150 | 2018-08-03 |
| 1013494970 | Shannon Bumgardner Standish | Nurse Practitioner | 1019 N Lafayette Street, Suite 1, Shelby, NC 28150 | 2018-07-24 |
| 1205323078 | Focused Care, Inc | Community/Behavioral Health | 834 Churchill Dr, Shelby, NC 28150 | 2018-04-17 |
| 1508373507 | Janelle Marie Velasco | Acupuncturist | 115 E Sumter St, Shelby, NC 28150 | 2017-12-29 |
| 1902344666 | Georgette Johnson | Durable Medical Equipment & Medical Supplies | 607 West Grover Street, Shelby, NC 28150 | 2017-02-02 |
| 1457703126 | Sweet Caroline Assisted Living LLC | Assisted Living Facility | 110 Greene Drive, Shelby, NC 28150 | 2016-07-06 |
| 1972954113 | Self Determination, LLC | Community Based Residential Treatment Facility, Mental Illness | 423 Millsap Rd, Shelby, NC 28150 | 2016-06-29 |
| 1306217666 | Living Family Supportive Services | Clinic/Center | 2538 West Dixon Blvd., Shelby, NC 28150 | 2015-10-13 |
| Find all providers in zip 28150 | ||||
| Taxonomy Code | 2086S0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Critical Care |
| A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 |
|---|---|---|---|---|
| 1225649718 | The Charlotte-mecklenburg Hospital Authority | Surgery | 101 E Wt Harris Blvd Ste 5500a, Charlotte, NC 28262-3485 | 2020-08-10 |
| 1912252883 | Benjamin Alkan Isserlin | Surgery | 4008 Burnett Womack, Cb#7228, Chapel Hill, NC 27599-7228 | 2012-07-17 |
| 1124234356 | Craig F. Copeland | Surgery | 3322 Starboard Way Apt 102, Fayetteville, NC 28314-2894 | 2007-05-15 |
| 1225693419 | Wakemed Specialists Group LLC | Surgery | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2019-05-03 |
| 1467863480 | Wake Specialty Physicians, LLC | Surgery | 23 Sunnybrook Rd, Raleigh, NC 27610-1855 | 2014-05-13 |
| 1083033971 | Sean Dieffenbaugher | Surgery | 1350 S Kings Dr, Charlotte, NC 28207-2134 | 2014-04-08 |
| 1720333859 | Allen Hershel Tanner II | Surgery | 2301 Erwin Rd, Durham, NC 27705-4699 | 2012-07-15 |
| 1174814230 | Lauren Desiree Allen Raff | Surgery | 101 Manning Dr, Chapel Hill, NC 27514-4220 | 2011-04-25 |
| 1275763567 | Gaurav Sachdev | Surgery | 1350 S Kings Dr, Charlotte, NC 28207-2134 | 2009-07-21 |
| 1497983589 | William Farley Powers Iv | Surgery | 1350 S Kings Dr, Charlotte, NC 28207-2134 | 2009-06-26 |
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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.