CAROLINAS MEDICAL CENTER


Address: 4501 Cameron Valley Pkwy, Suite 300, Charlotte, NC 28211-4297
Phone: 7043811410

CAROLINAS MEDICAL CENTER (NPI# 1861757197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861757197
Entity Type Organization
Organization Name CAROLINAS MEDICAL CENTER
Other Organization Name LEVINE CHILDREN'S SPECIALTY CENTER
Practice Address 4501 Cameron Valley Pkwy
Suite 300
Charlotte
NC 28211-4297
Mailing Address Po Box 601372
Charlotte
NC 28260-1372
Practice Telephone 7043811410
Practice Fax Number 7043811434
Mailing Telephone 7043811410
Mailing Fax Number 7043811434
Enumeration Date 2012-07-12
Last Update Date 2016-08-11
Authorized Official Name MR. THOMAS FORD LAYMON (SVP)
Authorized Official Telephone 7046310002
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208000000X Pediatrics Allopathic & Osteopathic Physicians
Y 2080P0008X Pediatrics
Specialization: Neurodevelopmental Disabilities
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NC 5903972 05
SC NPB197 05

Other Provider/Organization Names

Other Name Type Code
Levine Children's Specialty Center Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 4501 CAMERON VALLEY PKWY
SUITE 300
City CHARLOTTE
State NC
Zip Code 28211-4297

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801825914 Lisa Houchin Pediatrics 4501 Cameron Valley Pkwy, Ste 200, Charlotte, NC 28211-4297 2006-07-01
1184275570 Stefanie Kienker Nurse Practitioner 4501 Cameron Valley Pkwy, Suite 300, Charlotte, NC 28211-4297 2019-09-26
1063895977 Medcarerx Inc Pharmacy 4501 Cameron Valley Pkwy, Charlotte, NC 28211-4297 2015-07-09
1912393943 Summer Tetteh Nurse Practitioner 4501 Cameron Valley Pkwy, Ste 100, Charlotte, NC 28211-4297 2015-04-07
1447664164 Anne Elam Lactation Consultant, Non-RN 4501 Cameron Valley Pkwy, Suite 100, Charlotte, NC 28211-4297 2014-06-20
1063772374 Stephanie Kwon Pediatrics 4501 Cameron Valley Pkwy, Ste 100, Charlotte, NC 28211-4297 2012-05-21
1144580754 Carolinas Medical Center-northeast Pediatrics 4501 Cameron Valley Pkwy, Suite 301-b, Charlotte, NC 28211-4297 2012-05-17
1922367077 Carolinas Medical Center-northeast Psychiatry & Neurology 4501 Cameron Valley Pkwy, Suite 301-a, Charlotte, NC 28211-4297 2012-05-10
1285922690 Adam Faizi Pediatrics 4501 Cameron Valley Pkwy, Ste 100, Charlotte, NC 28211-4297 2011-07-19
1053605873 Elizabeth Dabrowski Pediatrics 4501 Cameron Valley Pkwy, Ste 200, Charlotte, NC 28211-4297 2011-06-09
Find all providers in the same location

Providers in the same zip code

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 Information

Taxonomy Code 2080P0008X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Neurodevelopmental Disabilities

Taxonomy Definition

A pediatrician who treats children having developmental delays or learning disorders including those associated with visual and hearing impairment, mental retardation, cerebral palsy, spina bifida, autism and other chronic neurologic conditions. This specialist provides medical consultation and education and assumes leadership in the interdisciplinary management of children with neurodevelopmental disorders. They may also focus on the early identification and diagnosis of neurodevelopmental disabilities in infants and young children as well as on changes that occur as the child with developmental disabilities grows.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699816017 Liya Beyderman Pediatrics 6115 Park South Dr Ste 105, Charlotte, NC 28210-0104 2007-02-09
1013040666 Shana Dale Wallace Pediatrics 1900 Randolph Rd, Suite 1010, Charlotte, NC 28207-1122 2007-03-13
1366409492 Novant Medical Group, Inc Pediatrics 1900 Randolph Road, Suite 1010, Charlotte, NC 28207-1117 2006-05-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1427186113 Thomas A St John Pediatrics 70 Holly Ln, Brevard, NC 28712-4783 2007-03-02
1467505016 Cmc-northeast, Inc Pediatrics 16623 Birkdale Pwky, Suite 110, Ne Pediatric Neuro, Huntersville, Huntersville, NC 28078 2007-01-18
1992734263 Kristi L. Milowic Pediatrics 1520 Sunday Dr, Raleigh, NC 27607-5253 2006-06-30
1851353718 Sasidharan Taravath Pediatrics 2131 S 17th St, Wilmington, NC 28401-7407 2006-04-05
1548230493 Herminia De Guzman Ferreras Pediatrics 100 Medical Park Dr, Suite 310, Concord, NC 28025-2966 2006-01-24

Competitor

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City CHARLOTTE
Zip Code 28211

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Dataset Information

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.

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