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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 5903972 | 05 | |
SC | NPB197 | 05 |
Other Name | Type Code |
---|---|
Levine Children's Specialty Center | 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 |
4501 CAMERON VALLEY PKWY SUITE 300 |
City | CHARLOTTE |
State | NC |
Zip Code | 28211-4297 |
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 |
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 | 2080P0008X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Neurodevelopmental Disabilities |
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. |
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 |
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 |
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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.