CAROLINAS PHYSICIANS NETWORK, INC. (NPI# 1952434672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952434672 |
| Entity Type | Organization |
| Organization Name | CAROLINAS PHYSICIANS NETWORK, INC. |
| Other Organization Name | PEDIATRIC UROLOGY ASSOCIATES |
| Practice Address |
3125 Springbank Ln Suite E Charlotte NC 28226-3378 |
| Mailing Address |
Po Box 602148 Charlotte NC 28260-2148 |
| Practice Telephone | 7043813510 |
| Practice Fax Number | 7045403668 |
| Mailing Telephone | 7043813510 |
| Mailing Fax Number | 7045403668 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2016-08-12 |
| Authorized Official Name | MR. THOMAS FORD LAYMON (SR. VICE PRESIDENT) |
| Authorized Official Telephone | 7046310002 |
| Is Organization Subpart | Y |
| Parent Organization Name | CAROLINAS PHYSICIANS NETWORK INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2088P0231X |
Urology Specialization: Pediatric Urology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | NPB228 | 05 | |
| NC | 5906254 | 05 |
| Other Name | Type Code |
|---|---|
| Pediatric Urology Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285080341 | Carolinas Physicians Network, Inc. | Orthopaedic Surgery | 1201-1203 Colonial Commons Court, Lancaster, SC 29720 | 2016-05-09 |
| 1417367640 | Carolinas Physicians Network, Inc. | Non-Pharmacy Dispensing Site | 1091a 521 Red Ventures Drive, Fort Mill, SC 29707 | 2014-04-28 |
| 1467882803 | Carolinas Physicians Network, Inc. | Internal Medicine | 10650 Park Rd Ste 250, Charlotte, NC 28210-0204 | 2013-11-21 |
| 1275858698 | Carolinas Physicians Network, Inc. | Pediatrics | 705 Griffith Street, Suite 100, Davidson, NC 28036-9305 | 2010-03-29 |
| 1073838496 | Carolinas Physicians Network, Inc. | Pediatrics | 6030 West Highway 74, Suite F, Indian Trail, NC 28079-3469 | 2010-03-29 |
| 1215252739 | Carolinas Physicians Network, Inc. | Internal Medicine | 19620 West Catawba Avenue, Suite 204, Cornelius, NC 28031-4054 | 2010-03-29 |
| 1952626376 | Carolinas Physicians Network, Inc. | Pediatrics | 14214 Ballantyne Lake Road, Suite 150, Charlotte, NC 28277-3373 | 2010-03-29 |
| 1679896054 | Carolinas Physicians Network, Inc. | Obstetrics & Gynecology | 5425 Prosperity Church Rd, 2nd Floor, Charlotte, NC 28269-1134 | 2010-03-12 |
| 1053642363 | Carolinas Physicians Network, Inc. | Psychologist | 5435 Prosperity Church Road, Ste 2200, Charlotte, NC 28269-2344 | 2010-01-26 |
| 1184852105 | Carolinas Physicians Network, Inc. | Internal Medicine | 52 Hospital Dr, Suite 3-a, Columbus, NC 28722-8516 | 2009-06-29 |
| Street Address |
3125 SPRINGBANK LN SUITE E |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28226-3378 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003895954 | Jay Berry Levy | Specialist | 3125 Springbank Ln, Suite E, Charlotte, NC 28226-3378 | 2006-01-10 |
| 1740714427 | Latisha Denise Williams | Health Educator | 3125 Springbank Ln, Suite E, Charlotte, NC 28226-3378 | 2017-04-19 |
| 1871713859 | Joseph A. Molitierno Jr. | Urology | 3125 Springbank Ln, Suite E, Charlotte, NC 28226-3379 | 2007-05-01 |
| 1396884219 | Keiran Walsh Llaneza | Physician Assistant | 3125 Springbank Ln, Suite E, Charlotte, NC 28226-3378 | 2007-02-06 |
| 1265533095 | Lowell Harley Gill | Orthopaedic Surgery | 3125 Springbank Ln, Charlotte, NC 28226-3378 | 2006-09-26 |
| 1629019088 | Arboretum Obstetrics & Gynecology | Specialist | 3125 Springbank Ln, Suite B, Charlotte, NC 28226-3345 | 2006-06-09 |
| 1700865011 | Sophia Lorraine Paige | Obstetrics & Gynecology | 3125 Springbank Ln, Suite B, Charlotte, NC 28226-3345 | 2006-01-13 |
| 1972582286 | Mala Adele Freeman-kwaku | Obstetrics & Gynecology | 3125 Springbank Ln, Suite B, Charlotte, NC 28226-3345 | 2006-01-13 |
| 1497734701 | Octavia Manetta Cannon | Specialist | 3125 Springbank Ln, Suite B, Charlotte, NC 28226-3345 | 2006-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841837507 | Southeast Vulvar Clinic, Pllc | Dermatology | 6406 Carmel Road, Suite 309, Charlotte, NC 28226 | 2019-12-02 |
| 1427540012 | Kenneth William Riley Jr. | Behavioral Analyst | 10953 Park Rd., Charlotte, NC 28226 | 2018-05-31 |
| 1780103838 | Tamara Andres | Specialist/Technologist | 2518 Lawton Bluff Rd., Charlotte, NC 28226 | 2017-09-10 |
| 1083132609 | Xenon Anesthesia of North Carolina Pllc | Anesthesiology | 7006 Shannon Willow Road, Charlotte, NC 28226 | 2017-09-04 |
| 1104354117 | Lauren Nicole Brindisi | Chiropractor | 11230 Carmel Commons Blvd., Charlotte, NC 28226 | 2017-06-03 |
| 1346790821 | Carolinas Skin Center Pa | Plastic Surgery | 3315 Springbank Lane, Suite 202, Charlotte, NC 28226 | 2016-10-10 |
| 1871040469 | Julie R Jackson | Counselor | 7810 Prineville-mathews Road, Charlotte, NC 28226 | 2016-09-01 |
| 1518346105 | Christopher Abernathy | Dentist | 3111 Springbank Ln Ste A, Charlotte, NC 28226 | 2015-05-28 |
| 1285067504 | Amy N Bullock | Physical Therapist | 7207 Marcel Ln Apt 1138, Charlotte, NC 28226 | 2013-08-11 |
| 1528405297 | Elevate Counseling and Clinical Services, Pllc | Community/Behavioral Health | 107220 Carmel Commons Blvd., Ste. 320, Charlotte, NC 28226 | 2013-06-04 |
| Find all providers in zip 28226 | ||||
| Taxonomy Code | 2088P0231X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| Specialization | Pediatric Urology |
| Surgeons who can diagnose, treat, and manage children’s urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele). |
| Notes: Source: American Academy of Pediatrics [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164678819 | Scott A. Berkman, Md, Plc | Urology | 17332 Newlands Corner Lane, Charlotte, NC 28277-1073 | 2008-08-13 |
| 1356880801 | Carolinas Physicians Network Inc | Urology | 1025 Morehead Medical Dr, Ste 275, Charlotte, NC 28204-2963 | 2017-02-16 |
| 1861715245 | Carolinas Physicians Network Inc | Urology | 101 E W T Harris Blvd, Suite 3301, Charlotte, NC 28262-3485 | 2010-03-12 |
| 1447573209 | Carolinas Physicians Network Inc | Urology | 1001 Blythe Blvd, Suite 200, Charlotte, NC 28203-5866 | 2010-03-09 |
| 1871713859 | Joseph A. Molitierno Jr. | Urology | 3125 Springbank Ln, Suite E, Charlotte, NC 28226-3379 | 2007-05-01 |
| 1851496392 | Mark Williams | Urology | 1025 Morehead Medical Dr, Ste 275, Charlotte, NC 28204-2963 | 2006-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306169768 | Carolinas Physicians Network, Inc. | Urology | 9625 Northcross Center Ct, Suite 102, Huntersville, NC 28078-7348 | 2010-03-12 |
| 1780907220 | Carolinas Physicians Network Inc | Urology | 50 Hospital Dr, Suite 1c, Hendersonville, NC 28792-5248 | 2010-03-11 |
| 1114240652 | Carolinas Physicians Network, Inc. | Urology | 100 Medical Park Drive, Suite 310, Concord, NC 28025-2966 | 2010-03-11 |
| 1376866129 | Carolinas Physicians Network, Inc. | Urology | 1781 Tate Blvd Se, Hickory, NC 28602-4251 | 2010-03-09 |
| 1881707487 | Novant Medical Group, Inc. | Urology | 16525 Holly Crest Ln, Suite 230, Huntersville, NC 28078-4909 | 2006-08-16 |
| 1780601120 | Pediatric Urology of North Carolina | Urology | 2406 Blue Ridge Rd, Suite 190, Raleigh, NC 27607-6678 | 2006-07-15 |
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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.