CAROLINAS PHYSICIANS NETWORK INC (NPI# 1679977730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679977730 |
Entity Type | Organization |
Organization Name | CAROLINAS PHYSICIANS NETWORK INC |
Other Organization Name | ALBEMARLE SURGICAL ASSOCIATES |
Practice Address |
105 Yadkin St Ste 203 Albemarle NC 28001-3449 |
Mailing Address |
Po Box 19305 Charlotte NC 28219-9305 |
Practice Telephone | 9803235300 |
Mailing Telephone | 7046310002 |
Enumeration Date | 2014-10-20 |
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 |
---|---|
Albemarle Surgical Associates | Doing Business As Name - Organization |
Albemarle Surgical Associates | Other Name - Individual/Organization |
Address | Telephone Number | Fax Number |
---|---|---|
103 Stanly Pkwy, Ste A, Locust, NC 280977710 | 7048880580 | |
835 Albemarle Rd, Troy, NC 273718682 | 9105722309 |
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 |
105 YADKIN ST STE 203 |
City | ALBEMARLE |
State | NC |
Zip Code | 28001-3449 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629071642 | Philip Jones | Obstetrics & Gynecology | 105 Yadkin St, Ste 102, Albemarle, NC 28001-3449 | 2005-05-23 |
1881047488 | Tammy Luanne Ikner | Pharmacist | 105 Yadkin St, Suite 103, Albemarle, NC 28001-3449 | 2016-07-19 |
1366895070 | Sean Pickler | Pharmacist | 105 Yadkin St, Suite 103, Albemarle, NC 28001-3449 | 2016-07-18 |
1881047595 | Courtney Owens | Pharmacist | 105 Yadkin St, Ste 103, Albemarle, NC 28001-3449 | 2016-07-18 |
1396127577 | Aleshia Gaddy | Physician Assistant | 105 Yadkin St, Ste 303, Albemarle, NC 28001-3449 | 2015-06-23 |
1386036390 | Ellen Snyder | Nurse Practitioner | 105 Yadkin St, Ste 301, Albemarle, NC 28001-3449 | 2015-02-27 |
1902200991 | Carolinas Physicians Network Inc | Pediatrics | 105 Yadkin St, Ste 303, Albemarle, NC 28001-3449 | 2014-10-20 |
1336543495 | Carolinas Physicians Network Inc | Orthopaedic Surgery | 105 Yadkin St, Ste 101, Albemarle, NC 28001-3449 | 2014-10-20 |
1255735312 | Carolinas Physicians Network Inc | Internal Medicine | 105 Yadkin St, Ste 301, Albemarle, NC 28001-3449 | 2014-10-20 |
1093119513 | Carolinas Physicians Network Inc | Obstetrics & Gynecology | 105 Yadkin St, Ste 102, Albemarle, NC 28001-3449 | 2014-10-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649835828 | Ashley M Duncan | Physician Assistant | Atrium Stanly Emergent Department, 320 Yadkin St, Albermarle, NC 28001 | 2019-05-03 |
1659870616 | Crystal Hamilton | Home Health Aide | 1741 West Main Street, Albemarble, NC 28001 | 2018-02-06 |
1548703358 | J. Lemmons, Dds and Associates, Pa | Clinic/Center | 319 North Second Street, Albemarle, NC 28001 | 2016-11-28 |
1265807937 | Novant Medical Group, Inc | Orthopaedic Surgery | 1420 Us Highway 52, Suite B, Albemarle, NC 28001 | 2015-12-07 |
1053785220 | Novant Medical Group, Inc. | Surgery | 1420 Us Highway North 52, Suite B, Albermarle, NC 28001 | 2015-11-25 |
1942674775 | The Charlotte-mecklenburg Hospital Authority | Skilled Nursing Facility | 625 Bethany Road, Albemarle, NC 28001 | 2015-11-17 |
1508248279 | Athena Vu Dds Pllc. | Dentist | 1122 North 6th Street, Albemarle, NC 28001 | 2015-06-18 |
1629482054 | Erika Shew | Pharmacist | 835 North Carolina 24, Albemarle, NC 28001 | 2014-06-13 |
1558794974 | Ted Allen Thompson Jr. | Pharmacist | 835 Hwy 24-27, Albemarle, NC 28001 | 2013-08-21 |
1912349606 | Elite Care Services Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 33973 Lowder Reunion Rd, Albemarle, NC 28001 | 2013-07-23 |
Find all providers in zip 28001 |
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.