CAROLINAS PHYSICIANS NETWORK INC (NPI# 1750606174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750606174 |
| Entity Type | Organization |
| Organization Name | CAROLINAS PHYSICIANS NETWORK INC |
| Other Organization Name | CAROLINAS HEALTHCARE SYSTEM RHEUMATOLOGY CARE |
| Practice Address |
704 Gold Hill Rd Ste 203 Fort Mill SC 29715-8906 |
| Mailing Address |
Po Box 19305 Charlotte NC 28219-9305 |
| Practice Telephone | 8038350400 |
| Mailing Telephone | 7046310002 |
| Enumeration Date | 2010-03-29 |
| 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 | 2080P0216X |
Pediatrics Specialization: Pediatric Rheumatology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Carolinas HealthCare System Rheumatology Care | Doing Business As Name - Organization |
| Carolinas HealthCare System Rheumatology Care | Other Name - Individual/Organization |
| 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 |
704 GOLD HILL RD STE 203 |
| City | FORT MILL |
| State | SC |
| Zip Code | 29715-8906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306820105 | Ashrito Dayal | Internal Medicine | 704 Gold Hill Rd, Ste 203, Fort Mill, SC 29715-8906 | 2005-12-05 |
| 1114409836 | Meghan Bynum | Nurse Practitioner | 704 Gold Hill Rd, Ste 1200, Fort Mill, SC 29715-8906 | 2018-08-29 |
| 1881194223 | Kimberly Parker Correa | Nurse Practitioner | 704 Gold Hill Rd, Ste 1200, Fort Mill, SC 29715-8906 | 2018-02-12 |
| 1306355417 | Grace Hyndman | Nurse Practitioner | 704 Gold Hill Rd, Suite 207, Fort Mill, SC 29715-8906 | 2017-09-21 |
| 1891236618 | Ashlene Karasch | Nurse Practitioner | 704 Gold Hill Rd, Suite 207, Fort Mill, SC 29715-8906 | 2017-03-13 |
| 1982054730 | Surbhi Jain | Internal Medicine | 704 Gold Hill Rd, Suite 115, Fort Mill, SC 29715-8906 | 2016-06-13 |
| 1093176729 | Chinelo Ofoma | Nurse Practitioner | 704 Gold Hill Rd, Suite 207, Fort Mill, SC 29715-8906 | 2016-03-08 |
| 1972997203 | Jennifer Williams | Pediatrics | 704 Gold Hill Rd, Suite 207, Fort Mill, SC 29715-8906 | 2015-03-25 |
| 1124439021 | Inna Slisz | Family Medicine | 704 Gold Hill Rd, Ste 107, Fort Mill, SC 29715-8906 | 2014-05-13 |
| 1467878306 | Kashae Ferguson | Nurse Practitioner | 704 Gold Hill Rd, Suite 107, Fort Mill, SC 29715-8906 | 2014-03-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710590278 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1919 Springfield Parkway, Fort Mill, SD 29715 | 2020-08-25 |
| 1336759307 | Elizabeth Blakeney Sitton | Dentist | 3463 Us-21 #101, Fort Mill, SC 29715 | 2020-08-05 |
| 1730715293 | Fort Mill Dobys Bridge Dental LLC | Clinic/Center | 1500 Fort Mill Pkwy #108, Fort Mill, SC 29715 | 2020-03-17 |
| 1841728755 | Dennis Demetrius Williams | Specialist/Technologist | 1179 Madison Green Dr, Fort Mill, SC 29715 | 2017-05-23 |
| 1437684453 | Specialty Orthopaedics and Sports Medicine | Orthopaedic Surgery | 130 Crisanto Ave Ste B, Fort Mill, SC 29715 | 2017-04-27 |
| 1730624115 | Springfield Dentistry | Dentist | 452 Mercantile Place, Fort Mill, SC 29715 | 2016-12-21 |
| 1700335569 | Melby Transitions Mht LLC | Internal Medicine | 1148 Wessington Manor Ln, Fort Mill, SC 29715 | 2016-09-22 |
| 1629434071 | Palmetto Family Pharmacy Regent Park | Pharmacy | 1046 Regent Parkway, Suite 104, Fort Mill, SC 29715 | 2016-01-14 |
| 1619374220 | Rebecca Rowe | Speech-Language Pathologist | 8835 Gladden Hill Ln, Fort Mill, SC 29715 | 2014-11-25 |
| 1003248873 | Terri Hennessey | Speech-Language Pathologist | 1599 Farm House Dr, Fort Mill, SC 29715 | 2013-08-05 |
| Find all providers in zip 29715 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306820105 | Ashrito Dayal | Internal Medicine | 704 Gold Hill Rd, Ste 203, Fort Mill, SC 29715-8906 | 2005-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568786630 | Irum Mona Idrees | Internal Medicine | 135 Commonwealth Dr Ste 170, Greenville, SC 29615-6940 | 2010-03-18 |
| 1205065976 | Lexington County Health Services District Inc. | Internal Medicine | 146 East Hospital Dr, Ste 550, West Columbia, SC 29169-4843 | 2009-07-02 |
| 1114104999 | Suhail Kumar | Internal Medicine | 3 Saint Francis Dr Ste 400, Greenville, SC 29601 | 2008-01-24 |
| 1952449290 | Sofia Aksentijevich | Internal Medicine | 14 E Farmfield Avenue, Charleston, SC 29407-7757 | 2007-02-01 |
| 1124198080 | The Arthritis and Osteoporosis Center Pa | Internal Medicine | 1768 Village Park Dr, Orangeburg, SC 29118 | 2006-11-08 |
| 1710056007 | Robert Thomas Keenan | Internal Medicine | 800 E Cheves St Ste 280, Florence, SC 29506-2652 | 2006-11-08 |
| 1881782266 | Erica Anderson | Internal Medicine | 14 Farmfield Ave Ste E, Charleston, SC 29407-7757 | 2006-10-10 |
| 1699725986 | Muthamma J Machimada | Internal Medicine | 135 Commonwealth Dr. Ste. 170, Greenville, SC 29615-6940 | 2006-05-10 |
| 1992753636 | John Louis Brittis | Internal Medicine | 23 Plantation Park Drive, Suite 101, Bluffton, SC 29910 | 2006-05-05 |
| 1700849627 | Walter Morse Bonner Jr. | Internal Medicine | 890 Johnnie Dodds Blvd, Suite 2a, Mt Pleasant, SC 29464-6129 | 2006-04-11 |
| Find all providers with the same taxonomy | ||||
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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.