CHARLOTTE MECKLENBURG HOSPITAL AUTHORITY (NPI# 1841566106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841566106 |
| Entity Type | Organization |
| Organization Name | CHARLOTTE MECKLENBURG HOSPITAL AUTHORITY |
| Other Organization Name | LEVINE CANCER INSTITUTE |
| Practice Address |
16455 Statesville Rd Suite 200 Huntersville NC 28078-7135 |
| Mailing Address |
Po Box 602653 Charlotte NC 28260-2653 |
| Practice Telephone | 7043028600 |
| Practice Fax Number | 7043028650 |
| Mailing Telephone | 7043028600 |
| Mailing Fax Number | 7043028650 |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2012-09-14 |
| Authorized Official Name | PETER ACKER (ADMINISTRATOR) |
| Authorized Official Telephone | 9802121000 |
| Is Organization Subpart | Y |
| Parent Organization Name | CHARLOTTE MECKLENBURG HOSPITAL AUTHORITY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RH0000X |
Internal Medicine Specialization: Hematology |
Allopathic & Osteopathic Physicians | ||
| N | 2086X0206X |
Surgery Specialization: Surgical Oncology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5919626 | 05 | |
| SC | NPB473 | 05 |
| Other Name | Type Code |
|---|---|
| Levine Cancer Institute | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770859126 | Charlotte Mecklenburg Hospital Authority | Internal Medicine | 332 Sam Newell Rd, Suite 2000, Matthews, NC 28105-6566 | 2012-03-30 |
| 1043580681 | Charlotte Mecklenburg Hospital Authority | Internal Medicine | 411 Billingsley Rd, Suite 103, Charlotte, NC 28211-1046 | 2012-01-12 |
| 1700171766 | Charlotte Mecklenburg Hospital Authority | Pharmacy | 4525 Cameron Valley Pkwy, Suite 1200, Charlotte, NC 28211-4369 | 2011-06-17 |
| Street Address |
16455 STATESVILLE RD SUITE 200 |
| City | HUNTERSVILLE |
| State | NC |
| Zip Code | 28078-7135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689658619 | April Marie Hibbeler | Occupational Therapist | 16455 Statesville Rd, Ste 102, Huntersville, NC 28078-7135 | 2005-12-02 |
| 1285288738 | Julia Gamble | Physician Assistant | 16455 Statesville Rd, Ste 360, Huntersville, NC 28078-7135 | 2019-08-01 |
| 1780237115 | Kristen Whitten | Nurse Practitioner | 16455 Statesville Rd, Ste 200, Huntersville, NC 28078-7135 | 2019-07-24 |
| 1003477654 | Meredith Fisher Menudier | Speech-Language Pathologist | 16455 Statesville Rd, Huntersville, NC 28078-7135 | 2019-06-25 |
| 1598277592 | Laura Areheart | Physician Assistant | 16455 Statesville Rd, Ste 360, Huntersville, NC 28078-7135 | 2017-10-30 |
| 1114436276 | Katherine Brooks | Nurse Practitioner | 16455 Statesville Rd, Ste 360, Huntersville, NC 28078-7135 | 2017-09-21 |
| 1528582103 | Autumn Weiss | Physician Assistant | 16455 Statesville Rd, Ste 360, Huntersville, NC 28078-7135 | 2017-07-26 |
| 1699299214 | Tamara Hill | Physician Assistant | 16455 Statesville Rd, Ste 360, Huntersville, NC 28078-7135 | 2017-07-26 |
| 1336677954 | Benjamin Hurst | Physician Assistant | 16455 Statesville Rd, Ste 280, Huntersville, NC 28078-7135 | 2017-05-26 |
| 1336673979 | Lindsey Mccormick | Nurse Practitioner | 16455 Statesville Rd, Suite 420, Huntersville, NC 28078-7135 | 2017-04-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538787718 | John M. Bakarich, Dds, Pllc | Dentist | 15810 Northcross Drive, Suite A, Huntersville, NC 28078 | 2020-07-14 |
| 1316587082 | Blake Allen Klessig | Chiropractor | 8936 Northpointe Executive Park Dr, Suite 195, Huntersville, NC 28078 | 2020-01-10 |
| 1922644830 | Steven James Underwood | Physical Therapist | Aldersgate Ccrc, 3800 Shamrock Drive, Charlotte, NC 28078 | 2019-11-26 |
| 1851856306 | Jessica Runnion | Behavior Technician | 14625 Reese Blvd, Apartment 208, Huntersville, NC 28078 | 2019-02-08 |
| 1568935401 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 111 Commerce Centre Drive, Suite 305, Huntersville, NC 28078 | 2019-01-03 |
| 1932691763 | Shakira Grier | Massage Therapist | 15905 Brookway Drive, Ste 4202, Huntersville, NC 28078 | 2018-06-06 |
| 1457850596 | Chudney Drew | Counselor | 10224 Hickorywood Hill Ave Ste 201, Huntersville, NC 28078 | 2018-02-05 |
| 1215457122 | Amy Nicole Castongia | Counselor | 10511 Drake Hill Dr, Huntersville, NC 28078 | 2017-06-21 |
| 1457714057 | Robin D Disbro | Registered Nurse | 6216 Colonial Garden Drive, Huntersville, NC 28078 | 2016-03-31 |
| 1144695545 | Huntersville H&r Ops Limited Partnership | Skilled Nursing Facility | 13835 Boren Street, Huntersville, NC 28078 | 2015-12-10 |
| Find all providers in zip 28078 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538137526 | Anita Deshpande | Internal Medicine | 16455 Statesville Rd, Ste 280, Huntersville, NC 28078-7135 | 2006-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750916771 | American Oncology Partners, Pa | Internal Medicine | 10 One Center Ct, Franklin, NC 28734-0095 | 2020-03-10 |
| 1215570890 | American Oncology Partners, P.a. | Internal Medicine | 1860 Sugar Hill Rd Ste A, Marion, NC 28752-5565 | 2019-10-25 |
| 1730658808 | Laura Kolker Max | Internal Medicine | 2301 Erwin Road Unit 9300, Durham, NC 27710-2621 | 2018-11-19 |
| 1396249256 | Deanna Andrews Griffie | Internal Medicine | 20 Medicine Circle Duke Cancer Center Clinic 3-2, Durham, NC 27710-0001 | 2018-03-23 |
| 1558885004 | Casey Marie Mozingo | Internal Medicine | 20 Duke Medicine Circle Duke Cancer, Durham, NC 27710-0001 | 2017-07-26 |
| 1710430822 | Angel Medical Center, Inc. | Internal Medicine | 834 Depot St, Franklin, NC 28734-0176 | 2016-07-26 |
| 1174942262 | Kristen Leigh Perez | Internal Medicine | 20 Duke Medicine Circle Duke Cancer Center Clinic 5-1, Durham, NC 27710-4699 | 2014-04-16 |
| 1851739239 | Jingquan Jia | Internal Medicine | 20 Duke Medicine Drive, Durham, NC 27710 | 2013-06-07 |
| 1215279617 | Jacob Eli Berchuck | Internal Medicine | 226 Chesley Ln, Chapel Hill, NC 27514-1461 | 2013-03-23 |
| 1861759391 | Wayne Dewitt Brenckman Jr. | Internal Medicine | 5632 Denwood Ln, Durham, NC 27705-9252 | 2012-04-22 |
| Find all providers with the same taxonomy | ||||
| City | HUNTERSVILLE |
| Zip Code | 28078 |
Please comment or provide details below to improve the information on CHARLOTTE MECKLENBURG HOSPITAL AUTHORITY.
| 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.