CAROLINA NEUROSURGERY & SPINE ASSOCIATES, PA (NPI# 1861861346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861861346 |
| Entity Type | Organization |
| Organization Name | CAROLINA NEUROSURGERY & SPINE ASSOCIATES, PA |
| Practice Address |
1401 Matthews Township Pkwy Suite 300 Matthews NC 28105-5402 |
| Mailing Address |
225 Baldwin Ave Charlotte NC 28204-3109 |
| Practice Telephone | 7048314150 |
| Practice Fax Number | 7048314151 |
| Mailing Telephone | 7043761605 |
| Mailing Fax Number | 7043358448 |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2015-09-15 |
| Authorized Official Name | DR. EMMET HUNTER DYER (PRESIDENT) |
| Authorized Official Telephone | 7043761605 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | CAROLINA NEUROSURGERY & SPINE ASSOCIATES, PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | NC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437528916 | Carolina Neurosurgery & Spine Associates, Pa | Neurological Surgery | 110 Lake Concord Rd Ne, Concord, NC 28025-2918 | 2015-09-15 |
| 1750750238 | Carolina Neurosurgery & Spine Associates, Pa | Neurological Surgery | 1130 N Church St, Suite 200, Greensboro, NC 27401-1038 | 2015-09-15 |
| 1144699620 | Carolina Neurosurgery & Spine Associates, Pa | Neurological Surgery | 9735 Kincey Ave, Suite 300, Huntersville, NC 28078-9118 | 2015-09-15 |
| 1558730028 | Carolina Neurosurgery & Spine Associates, Pa | Neurological Surgery | 14135 Ballantyne Corporate Pl, Suite 100, Charlotte, NC 28277-3383 | 2015-09-15 |
| Street Address |
1401 MATTHEWS TOWNSHIP PKWY SUITE 300 |
| City | MATTHEWS |
| State | NC |
| Zip Code | 28105-5402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760471221 | Irving David Wight | Physician Assistant | 1401 Matthews Township Pkwy, Suite 101, Matthews, NC 28105-5402 | 2005-10-18 |
| 1023574191 | Tarah Faust | Physical Therapy Assistant | 1401 Matthews Township Pkwy, Matthews, NC 28105-5402 | 2019-02-14 |
| 1952842833 | Novant Medical Group, Inc | Psychiatry & Neurology | 1401 Matthews Township Pkwy, Suite 320, Matthews, NC 28105-5402 | 2017-03-13 |
| 1427596329 | Claudiu Samuel Mioc | Physician Assistant | 1401 Matthews Township Pkwy, Suite 380, Matthews, NC 28105-5402 | 2017-02-10 |
| 1942748538 | Chelsea Hopkins | Physician Assistant | 1401 Matthews Township Pkwy, Matthews, NC 28105-5402 | 2017-02-03 |
| 1326597493 | Novant Medical Group, Inc | Social Worker | 1401 Matthews Township Pkwy, Suite 320, Matthews, NC 28105-5402 | 2016-09-29 |
| 1174071229 | Donna C Knowlton Dds Pllc | Dentist | 1401 Matthews Township Pkwy, Ste 210, Matthews, NC 28105-5402 | 2016-09-19 |
| 1740645886 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 1401 Matthews Township Pkwy, Suite 100, Matthews, NC 28105-5402 | 2015-12-16 |
| 1194152512 | Novant Medical Group, Inc. | Pediatrics | 1401 Matthews Township Pkwy, Suite 100, Matthews, NC 28105-5403 | 2013-09-30 |
| 1114267085 | Novant Medical Group, Inc. | Pediatrics | 1401 Matthews Township Pkwy, Suite 312, Matthews, NC 28105-5402 | 2013-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750917407 | Lauren Deasy Blackshaw | Counselor | 1163 Sam Newell Rd, Matthews, NC 28105 | 2020-03-13 |
| 1912549643 | Monarch | Community/Behavioral Health | 10545 Paces Avenue 634, Matthews, NC 28105 | 2019-10-15 |
| 1326515768 | Holly Harvey Heddleson | Nurse Practitioner | 1450 Matthews Township Pkwy Ste 280, Matthews, NC 28105 | 2018-10-24 |
| 1396241030 | Erickson Health Medical Group of North Carolina, PC | Internal Medicine | 2030 Windsor Run Lane, Matthews, NC 28105 | 2018-04-02 |
| 1811406994 | Lice Clinics of America of The Carolinas | Technician, Other | 3042 Suite C Senna Dr, Matthews, NC 28105 | 2017-09-21 |
| 1376065003 | Carillon Assisted Living of Mint Hill, LLC | Custodial Care Facility | 5601 Margaret Wallace Road, Matthews, NC 28105 | 2017-07-14 |
| 1568906055 | London Young | Physical Therapy Assistant | 11100- 11189 Berkley Square Ln, Charlotte, NC 28105 | 2016-12-19 |
| 1003363128 | New Beginnings Community Counseling Center | Community/Behavioral Health | 5232 Maragaret Wallace Road, Matthews, NC 28105 | 2016-09-07 |
| 1275993149 | Kristi Dougan | Nurse Practitioner | 434 N Trade St Ste 104, Matthews, NC 28105 | 2016-03-04 |
| 1205219896 | Kalyani Vellanki Starr | Dentist | 1819 Matthews Township Pkwy Ste 200, Matthews, NC 28105 | 2015-07-01 |
| Find all providers in zip 28105 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114366994 | Novant Medical Group Inc | Neurological Surgery | 1450 Matthews Township Parkway, Suite 355, Matthews, NC 28105-4300 | 2013-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104472125 | Novant Medical Group, Inc. | Neurological Surgery | 3515 W Market St Ste 210, Greensboro, NC 27403-4442 | 2019-08-15 |
| 1811492069 | Unc Rockingham Health Care, Inc. | Neurological Surgery | 518 S Van Buren Rd Ste 6, Eden, NC 27288-5017 | 2018-03-29 |
| 1538616289 | Private Diagnostic Clinic, Pllc | Neurological Surgery | 1212 Cedarhurst Dr Ste 102, Raleigh, NC 27609-5588 | 2016-09-09 |
| 1306228028 | Charles Rawlings IIi | Neurological Surgery | 426 Old Salem Rd, Winston Salem, NC 27101-5268 | 2015-06-19 |
| 1790048593 | Edward Yap | Neurological Surgery | 170 Manning Dr, Cb# 7060, Department of Neurosurgery, Chapel Hill, NC 27599-7060 | 2012-06-18 |
| 1588921969 | Thomas Ostergard | Neurological Surgery | 1130 N Church St Ste 200, Greensboro, NC 27401-1041 | 2012-04-23 |
| 1679898548 | Andrew Hall Marky | Neurological Surgery | 7825 Ballantyne Commons Pkwy Ste 150, Charlotte, NC 28277-3175 | 2010-04-02 |
| 1114256468 | William Leonard Sims | Neurological Surgery | 955 37th Ave Ne, Hickory, NC 28601-9609 | 2009-12-16 |
| 1497080006 | Novant Medical Group Inc | Neurological Surgery | 190 Kimel Park Dr Ste 155, Winston Salem, NC 27103-6946 | 2009-10-15 |
| 1205068186 | Jeffrey S Beecher | Neurological Surgery | 2208 S 17th St Ste 201, Wilmington, NC 28401-7594 | 2009-08-11 |
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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.