CAROLINA CHILDREN'S HEART SPECIALISTS (NPI# 1912354374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912354374 |
| Entity Type | Organization |
| Organization Name | CAROLINA CHILDREN'S HEART SPECIALISTS |
| Practice Address |
1018 W H Smith Boulevard Greenville NC 27834 |
| Mailing Address |
204 Oxford Rd Greenville NC 27858 |
| Practice Telephone | 2525258112 |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2016-05-16 |
| Authorized Official Name | DAVID FAIRBROTHER (PRESIDENT) |
| Authorized Official Telephone | 2525258112 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
9801251 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
1018 W H SMITH BOULEVARD |
| City | GREENVILLE |
| State | NC |
| Zip Code | 27834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841801255 | Nicholas Mcarthur Bennett | Day Training, Developmentally Disabled Services | 302 C, Greenville, NC 27834 | 2020-08-11 |
| 1275150245 | Shelby Renee Jones | Student in an Organized Health Care Education/Training Program | East Carolina University College of Nursing, 600 Moye Blvd, Greenville, NC 27834 | 2020-06-25 |
| 1194347138 | Soban Ahmad | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd., Vmc Ma Room 350. Internal Medicine Resi, Mailstop #734, Greenville, NC 27834 | 2020-05-13 |
| 1427687789 | Brandon Allen Yates | Student in an Organized Health Care Education/Training Program | 435 Clinic Drive, Greenville, NC 27834 | 2020-04-07 |
| 1144854407 | Kristen Springer Dreyfus | Marriage & Family Therapist | 2609 West Arlington Blvd Suite 106, Greenville, NC 27834 | 2020-02-26 |
| 1861038606 | Southern Surgical Outpatient Surgery Center, Pa | Clinic/Center | 2457 Emerald Place, Greenville, NC 27834 | 2019-11-26 |
| 1003460569 | Shaun Fitzpatrick | Nurse Practitioner | Physicians East, Pa 1850 W. Arlington Blvd., Greenville, NC 27834 | 2019-08-01 |
| 1649831496 | Katherine Salome Ross | Genetic Counselor, MS | 524 Moye Blvd, Greenville, NC 27834 | 2019-06-24 |
| 1477011880 | Lauren Bethune Scroggs | Counselor | 2150 West 5th Street, Health Sciences Building Mailstop 688, Greenville, NC 27834 | 2019-03-05 |
| 1669998001 | Idella's Care Home | Community/Behavioral Health | 2912 Lee Ct # 9a, Greenville, NC 27834 | 2017-08-17 |
| Find all providers in zip 27834 | ||||
| Taxonomy Code | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578504015 | Angela Sharkey | Pediatrics | 200 Patewood Dr Ste A200, Greenville, SC 29615-3580 | 2006-06-08 |
| 1811253891 | Lauren Alexis Sarno | Pediatrics | 115 Heart Dr, Greenville, NC 27834 | 2012-04-04 |
| 1699863811 | Susan Elizabeth Haynes | Pediatrics | 200 Patewood Dr Ste A200, Greenville, SC 29615-3580 | 2006-10-11 |
| 1356389209 | David Gregory Malpass | Pediatrics | 200 Patewood Dr, Suite A200, Greenville, SC 29615 | 2006-06-03 |
| 1386690030 | Jon Francis Lucas | Pediatrics | 200 Patewood Dr, Ste A200, Greenville, SC 29615-3593 | 2006-05-25 |
| 1225088784 | Benjamin Shinn Horne IIi | Pediatrics | 200 Patewood Dr, Suite A200, Greenville, SC 29615-3593 | 2006-05-12 |
| 1538117924 | Robert Austin Raunikar | Pediatrics | 200 Patewood Dr, Suite A200, Greenville, SC 29615-3593 | 2006-05-05 |
| 1710961164 | David L Fairbrother | Pediatrics | 115 Heart Dr Dept Of, East Carolina Heart Institute @ Ecu Dept. of Cvs, Greenville, NC 27834-8944 | 2005-11-30 |
| 1366424731 | Robert Dennis Steed | Pediatrics | 115 Heart Dr Dept Of, Ecu Physicians Pediatric Cardiology, Greenville, NC 27834-8944 | 2005-11-18 |
| 1295726131 | Charlie J Sang Jr. | Pediatrics | 115 Heart Dr Dept Of, Ecu Physicians Pediatric Cardiology, Greenville, NC 27834-8944 | 2005-10-31 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 27834 |
Please comment or provide details below to improve the information on CAROLINA CHILDREN'S HEART SPECIALISTS.
| 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.