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CAROLINA CANCER SPECIALISTS PA NPI 1265434039


NPI Information

NPI: 1265434039
Provider Name: CAROLINA CANCER SPECIALISTS, PA
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
600 HOSPITAL DR
SUITE 2
CLYDE, NC
ZIP 28721
Phone: (828) 454-0181
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CAROLINA CANCER SPECIALISTS, PA is a specialist in Clyde, NC. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CAROLINA CANCER SPECIALISTS, PA NPI is 1265434039. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

600 HOSPITAL DR
SUITE 2
CLYDE, NC
ZIP 28721-046
Phone: (828) 454-0181
Fax: (828) 454-0584

The provider's authorized official is Michael Steven Heller .
The authorized official title is President and has the following contact phone number (828) 454-0181.

The enumeration date for this NPI number is 8/11/2005 and was last updated on 4/20/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist38973NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CB3766OTHERNORTH CAROLINAMEDICARE RR
22344708AMEDICARE UPINNORTH CAROLINA
32344708MEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINAMEDICARE GROUP
4011THOTHERNORTH CAROLINABC/BS NC GROUP NUMBER
53670294OTHERNORTH CAROLINAUHC
6=========OTHERNORTH CAROLINATRICARE
789011THMEDICAIDNORTH CAROLINA
82344708AMEDICARE PINNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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