Provider Type Icon

CAROLINAS PHYSICIANS NETWORK INC NPI 1740590074


NPI Information

NPI: 1740590074
Provider Name: CAROLINAS PHYSICIANS NETWORK INC

Doing Business As: CAROLINAS CANCER CARE

Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

CLIA Number: 34D2073184

Address:
411 BILLINGSLEY RD
SUITE 103
CHARLOTTE, NC
ZIP 28211
Phone: (704) 344-1995
Get Directions

CAROLINAS PHYSICIANS NETWORK INC is a hematology and oncology internal medicine in Charlotte, NC. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. CAROLINAS PHYSICIANS NETWORK INC NPI is 1740590074. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Carolinas Cancer Care.

The provider's business location address is:

411 BILLINGSLEY RD
SUITE 103
CHARLOTTE, NC
ZIP 28211-046
Phone: (704) 344-1995
Fax: (704) 344-1705

The provider's authorized official is Thomas Ford Laymon .
The authorized official title is Senior Vice President and has the following contact phone number (704) 631-0002.

The CLIA number assigned to this NPI record is 34D2073184 - other - standalone emer dept with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/20/2010 and was last updated on 8/9/2016.


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
1207RH0003XInternal MedicineHematology & OncologyFLORIDAYes

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
12334282SMEDICARE PINNORTH CAROLINA
25916086MEDICAIDNORTH 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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.