Charlotte Mecklenburg Hospital Authority

Primary specialty

Medical Oncology PhysicianTaxonomy code 207RX0202X

Legal business name

CHARLOTTE MECKLENBURG HOSPITAL AUTHORITY

Doing business as

Levine Cancer Institute

Practice address

411 Billingsley Rd
Suite 103
Charlotte, NC 28211-1046

Phone

(704) 344-1995

Fax

(704) 344-1705

NPI assigned

Jan 12, 2012

Organization subpart

Yes

Parent organization

CHARLOTTE MECKLENBURG HOSPITAL AUTHORITYAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Peter Acker

Title

Administrator

Phone

(980) 212-1000

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• Levine Cancer Institute Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Part of

Charlotte Mecklenburg Hospital Authority

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Teresa J Carpenter, NP

  • Nurse Practitioner
  • Charlotte, NC
  • NPI 1275893372
  NPD
• Jessica-Lyn Masterson, MD

  • Medical Oncology Physician
  • Charlotte, NC
  • NPI 1114951860
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371859200000",
    "number": "1043580681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602120",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602120",
            "telephone_number": "704-344-1995",
            "fax_number": "704-644-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 BILLINGSLEY RD",
            "address_2": "SUITE 103",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111046",
            "telephone_number": "704-344-1995",
            "fax_number": "704-344-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLOTTE MECKLENBURG HOSPITAL AUTHORITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHARLOTTE MECKLENBURG HOSPITAL AUTHORITY",
        "enumeration_date": "2012-01-12",
        "last_updated": "2013-06-22",
        "status": "A",
        "authorized_official_last_name": "ACKER",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "980-212-1000"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Medical Oncology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Surgical Oncology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NPB463",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5919395",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Levine Cancer Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charlotte Limb Preservation & Diabetic Foot Center
• Charlotte Limb Preservation & Diabetic Foot Center PLLC
• Charlotte Lung and Health Center
• Charlotte Manor, LLC (Charlotte Manor)
• Charlotte MC LLC (Northlake House)
• Charlotte Mecklenburg Hospital Authority (CMC Rx Morrocroft)
• Charlotte Medical Center
• Charlotte Medical Center
• Charlotte Medical Center PLLC
• Charlotte Medical Clinic

• Medical Oncology Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Medical Oncology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.