Carolinas Physicians Network Inc

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

Legal business name

CAROLINAS PHYSICIANS NETWORK INC

Doing business as

Carolinas Cancer Associates

Practice address

1650 Faulk St
Suite a
Monroe, NC 28112-5263

Phone

(704) 290-0444

Fax

(704) 290-0445

NPI assigned

Dec 11, 2007

Last updated

Apr 7, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

CAROLINAS PHYSICIANS NETWORK INCAs reported in NPPES

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

Authorized official

Name

Daniel L Wiens

Title

Senior Vice President

Phone

(704) 355-0648

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Carolinas Cancer Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Part of

Carolinas Physicians Network Inc

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Earle Frederik Burgess III, MD

  • Hematology (Internal Medicine) Physician
  • Charlotte, NC
  • NPI 1194872044

  Hematology & Oncology

  NPD (past)
• Tara B Greer, ANP

  • Family Nurse Practitioner
  • Monroe, NC
  • NPI 1508019100
  NPD (past)

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207526400000",
    "number": "1174706394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601058",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282601058",
            "telephone_number": "704-290-0444",
            "fax_number": "704-290-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 FAULK ST",
            "address_2": "SUITE A",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281125263",
            "telephone_number": "704-290-0444",
            "fax_number": "704-290-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINAS PHYSICIANS NETWORK INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAROLINAS PHYSICIANS NETWORK INC",
        "enumeration_date": "2007-12-11",
        "last_updated": "2008-04-07",
        "status": "A",
        "authorized_official_last_name": "WIENS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "704-355-0648"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5908741",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NPB260",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "019UC",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolinas Cancer Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carolinas Medical Center-Northeast (NorthEast Neurology-Union)
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• Carolinas Physicians Network Inc (Union Breast Surgery Specialists)
• Carolinas Physicians Network Inc (Carolinas Palliative Care and Hospice Group)
• Carolinas Physicians Network Inc (Union Medical Associates)
• Carolinas Physicians Network Inc (Atrium Health Women's Care Union OB/GYN)
• Carolinas Physicians Network Inc (Atrium Health General Surgery)
• Carolinas Physicians Network Inc (Carolinas On Site Care Employer Based Clinics)
• Carolinas Physicians Network Inc (Carolinas Palliative Care and Hospice Group)
• Carolinas Physicians Network Inc (Carolinas Hospitalist Group - Union)

• Hematology & Oncology Physician in Monroe, NC
• Providers in Monroe, NC by specialty
• Hematology & Oncology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2008; 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.