Active NPI
The Charlotte-Mecklenburg Hospital Authority
Doing business as LCI RSF Tumor and Spine Clinic
- Hematology & Oncology Physician
- Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- Legal business name
- THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
- Doing business as
- LCI RSF Tumor and Spine Clinic
- Practice address
- 2085 Henry Tecklenburg Dr
Suite 320
Charleston, SC 29414-7710 - Phone
- (864) 724-1912
- NPI assigned
- Sep 9, 2013
- Last updated
- Sep 19, 2019
- Organization subpart
- Yes
- Parent organization
- THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas Laymon
- Title
- Senior Vice President
- Phone
- (704) 446-8250
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Hematology (Internal Medicine) Physician | 207RH0000X | |||
| Hematology & Oncology Physician | 207RH0003X | Primary | ||
| Medical Oncology Physician | 207RX0202X |
Addresses
Primary practice location
2085 Henry Tecklenburg Dr
Suite 320
Charleston, SC 29414-7710
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Phone (704) 631-0002
Other names 1
- LCI RSF Tumor and Spine Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120913000839 | SC | Part B Supplier - Clinic/Group Practice | 2961310685 |
Receives reassigned benefits from 14 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Rock Hill, SC |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Levine Cancer Institute
- Internal Medicine Physician
- Rock Hill, SC
- NPI 1306269691
O20120913000839
-
dba Levine Cancer Institute
- Medical Oncology Physician
- Indian Land, SC
- NPI 1669738829
O20120913000839
National Provider Directory
National Provider Directory- Part of
- Carolinas Medical Center
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Surgery Physician
- Charlotte, NC
- NPI 1124098298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378684800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1568851200000",
"number": "1174958227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19305",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282199305",
"telephone_number": "704-631-0002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2085 HENRY TECKLENBURG DR",
"address_2": "SUITE 320",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294147710",
"telephone_number": "864-724-1912"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY",
"enumeration_date": "2013-09-09",
"last_updated": "2019-09-19",
"status": "A",
"authorized_official_last_name": "LAYMON",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
"authorized_official_telephone_number": "704-446-8250"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RH0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "LCI RSF Tumor and Spine Clinic",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "LCI RSF Tumor and Spine Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; 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.