Mid-Carolina Neurology, P.a.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

9500908 Issued in NC

Legal business name

MID-CAROLINA NEUROLOGY, P.A.

Practice address

1423 E Franklin St
Suite a
Monroe, NC 28112-5266

Phone

(704) 291-2500

Fax

(704) 291-2501

NPI assigned

Jul 22, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Sarise Freiman

Title

President

Phone

(704) 291-2500

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244160000000",
    "number": "1184889941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 E FRANKLIN ST",
            "address_2": "SUITE A",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281125266",
            "telephone_number": "704-291-2500",
            "fax_number": "704-291-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 E FRANKLIN ST",
            "address_2": "SUITE A",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281125266",
            "telephone_number": "704-291-2500",
            "fax_number": "704-291-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-CAROLINA NEUROLOGY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-22",
        "last_updated": "2009-06-05",
        "status": "A",
        "authorized_official_last_name": "FREIMAN",
        "authorized_official_first_name": "SARISE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-291-2500",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "9500908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC BCBS",
            "identifier": "33910",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8933910",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Neurology Physician in Monroe, NC
• Providers in Monroe, NC by specialty
• Neurology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.