Active NPI
Carolina Healthcare Associates Inc
Doing business as Cape Fear Cancer Specialists
- Hematology (Internal Medicine) Physician
- Leland, NC
National Provider Identifier
1184986572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology (Internal Medicine) Physician
- Legal business name
- CAROLINA HEALTHCARE ASSOCIATES INC
- Doing business as
- Cape Fear Cancer Specialists
- Practice address
- 509 Olde Waterford Way
Leland, NC 28451-4125 - Phone
- (910) 667-3000
- NPI assigned
- Jun 12, 2012
- Last updated
- Jul 16, 2020
- Organization subpart
- Yes
- Parent organization
- CAROLINA HEALTHCARE ASSOCIATES INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniel Goodwin
- Title
- Vice-President
- Phone
- (910) 667-7597
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology (Internal Medicine) Physician | 207RH0000X | Primary | ||
| Hematology & Oncology Physician | 207RH0003X | |||
| Medical Oncology Physician | 207RX0202X |
Addresses
Primary practice location
509 Olde Waterford Way
Leland, NC 28451-4125
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Phone (704) 631-0002
Other practice location 1
5145 S College Rd
Wilmington, NC 28412-2207
Phone (910) 763-5182
Other practice location 2
1960 S 16th St
Wilmington, NC 28401-6676
Phone (910) 763-5182
Other practice location 3
7420 Market St
Wilmington, NC 28411-9453
Phone (910) 763-5182
Other names 1
- Cape Fear Cancer Specialists
National Provider Directory
National Provider Directory- Part of
- Cha Dba Nurse Practitio
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339459200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1594857600000",
"number": "1184986572",
"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": "509 OLDE WATERFORD WAY",
"city": "LELAND",
"state": "NC",
"postal_code": "284514125",
"telephone_number": "910-667-3000"
}
],
"practiceLocations": [
{
"address_1": "5145 S College Rd",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284122207",
"country_code": "US",
"telephone_number": "910-763-5182",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1960 S 16th St",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284016676",
"country_code": "US",
"telephone_number": "910-763-5182",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7420 Market St",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284119453",
"country_code": "US",
"telephone_number": "910-763-5182",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CAROLINA HEALTHCARE ASSOCIATES INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CAROLINA HEALTHCARE ASSOCIATES INC",
"enumeration_date": "2012-06-12",
"last_updated": "2020-07-16",
"status": "A",
"authorized_official_last_name": "GOODWIN",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "VICE-PRESIDENT",
"authorized_official_telephone_number": "910-667-7597"
},
"taxonomies": [
{
"code": "207RH0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RH0003X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology & Oncology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RX0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Medical Oncology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Cape Fear Cancer Specialists",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Cape Fear Cancer Specialists",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Leland, NC
- Cape Fear Diagnostic Imaging, LLC (North Carolina Diagnostic Imaging-Waterford)
- Cape Fear Medical and Respiratory
- Cape Fear Physical Therapy Consultants, LLC
- Maria M Carmichael, LCMHC, LCAS
- Joana Alexandra Carnahan, D.O.
- Carolina Healthcare Associates Inc (Glen Meade Center for Women's Health)
- Carolina Healthcare Associates Inc (Atlantic Urology)
- Carolina Healthcare Associates, Inc. (Urology Comprehensive Services)
- Carolina Healthcare Associates, Inc. (Robert T. Bennett, MD)
- Carolina Healthcare Associates, Inc. (Morgan Internal Medicine)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.