Carolinas Physicians Network Inc

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

CAROLINAS PHYSICIANS NETWORK INC

Practice address

215 S Main St
Mount Holly, NC 28120-1620

Phone

(704) 822-3605

Fax

(704) 827-0479

NPI assigned

Mar 27, 2010

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 Operations

Phone

(704) 355-0648

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• The Sanger Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Part of

Cotswold Urgent Care

Practitioners 3

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

• Cristen Brearey

  • Nurse Practitioner
  • Charlotte, NC
  • NPI 1063742401
  NPD
• Nicholas Bernard Sliz Jr., MD

  • Pediatric Cardiology Physician
  • Charlotte, NC
  • NPI 1801806344

  Cardiovascular Disease

  NPD
• Medhat William Takla, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Concord, NC
  • NPI 1073697991
  NPD

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

{
    "created_epoch": "1269648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371600000000",
    "number": "1194040642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60122",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600122",
            "telephone_number": "704-822-3605",
            "fax_number": "704-827-0479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 S MAIN ST",
            "city": "MOUNT HOLLY",
            "state": "NC",
            "postal_code": "281201620",
            "telephone_number": "704-822-3605",
            "fax_number": "704-827-0479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINAS PHYSICIANS NETWORK INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAROLINAS PHYSICIANS NETWORK INC",
        "enumeration_date": "2010-03-27",
        "last_updated": "2013-06-19",
        "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 OPERATIONS",
        "authorized_official_telephone_number": "704-355-0648"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5902282",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NPB111",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Sanger Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Barbara J Brown, LCSW, RDT
• Kelly Justin Busher, LCSWA, PSS, QP
• Nicole M Cady, RD, LDN, CNSC
• Carolina Family Spine Center, PC
• Carolina Speech Academy, PLLC
• Caromont Medical Group Inc
• Kelly L. Carpenter, LCSW
• Tomas F Chao, LAT, ATC
• Charleys Drugs & Sundries Inc
• Ashley Chidester

• Cardiovascular Disease Physician in Mount Holly, NC
• Providers in Mount Holly, NC by specialty
• Cardiovascular Disease Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.