Carolina Cancer Specialists, PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

38973 Issued in NC

Legal business name

CAROLINA CANCER SPECIALISTS, PA

Practice address

600 Hospital Dr
Suite 2
Clyde, NC 28721-8046

Phone

(828) 454-0181

Fax

(828) 454-0584

NPI assigned

Aug 11, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Michael Steven Heller, MD

Title

President

Phone

(828) 454-0181

Specialties & licenses 1

Addresses

Other identifiers 4

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1265434039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 HOSPITAL DR",
            "address_2": "SUITE 2",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287218046",
            "telephone_number": "828-454-0181",
            "fax_number": "828-454-0584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HOSPITAL DR",
            "address_2": "SUITE 2",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287218046",
            "telephone_number": "828-454-0181",
            "fax_number": "828-454-0584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA CANCER SPECIALISTS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-11",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "HELLER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-454-0181",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": "38973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS NC GROUP NUMBER",
            "identifier": "011TH",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "3670294",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89011TH",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "CB3766",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daryn Burgdorf, PT
• Russell Edward Buss, M.D.
• C E Fultz DDS PA
• Brian B Caffrey, M.D.
• Jenny Helms Caldwell, R.PH.
• Carolina Spine & Neurosurgery Center PA
• Kimberly Susan Castano, LCAS, LPC, CCS
• Gianna Marie Catania-Thomas, LCSW, LCAS-A
• Lauren Elizabeth Cates, NCC, LPC-A
• Kristel Whitley Causby, OD

• Specialist in Clyde, NC
• Providers in Clyde, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.