Carolina Healthcare Associates, Inc.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

CAROLINA HEALTHCARE ASSOCIATES, INC.

Practice address

14057 Hwy 17 N
Suite 130B
Hampstead, NC 28443-3791

Phone

(910) 362-8765

Fax

(910) 362-9123

NPI assigned

Sep 8, 2009

Organization subpart

Yes

Parent organization

CAROLINA HEALTHCARE ASSOCIATES, INC.As reported in NPPES

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

Authorized official

Name

Mr. Daniel Wiens

Title

Senior Vice President

Phone

(704) 355-0648

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Atlantic Urology Doing business as

Part of

Carolina Healthcare Assoc

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

{
    "created_epoch": "1252368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265846400000",
    "number": "1366775421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602297",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14057 HWY 17 N",
            "address_2": "SUITE 130B",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284433791",
            "telephone_number": "910-362-8765",
            "fax_number": "910-362-9123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA HEALTHCARE ASSOCIATES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAROLINA HEALTHCARE ASSOCIATES, INC.",
        "enumeration_date": "2009-09-08",
        "last_updated": "2010-02-11",
        "status": "A",
        "authorized_official_last_name": "WIENS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "704-355-0648",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5913025",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlantic Urology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Luke Cain
• Patti Leigh Cain, LCSW; LCAS
• Jessica Canaan, PA-C
• Canvas ABA, LLC
• Carolina Healthcare Associates, Inc.
• Tracy Lynette Carr-Marcel, M.S. CCC-SLP
• Michael Bryan Caveness, M.D.
• Charles J. Schein D.D.S., PA
• Timothy Chen, DDS
• Michael Louis Cherubini, D.D.S., M.S.

• Urology Physician in Hampstead, NC
• Providers in Hampstead, NC by specialty
• Urology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2010; 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.