Carolinas Physicians Network Inc

Primary specialty

Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X

Legal business name

CAROLINAS PHYSICIANS NETWORK INC

Doing business as

Carolinas Integrative Health

Practice address

1408 East Blvd Ste B
Charlotte, NC 28203-5875

Phone

(704) 355-9355

Fax

(704) 446-2790

NPI assigned

Feb 8, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Daniel L Wiens

Title

Sr. Vice President - Operations

Phone

(704) 355-7600

Specialties & licenses 1

Addresses

Other names 1

• Carolinas Integrative Health Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396886099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 EAST BLVD STE B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035875",
            "telephone_number": "704-355-9355",
            "fax_number": "704-446-2790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 EAST BLVD STE B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035875",
            "telephone_number": "704-355-9355",
            "fax_number": "704-446-2790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINAS PHYSICIANS NETWORK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WIENS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SR. VICE PRESIDENT - OPERATIONS",
        "authorized_official_telephone_number": "704-355-7600"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolinas Integrative Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carolinas Physicians Network Inc (Atrium Health Levine Children's Physical, Occupational & Speech Therapy)
• Carolinas Physicians Network Inc (Atrium Health Urgent Care)
• Carolinas Physicians Network Inc (Carolinas Healthcare On-site)
• Carolinas Physicians Network Inc (Atrium Health Urgent Care)
• Carolinas Physicians Network Inc (Atrium Health Musculoskeletal Institute Orthopedics & Sports Medicine)
• Carolinas Physicians Network Inc (Atrium Health Neurology Kenilworth)
• Carolinas Physicians Network Inc (Atrium Health Senior Care)
• Carolinas Physicians Network Inc (The Sanger Clinic)
• Carolinas Physicians Network Inc (Atrium Health Urgent Care)
• Carolinas Physicians Network Inc (Atrium Health Diabetes Prevention)

• Preventive Medicine/Occupational Environmental Medicine Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Preventive Medicine/Occupational Environmental Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.