Active NPI
Carolina Medical Center, PA
- Family Medicine Physician
- Chadbourn, NC
National Provider Identifier
1447219357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- CAROLINA MEDICAL CENTER, PA
- Practice address
- 102 E 7TH Ave
Chadbourn, NC 28431-1402 - Phone
- (910) 654-6447
- Fax
- (910) 654-1207
- NPI assigned
- Mar 20, 2006
- Last updated
- Nov 9, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Essam S Eskander, M.D.
- Title
- Owner/President
- Phone
- (910) 654-6447
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
102 E 7TH Ave
Chadbourn, NC 28431-1402
Mailing address
102 E 7TH Ave
Chadbourn, NC 28431-1402
Phone (910) 654-6447
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8901868 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
102 E 7th Ave
Chadbourn, NC 28431
Phone (910) 654-3143
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142812800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1194566400000",
"number": "1447219357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 E 7TH AVE",
"city": "CHADBOURN",
"state": "NC",
"postal_code": "284311402",
"telephone_number": "910-654-6447",
"fax_number": "910-654-1207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 E 7TH AVE",
"city": "CHADBOURN",
"state": "NC",
"postal_code": "284311402",
"telephone_number": "910-654-6447",
"fax_number": "910-654-1207"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROLINA MEDICAL CENTER, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-20",
"last_updated": "2007-11-09",
"status": "A",
"authorized_official_last_name": "ESKANDER",
"authorized_official_first_name": "ESSAM",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "910-654-6447",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8901868",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chadbourn, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.