Organization Active NPI

Carolina Medical Center, PA

  • Family Medicine Physician
  • Chadbourn, NC
National Provider Identifier
1447219357
Registry record updated Nov 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2007

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8901868MedicaidNC

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.