The Charlotte-Mecklenburg Hospital Authority

Primary specialty

Medical Oncology PhysicianTaxonomy code 207RX0202X

Legal business name

THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY

Doing business as

Levine Cancer Institute

Practice address

225 S Herlong Ave
Suite 201
Rock Hill, SC 29732-2730

Phone

(803) 329-9088

Fax

(803) 329-9075

NPI assigned

Jan 12, 2012

Last updated

Jan 22, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

CHARLOTTE MECKLENBURG HOSPITAL AUTHORITYAs reported in NPPES

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

Authorized official

Name

Peter Acker

Title

Administrator

Phone

(980) 212-1000

Specialties & licenses 4

Addresses

Other names 1

• Levine Cancer Institute Doing business as

Tax ID family

Charlotte Mecklenburg Hospital Authority104 organizations share this tax ID, including this one

Part of

Charlotte Mecklenburg Hospital Authority

Locations

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

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548115200000",
    "number": "1447520093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602457",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602457",
            "telephone_number": "704-512-4808",
            "fax_number": "704-512-4838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 S HERLONG AVE",
            "address_2": "SUITE 201",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297322730",
            "telephone_number": "803-329-9088",
            "fax_number": "803-329-9075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHARLOTTE MECKLENBURG HOSPITAL AUTHORITY",
        "enumeration_date": "2012-01-12",
        "last_updated": "2019-01-22",
        "status": "A",
        "authorized_official_last_name": "ACKER",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "980-212-1000"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Medical Oncology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Surgical Oncology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Levine Cancer Institute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Levine Cancer Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Medical Oncology Physician in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• Medical Oncology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; 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.