Carolinas Physicians Network Inc

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

Legal business name

CAROLINAS PHYSICIANS NETWORK INC

Practice address

925 Thomas St
Suite C
Statesville, NC 28677-3484

Phone

(704) 381-3970

Fax

(704) 381-3951

NPI assigned

Mar 29, 2010

Organization subpart

Yes

Parent organization

CAROLINAS PHYSICIANS NETWORK INCAs reported in NPPES

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

Authorized official

Name

Daniel L Wiens

Title

Senior Vice President

Phone

(704) 355-0648

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Sanger Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Part of

Cotswold Urgent Care

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jaclyn Faith Baker, NP

  • Nurse Practitioner
  • Charlotte, NC
  • NPI 1184108037
  NPD
• Glen Anthony Fandetti, MD

  • Interventional Cardiology Physician
  • Charlotte, NC
  • NPI 1265656094
  NPD
• Lauren Elizabeth Flowe, FNP

  • Family Nurse Practitioner
  • Charlotte, NC
  • NPI 1427414267
  NPD
• Britani Joye Myers, NP

  • Nurse Practitioner
  • Charlotte, NC
  • NPI 1144723628
  NPD
• Dermot Michael Phelan, MD

  • Cardiovascular Disease Physician
  • Charlotte, NC
  • NPI 1750666186
  NPD
• Lucy Neal Rashid, NP

  • Nurse Practitioner
  • Charlotte, NC
  • NPI 1326410770
  NPD
• Jaspal Singh, MD

  • Pulmonary Disease Physician
  • Charlotte, NC
  • NPI 1720010895
  NPD

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

{
    "created_epoch": "1269820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371600000000",
    "number": "1487979985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60122",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600122",
            "telephone_number": "704-381-3970",
            "fax_number": "704-381-3951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 THOMAS ST",
            "address_2": "SUITE C",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286773484",
            "telephone_number": "704-381-3970",
            "fax_number": "704-381-3951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINAS PHYSICIANS NETWORK INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAROLINAS PHYSICIANS NETWORK INC",
        "enumeration_date": "2010-03-29",
        "last_updated": "2013-06-19",
        "status": "A",
        "authorized_official_last_name": "WIENS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "704-355-0648"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5905779",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Sanger Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carolina Residential Services, Inc
• Carolina Residential Services, Inc
• Carolina Specialty Care, PA
• Carolina Specialty Care,PA
• Carolinas Counseling Solutions Inc.
• Maggie Carpenter, BS-NDTR
• Randy Scott Carpenter, MD
• Elizabeth Raven Carrigan, DNP, FNP-C
• Alexandra Karen Carroll, DMD
• Dan E Carroll, D.M.D

• Pediatric Cardiology Physician in Statesville, NC
• Providers in Statesville, NC by specialty
• Pediatric Cardiology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; 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.