Active NPI
Carolina Healthcare Associates,Inc.
- Internal Medicine Physician
- Wilmington, NC
National Provider Identifier
1649238486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- CAROLINA HEALTHCARE ASSOCIATES,INC.
- Practice address
- 2131 S 17TH St
Wilmington, NC 28401-7407 - Phone
- (910) 343-7000
- Fax
- (910) 772-9452
- NPI assigned
- May 2, 2006
- 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
- Debra P O'Neill
- Title
- PFS Director
- Phone
- (910) 815-5228
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | |||
| Internal Medicine Physician | 207R00000X | Primary | ||
| Hematology & Oncology Physician | 207RH0003X | |||
| Neurology Physician | 2084N0400X | |||
| Psychiatry Physician | 2084P0800X |
Addresses
Primary practice location
2131 S 17TH St
Wilmington, NC 28401-7407
Mailing address
2218 S 17TH St
Wilmington, NC 28401-7515
Phone (910) 343-7000
National Provider Directory
National Provider DirectoryLocations
2218 S 17th St
Wilmington, NC 28401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1358294400000",
"number": "1649238486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2218 S 17TH ST",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017515",
"telephone_number": "910-343-7000",
"fax_number": "910-772-9452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2131 S 17TH ST",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017407",
"telephone_number": "910-343-7000",
"fax_number": "910-772-9452"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROLINA HEALTHCARE ASSOCIATES,INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-02",
"last_updated": "2013-01-16",
"status": "A",
"authorized_official_last_name": "O'NEILL",
"authorized_official_first_name": "DEBRA",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PFS DIRECTOR",
"authorized_official_telephone_number": "910-815-5228"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RH0003X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology & Oncology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
- Carolina Healthcare Associates, Inc.
- Carolina Healthcare Associates, Inc.
- Carolina Healthcare Associates, Inc.
- Carolina Healthcare Associates, Inc.
- Carolina Healthcare Associates, Inc.
- Carolina Joint and Arthritis Clinic
- Carolina Medical Specialties, Inc.
- Carolina Medical Specialties, Inc.
- Carolina Mobile Transport LLC
- Carolina Mobility & Seating, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.