Carolinas Physicians Network Inc
Organization Active NPI Family Medicine Physician · Spencer, NC
NPI 1730319682 · NPPES record last updated Jun 7, 2013
Key facts
- NPI
- 1730319682
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- CAROLINAS PHYSICIANS NETWORK INC
- Practice address
- 300 N Salisbury Ave
Spencer, NC 28159-2514 - Phone
- (704) 633-7070
- Fax
- (704) 633-7627
- NPI assigned
- Jul 24, 2009
- Organization subpart
- Yes
- Parent organization (as reported)
- CAROLINAS PHYSICIANS NETWORK INC
Authorized official
- Name
- Daniel L Wiens
- Title
- Senior Vice President - Operations
- Phone
- (704) 355-0648
Member of 19
Practitioners 5
-
Dimple Ajay Joshi, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031219000455 | NC | Part B Supplier - Clinic/Group Practice | 3375449655 |
Receives reassigned benefits from 1,949 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
- Part of
- Cotswold Urgent Care
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X | NC |
Addresses
Primary practice location
300 N Salisbury Ave
Spencer, NC 28159-2514
Mailing address
PO Box 602120
Charlotte, NC 28260-2120
Phone (704) 633-7070
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7705282 | Other | NC | NC MEDICIAD DME |
| 5950120 | Medicaid | NC |
Other names
- Cabarrus Family Medicine - Rowan I
Other providers in Spencer, NC
- Bethamy Enterprises Inc
- Bethamy Enterprises Inc.
- Jennifer Marie Bishop
- Erin Britton
- Cabarrus Rowan Community Health Centers, Inc.
- Carolinas Physicians Network Inc
- Chisohlm Chukwu II PLLC
- Damon Leshawn Cole
- Compass Healthcare and Rehab Rowan, LLC
- Compass Healthcare and Rehab Rowan, LLC
All providers in Spencer, NC · Family Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.