Capital Neuroscience PA

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

34520 Issued in NC

Legal business name

CAPITAL NEUROSCIENCE PA

Practice address

3402 Mandy LN
Morehead City, NC 28557-3161

Phone

(252) 726-7705

Fax

(252) 726-7278

NPI assigned

Feb 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. James T Patrick, MD

Title

Director

Phone

(252) 726-7705

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212710400000",
    "number": "1750422929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3402 MANDY LN",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285573161",
            "telephone_number": "252-726-7705",
            "fax_number": "252-726-7703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3402 MANDY LN",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285573161",
            "telephone_number": "252-726-7705",
            "fax_number": "252-726-7278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL NEUROSCIENCE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2008-06-06",
        "status": "A",
        "authorized_official_last_name": "PATRICK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "252-726-7705",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "34520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5909117",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elaine Sharon Cabinum-Foeller, M.D.
• Carrie Ann Cacchione, LPC/ NCC
• Cas Michael Cader, M.D.
• Sydney Elizabeth Cain, LCMHCA
• Garlon L Campbell Jr., MD
• Antonio Miguel Carbonell, MD
• Carolina Age Rejuvenation Clinic
• Carolina Age Rejuvenation Clinic LLC
• Carolina Age Rejuvenation Clinics PC
• Carolina Case Management, Inc.

• Neurology Physician in Morehead City, NC
• Providers in Morehead City, NC by specialty
• Neurology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; 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.