NPIMap

Organization Active NPI

Charlotte Mecklenburg Hospital Authority

Doing business as Levine Cancer Institute

  • Medical Oncology Physician
  • Matthews, NC
National Provider Identifier
1770859126
Registry record updated Jun 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
Legal business name
CHARLOTTE MECKLENBURG HOSPITAL AUTHORITY
Doing business as
Levine Cancer Institute
Practice address
332 Sam Newell Rd
Suite 2000
Matthews, NC 28105-6566
Phone
(704) 302-8500
Fax
(704) 302-8501
NPI assigned
Mar 30, 2012
Last updated
Jun 24, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
CHARLOTTE MECKLENBURG HOSPITAL AUTHORITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 24, 2013

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

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU
Hematology (Internal Medicine) Physician 207RH0000X NU
Medical Oncology Physician 207RX0202X NU Primary
Surgical Oncology Physician 2086X0206X NU

Addresses

Primary practice location

332 Sam Newell Rd
Suite 2000
Matthews, NC 28105-6566

Mailing address

PO Box 602120
Charlotte, NC 28260-2120
Phone (704) 302-8500

Other identifiers 2

IdentifierTypeStateIssuer
NPB470MedicaidSC
5919627MedicaidNC

Other names 1

  • Levine Cancer Institute Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Carolinas Medical Center104 organizations share this tax ID, including this one
Part of
Carolinas Medical Center

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372032000000",
    "number": "1770859126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602120",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602120",
            "telephone_number": "704-302-8500",
            "fax_number": "704-302-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 SAM NEWELL RD",
            "address_2": "SUITE 2000",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281056566",
            "telephone_number": "704-302-8500",
            "fax_number": "704-302-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLOTTE MECKLENBURG HOSPITAL AUTHORITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHARLOTTE MECKLENBURG HOSPITAL AUTHORITY",
        "enumeration_date": "2012-03-30",
        "last_updated": "2013-06-24",
        "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": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NPB470",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5919627",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Levine Cancer Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Matthews, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.

Verify at the official NPI Registry.