Caldwell Memorial Hospital, Inc
Organization Active NPI Orthopaedic Surgery Physician · Lenoir, NC
NPI 1811516446 · NPPES record last updated Jan 21, 2025
Key facts
- NPI
- 1811516446
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- Legal business name
- CALDWELL MEMORIAL HOSPITAL, INC
- Practice address
- 401 Mulberry St SW Ste 102
Lenoir, NC 28645-5463 - Phone
- (828) 757-6434
- NPI assigned
- Apr 14, 2020
- Organization subpart
- No
Authorized official
- Name
- Karen Shadowens
- Title
- Cfo
- Phone
- (336) 627-8512
Other NPIs on the same Medicare enrollment 26
Practitioners 9
-
Annie Deal, FNP-C
-
Philip Ross Jenkins, DPM
-
Katie Lawson McMinn, PA-C
-
Jason Patrick Norcross, M.D.
-
Evan Michael Vitiello, M.D.
-
Jeeshan Ali Faridi, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040116000355 | NC | Part B Supplier - Clinic/Group Practice | 5395646970 |
Receives reassigned benefits from 325 practitioners 26 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Lenoir, NC; Chapel Hill, NC; Blowing Rock, NC; Granite Falls, NC; Hickory, NC; Hudson, NC |
National Provider Directory
Locations
401 Mulberry St SW
Lenoir, NC 28645
Phone (704) 254-2464
401 Mulberry St SW
Ste 102
Lenoir, NC 28645
Phone (828) 757-6434
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician |
207X00000X | Yes |
Addresses
Primary practice location
401 Mulberry St SW Ste 102
Lenoir, NC 28645-5463
Mailing address
321 Mulberry St SW
Lenoir, NC 28645-5720
Phone (828) 757-5965
Other names
- UNC Ortho
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
Other providers in Lenoir, NC
- Caldwell Memorial Hospital, Inc
- Caldwell Memorial Hospital, Inc
- Caldwell Memorial Hospital, Inc
- Caldwell Memorial Hospital, Inc
- Caldwell Memorial Hospital, Inc
- Caldwell Memorial Hospital, Inc
- Caldwell Memorial Hospital, Inc.
- Caldwell Memorial Hospital, Inc.
- Caldwell Memorial Hospital, Inc.
- Caldwell Memorial Hospital, Inc.
All providers in Lenoir, NC · Orthopaedic Surgery 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 Jan 21, 2025. 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.