Active NPI
Carolinas Physicians Network Inc
Doing business as The Sanger Clinic
- Pediatric Cardiology Physician
- Lenoir, NC
National Provider Identifier
1851616353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- Legal business name
- CAROLINAS PHYSICIANS NETWORK INC
- Doing business as
- The Sanger Clinic
- Practice address
- 3431 Morganton Blvd SW
Lenoir, NC 28645-8628 - Phone
- (704) 373-0212
- Fax
- (704) 342-5871
- NPI assigned
- Mar 29, 2010
- Last updated
- Jun 27, 2013
- Organization subpart
- Yes
- Parent organization
- CAROLINAS PHYSICIANS NETWORK INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniel L Wiens
- Title
- SVP
- Phone
- (704) 355-0648
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Cardiology Physician | 2080P0202X | Primary |
Addresses
Primary practice location
3431 Morganton Blvd SW
Lenoir, NC 28645-8628
Mailing address
PO Box 601067
Charlotte, NC 28260-1067
Phone (704) 373-0212
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5907832 | Medicaid | NC | |
| QPB843 | Medicaid | SC |
Other names 1
- The Sanger Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| 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
National Provider Directory- Part of
- Carolinas Physicians Network Inc
Locations
3431 Morganton Blvd SW
Lenoir, NC 28645
Phone (828) 754-2226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269820800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1372291200000",
"number": "1851616353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 601067",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282601067",
"telephone_number": "704-373-0212",
"fax_number": "704-342-5871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3431 MORGANTON BLVD SW",
"city": "LENOIR",
"state": "NC",
"postal_code": "286458628",
"telephone_number": "704-373-0212",
"fax_number": "704-342-5871"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROLINAS PHYSICIANS NETWORK INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CAROLINAS PHYSICIANS NETWORK INC",
"enumeration_date": "2010-03-29",
"last_updated": "2013-06-27",
"status": "A",
"authorized_official_last_name": "WIENS",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "SVP",
"authorized_official_telephone_number": "704-355-0648"
},
"taxonomies": [
{
"code": "2080P0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Cardiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5907832",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "QPB843",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "The Sanger Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Lenoir, NC
- Carolina Residential Services, Inc
- Carolina Residential Services, Inc.
- Carolina Residential Services, Inc.
- Carolina Residential Services, Inc.
- Carolina's Creative Counseling, PA
- Jan Lail Carroll, M.A., LCMHC
- Joy Diane Carswell, LCAS-A
- Margaret Minton Carswell, LCSW
- Sandra Marie Castle
- Catalyst Pain Institute PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.