Carteret Internal Medicine and Cardiolgy Center, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

200001544139 Issued in NC

Legal business name

CARTERET INTERNAL MEDICINE AND CARDIOLGY CENTER, INC.

Practice address

212 Penny LN
Morehead City, NC 28557-4305

Phone

(252) 247-5426

Fax

(252) 247-0287

NPI assigned

Mar 4, 2008

Last updated

Mar 4, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Chandroth Velandy Purushothaman, MDNPI 1760534275

Title

Dr

Phone

(252) 247-5426

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chandroth Velandy Purushothaman, MD

  • Specialist
  • Morehead City, NC
  • NPI 1760534275
  Authorized official Same address or phone

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1942470182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 PENNY LN",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285574305",
            "telephone_number": "252-247-5426",
            "fax_number": "252-247-0287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 PENNY LN",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285574305",
            "telephone_number": "252-247-5426",
            "fax_number": "252-247-0287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARTERET INTERNAL MEDICINE AND CARDIOLGY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "PURUSHOTHAMAN",
        "authorized_official_first_name": "CHANDROTH",
        "authorized_official_middle_name": "VELANDY",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "252-247-5426",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "200001544139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carteret Family Practice Clinic
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• Carteret General Hospital
• Carteret Landing LLC
• Carteret Medical Associates, PA
• Carteret Medical Group LLC
• Carteret Medical Group LLC (Moore Orthopedics and Sports Medicine)
• Carteret Medical Specialists PLLC

• Specialist in Morehead City, NC
• Providers in Morehead City, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.