CAROLINAS CANCER CARE – NPI #1740590074
Internal Medicine

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

CAROLINAS CANCER CARE is a provider located in CHARLOTTE, NC. NPPES has assigned the NPI number 1740590074 to CAROLINAS CANCER CARE on October 20, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CAROLINAS CANCER CARE” is a dba name, the actual legal business name for this organization is CAROLINAS PHYSICIANS NETWORK INC. The primary taxonomy selected by this provider is 207RH0003X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Hematology & Oncology

The NPI profile was previously updated about 10 years ago on Aug 09, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CAROLINAS CANCER CARE below.

NPI Profile for
CAROLINAS PHYSICIANS NETWORK INC

NPI Number
1740590074
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CAROLINAS PHYSICIANS NETWORK INC
Doing Business As (dba): CAROLINAS CANCER CARE
Primary location
411 BILLINGSLEY RD
SUITE 103
CHARLOTTE, NC 28211-1046
Phone: (704) 344-1995 Fax: (704) 344-1705
Mailing address
PO BOX 602148
CHARLOTTE, NC 28260-2148
Phone: (704) 344-1995 Fax: (704) 344-1705
Organization Subpart
Yes - CAROLINAS CANCER CARE is subpart of another organization.
Authorized Official
THOMAS LAYMON
SENIOR VICE PRESIDENT
Phone: (704) 631-0002
Updated
Identifiers

Identifiers for CAROLINAS CANCER CARE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNC5916086
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RH0003X
- Internal Medicine / Hematology & Oncology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.