Organization · Type 2 NPI

The Charlotte-Mecklenburg Hospital Authority

Surgical Oncology Physician · Charlotte, NC

NPI number 1114293495 Active

Practice location

4525 Cameron Valley Pkwy, Ste 3500
Charlotte, NC 28211-4369

Call (704) 302-8300 Map

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Specialties and licenses

Taxonomy	Code	License
Internal Medicine Physician	207R00000X	None listed
Hematology (Internal Medicine) Physician	207RH0000X	None listed
Hematology & Oncology Physician	207RH0003X	None listed
Medical Oncology Physician	207RX0202X	None listed
Surgical Oncology Physician Primary	2086X0206X	None listed

Surgical Oncology Physician: A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

120 other providers at this address

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NPI record

NPI: 1114293495
Entity type: Organization (Type 2)
Issued: Mar 30, 2012
Last updated: Mar 9, 2023
Status: Active
Subpart: Yes of The Charlotte-Mecklenburg Hospital Authority

Other names

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Levine Cancer Institute · doing business as
Levine Cancer Institute · doing business as

Authorized official

Scott Rissmiller
Enterprise EVP
(704) 355-8675

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1114293495

The Charlotte-Mecklenburg Hospital Authority's National Provider Identifier is 1114293495, issued on Mar 30, 2012. The primary taxonomy on file is Surgical Oncology Physician (2086X0206X), and the practice location is in Charlotte, NC. The record was last updated on Mar 9, 2023.