Dr Carroll Paul Shivers Jr, MD | |
1000 Blythe Blvd, Charlotte, NC 28203-5812 | |
(704) 355-2000 | |
Not Available |
Full Name | Dr Carroll Paul Shivers Jr |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 30 Years |
Location | 1000 Blythe Blvd, Charlotte, North Carolina |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699753160 | NPI | - | NPPES |
891162G | Medicaid | NC | |
P00893113 | Other | SC | RAILROAD-MEDICARE |
P00906978 | Other | NC | RAILROAD-MEDICARE |
28622 | Other | SC | MEDICAL LICENSE |
1162G | Other | NC | BCBSNC |
286229 | Medicaid | SC | |
010090547 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 0101054441 (Virginia) | Secondary |
207L00000X | Anesthesiology | 28622 (South Carolina) | Secondary |
207L00000X | Anesthesiology | 28622 (North Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
East Carolina Anesthesia Associates Pllc | 5092720813 | 473 |
Entity Name | American Anesthesiology Of North Carolina Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033412267 PECOS PAC ID: 2961316450 Enrollment ID: O20031118000860 |
Entity Name | Southeast Anesthesiology Consultants Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538124201 PECOS PAC ID: 7719959873 Enrollment ID: O20040809001398 |
Entity Name | East Carolina Anesthesia Associates Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205996519 PECOS PAC ID: 5092720813 Enrollment ID: O20060215000791 |
Entity Name | Medstream Anesthesia Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20140304001209 |
Entity Name | Chs Anesthesia Services Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346649415 PECOS PAC ID: 5799007324 Enrollment ID: O20141209001856 |
Mailing Address | Practice Location Address |
---|---|
Dr Carroll Paul Shivers Jr, MD 927 East Blvd, Charlotte, NC 28203-5203 Ph: (704) 377-5772 | Dr Carroll Paul Shivers Jr, MD 1000 Blythe Blvd, Charlotte, NC 28203-5812 Ph: (704) 355-2000 |
Michael J Mcnelis, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 200 Providence Rd, Suite 101, Charlotte, NC 28207 Phone: 704-749-5800 Fax: 704-749-5819 | |
Dr. Bernard Velardo, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2000 | |
Dr. Richard Ralph Pagano, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 10628 Park Rd, Charlotte, NC 28210 Phone: 704-667-1000 | |
Dr. Kevin Todd Cortese, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2000 | |
Stephanie Francis Newby, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 501 Billingsley Rd, Ste B, Charlotte, NC 28211 Phone: 704-444-2400 | |
Kelly Comolli Wilson, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 3735 Glenlake Dr Ste 250, Charlotte, NC 28208 Phone: 704-749-5800 | |
Norman A Holmes, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 200 Providence Rd, Suite 101, Charlotte, NC 28207 Phone: 704-749-5800 Fax: 704-749-5819 |