# CAROLINAS MEDICAL CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CAROLINAS MEDICAL CENTER
- **Other names:** CMC Pediatric Hematology/Oncology Psych
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1457695454
- **Legal business name:** CAROLINAS MEDICAL CENTER
- **Authorized official:** SCOTT RISSMILLER (ENTERPRISE EVP)
- **Authorized official phone:** (704) 355-8675

## Contact information

- **Practice address:** 1001 BLYTHE BLVD, STE 601A, CHARLOTTE, NC 28203-5866
- **Practice address phone:** (704) 381-9900
- **Mailing address:** PO BOX 19305, CHARLOTTE, NC 28219-9305
- **Mailing address phone:** (704) 631-0002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080P0207X | Pediatric Hematology & Oncology Physician | — | NULL | Yes |
| 2080P0207X | Pediatric Hematology & Oncology Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/15/2012
- **Last updated:** 06/01/2022