LEVINE CANCER INSTITUTE
NPI 1629344940
Surgery - Surgical Oncology in Shelby, NC

NPI Status: Active since March 30, 2012

Contact Information

201 E GROVER ST
SHELBY, NC
ZIP 28150
Phone: (704) 355-9291

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  • Organization
  • Surgery
  • Surgical Oncology
  • Accepts Insurance
  • CLIA Number: 34D2142204
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 01-04-2026

About LEVINE CANCER INSTITUTE

This page provides the complete NPI Profile along with additional information for Levine Cancer Institute, a provider established in Shelby, North Carolina operating as a Surgery, focusing in surgical oncology . The healthcare provider is registered in the NPI registry with number 1629344940 assigned on March 2012. The practitioner's primary taxonomy code is 2086X0206X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Levine Cancer Institute operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Levine Cancer Institute. The authorized official of this NPI record is Scott Rissmiller (Enterprise Evp)

NPI
1629344940
Provider Legal Name
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
Other Organization Name
LEVINE CANCER INSTITUTE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
201 E GROVER ST SHELBY, NC 28150
Location Phone
(704) 355-9291
Mailing Address
PO BOX 19305 CHARLOTTE, NC 28219
Mailing Phone
(704) 631-0002
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
03-30-2012
Last Update Date
03-09-2023
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Surgery Surgical Oncology

Taxonomy Code
2086X0206X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

 
2207RH0000XAllopathic & Osteopathic Physicians

Internal Medicine
Hematology

 
3207RH0003XAllopathic & Osteopathic Physicians

Internal Medicine
Hematology & Oncology

 
4207RX0202XAllopathic & Osteopathic Physicians

Internal Medicine
Medical Oncology

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Clear Silver - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Clear Silver with $0 Insulin Options - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Gold with Atrium Health - HMO
  • Complete Gold with Atrium Health + Vision + Adult Dental - HMO
  • Complete Silver with Atrium Health - HMO
  • Complete Silver with Atrium Health + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Bronze with Atrium Health - HMO
  • Clear Silver - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Blue Advantage Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Bronze Standard | Nationwide Doctors - PPO
  • Blue Advantage Gold Premier | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Gold Standard | Nationwide Doctors - PPO
  • Blue Advantage Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Silver Standard | Nationwide Doctors - PPO
  • Blue Care Bronze Standard | Statewide Doctors - HMO
  • Blue Care Gold Standard | Statewide Doctors - HMO
  • Blue Direction Silver 1 - POS
  • Blue Direction Silver 1 + Adult Vision - POS
  • Blue Direction Silver 2 - POS
  • Blue Direction Standard Gold - POS
  • Blue Direction Standard Silver - POS
  • Blue VirtuConnect Bronze 1 - EPO
  • Blue VirtuConnect Gold 1 - EPO
  • Blue VirtuConnect Silver 1 - EPO
  • BlueEssentials Bronze 4 - EPO
  • BlueEssentials Bronze 6 - EPO
  • InHealth Basic 1 - HMO
  • InHealth Basic 1 + Adult Vision - HMO
  • InHealth Basic 2 - HMO
  • InHealth Basic Plus Standard - HMO
  • InHealth Basic Standard - HMO
  • Standard Expanded Bronze WellCare - PPO
  • Standard Gold WellCare - PPO
  • Standard Silver WellCare - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SCOTT RISSMILLER

Authorized Official Title
ENTERPRISE EVP
Authorized Official Phone
(704) 355-8675

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
34D2142204
Facility Type
Physician Office
Certificate Effective Date
January 05, 2024
Certificate Expiration Date
January 04, 2026
Laboratory Director
STUART BURRI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Levine Cancer Institute to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for LEVINE CANCER INSTITUTE

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1629344940
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
264964898
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 4 + 9 + 6 + 4 + 8 + 9 + 8 + 24 = 80
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1629344940 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1891794392 VICTOR ZUNIGA M.D.
Individual
Emergency Medicine201 E GROVER ST
SHELBY, NC 28150
(704) 480-1087
1952360331 JAMES JOHN BOMBENGER MD
Individual
Specialist201 E GROVER ST
SHELBY, NC 28150
(704) 487-3131
1730149436CLEVELAND COUNTY HEALTHCARE SYSTEM
Organization
Specialist201 E GROVER ST
SHELBY, NC 28150
(800) 513-0025
1164483343 CARLA ANNETTE GIBSON-DETERING FNP
Individual
Nurse Practitioner201 E GROVER ST
SHELBY, NC 28150
(704) 487-3798
1205887080 PAUL M PEINDL MD
Individual
Specialist201 E GROVER ST
SHELBY, NC 28150
(704) 480-1087
1437188109SHELBY PATHOLOGY GROUP PA
Organization
Pathology (Anatomic Pathology & Clinical Pathology)201 E GROVER ST
SHELBY, NC 28150
(704) 487-1955
1043223480DR. JOHNSON H KELLY M.D.
Individual
Urology201 E GROVER ST
SHELBY, NC 28150
(980) 487-4721
1023116712DR. JOHN M BILLINSKY JR. MD
Individual
Psychiatry & Neurology (Psychiatry)201 E GROVER ST
SHELBY, NC 28150
(980) 487-3929
1134229768MR. CHRISTOPHER M HERRING CRNA
Individual
Nurse Anesthetist, Certified Registered201 E GROVER ST
SHELBY, NC 28150
(704) 487-3000
1194815019MS. NANCY ANN HOUGHTELIN CRNA
Individual
Nurse Anesthetist, Certified Registered201 E GROVER ST
SHELBY, NC 28150
(704) 487-3000
1356431290MR. MICHAEL REDDY CRNA
Individual
Nurse Anesthetist, Certified Registered201 E GROVER ST
SHELBY, NC 28150
(704) 487-3000
1013007921MRS. MARTHA BUCHANAN CRNA
Individual
Nurse Anesthetist, Certified Registered201 E GROVER ST
SHELBY, NC 28150
(704) 487-3000
1043300957MR. DALE DAVIS CRNA
Individual
Nurse Anesthetist, Certified Registered201 E GROVER ST
SHELBY, NC 28150
(704) 487-3000
1649360579MR. JOHN M KITTRELL CRNA
Individual
Nurse Anesthetist, Certified Registered201 E GROVER ST
SHELBY, NC 28150
(704) 487-3000
1306936596MR. DAN R SARRATT CRNA
Individual
Nurse Anesthetist, Certified Registered201 E GROVER ST
SHELBY, NC 28150
(980) 487-7447
1689764854MRS. MARY LONG CRNA
Individual
Nurse Anesthetist, Certified Registered201 E GROVER ST
SHELBY, NC 28150
(704) 487-3000
1114017308MR. ALLAN ANDERSON CRNA
Individual
Nurse Anesthetist, Certified Registered201 E GROVER ST
SHELBY, NC 28150
(704) 476-7445
1760565675DR. BRUCE FLITT DO
Individual
Emergency Medicine201 E GROVER ST
SHELBY, NC 28150
(704) 810-0376
1538239355 DEBORAH A SPADA PA-C
Individual
Physician Assistant201 E GROVER ST
SHELBY, NC 28150
(919) 477-5152
1902960214 CAROLYN DENISE WHITE PHARMD
Individual
Pharmacist201 E GROVER ST
SHELBY, NC 28150
(704) 487-3156

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629344940, enumerated in the NPI registry as an "organization" on March 30, 2012

The provider is located at 201 E Grover St Shelby, Nc 28150 and the phone number is (704) 355-9291

This medical organization specializes in Surgery with taxonomy code 2086X0206X with a focus in Surgical Oncology

The provider might be accepting Accepts: Aetna CVS Health, Ambetter from Absolute Total. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 34D2142204 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on March 30, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.