Carisa M Sutherland
MD | Pediatrics | Female
Carisa M Sutherland, MD is a Charlotte, North Carolina based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Carisa M Sutherland is
231 S Sharon Amity Rd, Charlotte, North Carolina - 28211-2803. She can be contacted on phone at
704-304-6400 and fax number 704-442-7021.
Carisa M Sutherland is a sole proprietor of her business.
NPI number (Unique professional ID) for Carisa M Sutherland is
1639194764 which was assigned by NPPES on 12 Jul, 2006 and it was last updated on 28 Oct, 2020.
Carisa M Sutherland license number is
2007-00120 for Pediatrics (208000000X) in North Carolina.
Carisa M Sutherland is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Carisa M Sutherland basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Carisa M Sutherland |
|---|
| Credential : | MD |
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| Gender : | Female |
|---|
Business Address:
Carisa M Sutherland address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 231 S Sharon Amity Rd
Charlotte, NC, 28211-2803
United States |
|---|
| Phone Number : | 704-304-6400 |
|---|
| Fax Number : | 704-442-7021 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1639194764 |
|---|
| NPI Entity Type : | Individual |
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| First Enrolment Date : | 12 Jul, 2006 |
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| Last Updated On : | 28 Oct, 2020 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Carisa M Sutherland are as mentioned. Primary taxonomy code for Carisa M Sutherland, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 2007-00120 | NC |
| 2080A0000X | Pediatrics Adolescent Medicine | No | 2007-00120 | NC |
| 2080P0204X | Pediatrics Pediatric Emergency Medicine | No | 2007-00120 | NC |
Legacy Identifiers:
Other legacy medical identifiers of Carisa M Sutherland such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1639194764 | MEDICAID | NC | |
| 5906365 | MEDICAID | NC | |
| N0012B | MEDICAID | SC | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | csutherland435831@direct.novanthealth.org
| No affiliation |
|
| 231 S SHARON AMITY RD,
CHARLOTTE, NC, 28211-2803
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 602148
Charlotte, NC, 28260-2148
United States |
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| Phone Number : | 704-304-6400 |
|---|
| Fax Number : | 704-442-7021 |
|---|
Business Location:
Patients can refer following map for directions to
Carisa M Sutherland practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.