MEDICARE: CAROLINA PULMONARY AND COMPREHENSIVE SLEEP CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RS0012X	Sleep Medicine (Internal Medicine) Physician		NC
2	207R00000X	Internal Medicine Physician		NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
6	DC1836	OTHER	NC	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1770671950	OTHER	NC	DR. MICHAEL DEARMENT
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	1962590166	OTHER	NC	DR. STEPHEN GRINTON
4	O16CG	OTHER	NC	BCBS
5	1093804999	OTHER	NC	DR. FREDERICK ZELLER

General Provider Information

NPI Number	:	1700958238
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAROLINA PULMONARY AND COMPREHENSIVE SLEEP CENTER

Provider Business Mailing Address
First Line	:	1198 WYKE RD
Second Line	:
City	:	SHELBY
State	:	NC
Zip	:	28150-4259
Country	:	US
Telephone Number	:	704-487-5337
Fax Number	:	704-487-7584

Provider Business Practice Location Address
First Line	:	1198 WYKE RD
Second Line	:
City	:	SHELBY
State	:	NC
Zip	:	28150-4259
Country	:	US
Telephone Number	:	704-487-5337
Fax Number	:	704-487-7584

Authorized Official
Title or Position	:	MANAGING PARTNER
Name	:	DR. FREDERICK A ZELLER
Credential	:	M.D.
Telephone Number	:	704-487-5337

Provider Enumeration Date	:	11/13/2006
Last Update Date	:	07/21/2022

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Directions to “CAROLINA PULMONARY AND COMPREHENSIVE SLEEP CENTER ” Practice Location

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