Provider Demographics
NPI:1700958238
Name:CAROLINA PULMONARY AND COMPREHENSIVE SLEEP CENTER
Entity Type:Organization
Organization Name:CAROLINA PULMONARY AND COMPREHENSIVE SLEEP CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FREDERICK
Authorized Official - Middle Name:A
Authorized Official - Last Name:ZELLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:704-487-5337
Mailing Address - Street 1:1198 WYKE RD
Mailing Address - Street 2:
Mailing Address - City:SHELBY
Mailing Address - State:NC
Mailing Address - Zip Code:28150-4259
Mailing Address - Country:US
Mailing Address - Phone:704-487-5337
Mailing Address - Fax:704-487-7584
Practice Address - Street 1:1198 WYKE RD
Practice Address - Street 2:
Practice Address - City:SHELBY
Practice Address - State:NC
Practice Address - Zip Code:28150-4259
Practice Address - Country:US
Practice Address - Phone:704-487-5337
Practice Address - Fax:704-487-7584
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC207R00000X, 207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1770671950OtherDR. MICHAEL DEARMENT
NC5904092Medicaid
NC1962590166OtherDR. STEPHEN GRINTON
NCO16CGOtherBCBS
NC1093804999OtherDR. FREDERICK ZELLER
NCDC1836OtherRAILROAD MEDICARE
NC=========OtherUNITED HEALTHCARE
NC=========OtherCIGNA
NC=========OtherWELLPATH
NC1770671950OtherDR. MICHAEL DEARMENT
NC1962590166OtherDR. STEPHEN GRINTON
NC=========OtherAETNA
NC=========OtherGREAT WEST
NC=========OtherTRICARE
NCDC1836OtherRAILROAD MEDICARE
NC=========OtherPRIMARY PHYSICIAN
NC=========OtherHEALTHCARE SAVINGS
NC2337371Medicare PIN