CAROLINAS MEDICAL CENTER-NORTHEAST


Address: 340 Jake Alexander Blvd W, Suite B, Salisbury, NC 28147-1364
Phone: 7044032777

CAROLINAS MEDICAL CENTER-NORTHEAST (NPI# 1003161555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003161555
Entity Type Organization
Organization Name CAROLINAS MEDICAL CENTER-NORTHEAST
Other Organization Name NORTHEAST DERMATOLOGY-SALISBURY
Practice Address 340 Jake Alexander Blvd W
Suite B
Salisbury
NC 28147-1364
Practice Telephone 7044032777
Practice Fax Number 7044032779
Mailing Telephone 7044032777
Mailing Fax Number 7044032779
Enumeration Date 2012-07-20
Last Update Date 2012-10-19
Authorized Official Name FRIEDA MILLER LOWDER (SR VICE PRESIDENT)
Authorized Official Telephone 7044034146
Is Organization Subpart Y
Parent Organization Name CAROLINAS MEDICAL CENTER-NORTHEAST

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NC 5921378 05
NC MEDICARE PTAN, GROUP 232009 01

Other Provider/Organization Names

Other Name Type Code
NorthEast Dermatology-Salisbury Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1306181128 Carolinas Medical Center-northeast Obstetrics & Gynecology 10030 Edison Square Dr, 100-a, Concord, NC 28027-8252 2012-12-05
1518237825 Carolinas Medical Center-northeast Dermatology 200 Medical Park Drive, Suite 320, Concord, NC 28025-0936 2012-01-03
1912286410 Carolinas Medical Center-northeast Pediatrics 101 East W T Harris Blvd, Bldg 3000, Suite 3301e, Charlotte, NC 28262-7000 2011-08-15
1386683472 Carolinas Medical Center-northeast Internal Medicine 1085 Northeast Gateway Court, Ne, Suite 330, Concord, NC 28025-2406 2006-06-05
1487600813 Carolinas Medical Center-northeast Internal Medicine 1085 Northeast Gateway Ct, Ne, Suite 200-a, Concord, NC 28025-2412 2006-05-26
1154769636 Carolinas Medical Center-northeast Psychiatry & Neurology 600 Hospital Dr, Suite A, Monroe, NC 28112-6000 2013-06-06
1376989061 Carolinas Medical Center-northeast Pediatrics 9625 Northcross Center Ct, Suite 102-g, Huntersville, NC 28078-7348 2013-05-21
1407299795 Carolinas Medical Center-northeast Internal Medicine 101 E Wt Harris Blvd, Bldg 3000, Suite 3301-g, Charlotte, NC 28262-7000 2013-04-17
1053754341 Carolinas Medical Center-northeast Internal Medicine 101 E Wt Harris Blvd, Bldg 3000, Suite 3301-f, Charlotte, NC 28262-7000 2013-04-17
1770821035 Carolinas Medical Center-northeast Psychiatry & Neurology 101 E W T Harris Blvd, Ste 5202, Charlotte, NC 28262-3443 2013-01-22

Office Location

Street Address 340 JAKE ALEXANDER BLVD W
SUITE B
City SALISBURY
State NC
Zip Code 28147-1364

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417977349 Hal Armistead Family Medicine 340 Jake Alexander Blvd W, Ste 105, Salisbury, NC 28147-1364 2006-07-21
1093280927 George Murphy Nurse Practitioner 340 Jake Alexander Blvd W, Ste 105, Salisbury, NC 28147-1364 2018-10-08
1043719610 The Charlotte-mecklenburg Hospital Authority Orthopaedic Surgery 340 Jake Alexander Blvd W, Ste 101, Salisbury, NC 28147-1364 2018-02-08
1053703785 Ashley Hicks Physician Assistant 340 Jake Alexander Blvd W, Ste 105, Salisbury, NC 28147-1364 2015-03-04
1609290741 Eric Komar Physician Assistant 340 Jake Alexander Blvd W, Suite 105, Salisbury, NC 28147-1364 2014-02-10
1508294331 Carolinas Physicians Network, Inc. Internal Medicine 340 Jake Alexander Blvd W, Salisbury, NC 28147-1364 2013-10-14
1184051542 The Charlotte-mecklenburg Hospital Authority Internal Medicine 340 Jake Alexander Blvd W, Salisbury, NC 28147-1364 2013-10-01
1497182984 The Charlotte-mecklenburg Hospital Authority Dermatology 340 Jake Alexander Blvd W, Ste 101, Salisbury, NC 28147-1364 2013-09-30
1346677929 The Charlotte-mecklenburg Hospital Authority Internal Medicine 340 Jake Alexander Blvd W, Ste C, Salisbury, NC 28147-1364 2013-09-27
1073867594 Carolinas Medical Center-northeast Internal Medicine 340 Jake Alexander Blvd W, Suite C, Salisbury, NC 28147-1364 2012-11-06
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700397908 The Young Men's Christian Association of Rowan County, N.c., Inc. Health Educator 828 Jake Alexander Blvd., West, Salisbury, NC 28147 2017-10-16
1417490202 Angels At Heart Assisted Living PACE Provider Organization 140 Kent Road, Salisbury, NC 28147 2016-11-28
1780047316 Lugina Dumas Counselor 1100 Litaker Farm Road, Salisbury, NC 28147 2016-03-31
1689054777 Travis Howell Occupational Therapist 548 White Oak Drive, Apt 310, Salisbury, NC 28147 2015-06-03
1790115384 Urgent Cares of America North Carolina Inc Non-Pharmacy Dispensing Site 1361 Klumac Road, Salisbury, NC 28147 2013-11-18
1336499409 Ashley Elizabeth Jones Speech-Language Pathologist 701julian Road, Salisbury, NC 28147 2012-09-14
1730489360 Shepherd's Home Care Home Health 1953 W Jake Alexander Blvd, 2, Salisbury, NC 28147 2010-10-29
1346369006 Denise Murphy Occupational Therapist 548 White Oaks Dr, Salisbury, NC 28147 2007-03-27
1205992203 Robert N Whitaker Jr Md Pa Otolaryngology 330 Jake Alexander Blvd West Suite 101, Salisbury, NC 28147 2006-12-28
1720174162 Michael Steven Binder Chiropractor 2124 Statesville Blvd, Salisbury, NC 28147 2006-10-05
Find all providers in zip 28147

Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033259320 Philip Anthony Eaton Dermatology 203 Mocksville Ave, Suite B, Salisbury, NC 28144-3359 2007-02-07
1477558591 Thomas Nelson Berry Dermatology 1300 S Division St, Salisbury, MD 21804-6937 2005-06-15
1497182984 The Charlotte-mecklenburg Hospital Authority Dermatology 340 Jake Alexander Blvd W, Ste 101, Salisbury, NC 28147-1364 2013-09-30

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1043811128 Foothills Family Dermatology Dermatology 118 North Sterling St, Morganton, NC 28655 2020-11-04
1316556871 Easterm Dermatology, Pa Dermatology 1840 Nc Hwy 24, Newport, NC 28570 2020-07-30
1548878549 Clara Dermatology Dermatology 7250 O'kelly Chapel Road, Suite 100, Cary, NC 27519 2020-07-16
1841837507 Southeast Vulvar Clinic, Pllc Dermatology 6406 Carmel Road, Suite 309, Charlotte, NC 28226 2019-12-02
1205481009 Novant Medical Group Inc Dermatology 6324 Fairview Rd # 200, Charlotte, NC 28210-3271 2019-08-08
1073172433 Elaine Otchere Dermatology M145 Green Zone Duke South 40 Duke Medicine Circle, Durham, NC 27710-8267 2019-06-10
1902469570 Falling Leaves Dermatology Mooresville LLC Dermatology 136 Corporate Park Dr Ste H, Mooresville, NC 28117-6960 2019-04-18
1669945259 Claire Engel Holmquist Dermatology 11301 Golf Links Dr N Ste 203, Charlotte, NC 28277-8014 2019-01-07
1497227144 Integrated Dermatology of North Carolina, Pllc Dermatology 10512 Park Rd Ste 113, Charlotte, NC 28210-8469 2018-12-19
1558848093 Dermatology Consultants of Asheville Pllc Dermatology 218 Elkwood Ave # 104, Woodfin, NC 28804-2247 2018-07-27
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Competitor

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City SALISBURY
Zip Code 28147

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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