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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 5921378 | 05 | |
NC | MEDICARE PTAN, GROUP | 232009 | 01 |
Other Name | Type Code |
---|---|
NorthEast Dermatology-Salisbury | Doing Business As Name - Organization |
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 |
Street Address |
340 JAKE ALEXANDER BLVD W SUITE B |
City | SALISBURY |
State | NC |
Zip Code | 28147-1364 |
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 |
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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 |
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Taxonomy Code | 207N00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
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. |
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 |
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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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.