CAROLINAS MEDICAL CENTER-NORTHEAST (NPI# 1154769636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154769636 |
| Entity Type | Organization |
| Organization Name | CAROLINAS MEDICAL CENTER-NORTHEAST |
| Other Organization Name | NORTHEAST NEUROLOGY-UNION |
| Practice Address |
600 Hospital Dr Suite A Monroe NC 28112-6000 |
| Practice Telephone | 8002301721 |
| Practice Fax Number | 7044031901 |
| Mailing Telephone | 8002301721 |
| Mailing Fax Number | 7044031901 |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2013-06-06 |
| Authorized Official Name | FRIED 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 | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| NorthEast Neurology-Union | 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 |
| 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 |
| 1073867594 | Carolinas Medical Center-northeast | Internal Medicine | 340 Jake Alexander Blvd W, Suite C, Salisbury, NC 28147-1364 | 2012-11-06 |
| Street Address |
600 HOSPITAL DR SUITE A |
| City | MONROE |
| State | NC |
| Zip Code | 28112-6000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336148436 | Mary Carolyn Pomeroy | Radiology | 600 Hospital Dr, Union Regional Medical Center, Monroe, NC 28112-6000 | 2005-07-20 |
| 1437771177 | Laura Gray | Speech-Language Pathologist | 600 Hospital Dr, Monroe, NC 28112-6000 | 2020-05-16 |
| 1659928133 | Jessica Jimenez | Nurse Practitioner | 600 Hospital Dr, Monroe, NC 28112-6000 | 2019-08-20 |
| 1194295519 | Fatimah Zaghari | Physician Assistant | 600 Hospital Dr, Monroe, NC 28112-6000 | 2018-11-28 |
| 1306315270 | Michelle Rogers | Nurse Practitioner | 600 Hospital Dr, Monroe, NC 28112-6000 | 2018-11-20 |
| 1972965754 | Christina Ashley Zauner | Emergency Medicine | 600 Hospital Dr, Monroe, NC 28112-6000 | 2016-03-22 |
| 1134585896 | Lauren Bennett | Physician Assistant | 600 Hospital Dr, Monroe, NC 28112-6000 | 2016-01-12 |
| 1265806491 | Ava Elmore | Dietitian, Registered | 600 Hospital Dr, Monroe, NC 28112-6000 | 2015-11-27 |
| 1841660487 | Brandon James Morgan | Physician Assistant | 600 Hospital Dr, Monroe, NC 28112-6000 | 2015-09-25 |
| 1578941142 | Lena Van Nimwegen | Emergency Medicine | 600 Hospital Dr, Monroe, NC 28112 | 2015-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376000620 | Paladina Health, LLC | Family Medicine | Paladina Health Monroe Campus Park, 1640 A Campus Park Drive, Monroe, NC 28112 | 2019-02-22 |
| 1073078408 | Sharelle Monique Hatley | Social Worker | 501 North Charlotte Ave, Suite C-214, Monroe, NC 28112 | 2019-02-11 |
| 1740762509 | Fox Counseling and Consulting, Pllc | Social Worker | 311 W Jefferson Street, Monroe, NC 28112 | 2018-08-29 |
| 1760976062 | Kinena J Dent-smith | Community/Behavioral Health | 207 Raymond St, Monroe, NC 28112 | 2018-06-20 |
| 1093225468 | Healthstat Onsite Clinic Parkdale Plant 21 | Preventive Medicine | 5005 Waxhaw Highway 75, Monroe, NC 28112 | 2017-10-11 |
| 1871026567 | H.o.p.e. Advancement, Inc. | Counselor | 349 Venus Street, Monroe, NC 28112 | 2017-04-10 |
| 1508304650 | Monroe Dental Clinic General Partnership | Dentist | 102 E Windsor Street, Monroe, NC 28112 | 2017-02-09 |
| 1073062865 | Garahetta Robin Sell | Massage Therapist | 600 West End Drive, Monroe, NC 28112 | 2016-09-22 |
| 1700280765 | Katherine Hartness | Massage Therapist | 205 N. Hayne St., Monroe, NC 28112 | 2014-10-20 |
| 1346655586 | Gaurav Chand | Internal Medicine | 1663 Campus Park Dr., Suite D, Monroe, NC 28112 | 2014-06-26 |
| Find all providers in zip 28112 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952795825 | Shoba Jayaram | Psychiatry & Neurology | 1423 E Franklin St Ste I, Monroe, NC 28112-5100 | 2015-03-27 |
| 1417367756 | Jenna Teresa Kado | Psychiatry & Neurology | 730 N Macomb St Ste 300, Monroe, MI 48162-2904 | 2014-05-07 |
| 1942214242 | Neurology, Neurodiagnostic & Pain Clinic | Psychiatry & Neurology | 1414 Ellen St, Monroe, NC 28112-5173 | 2006-07-29 |
| 1225052442 | Adeel Rahman | Psychiatry & Neurology | 513 Great Oaks Drive Ste. B, Monroe, GA 30655 | 2006-07-27 |
| 1770511669 | Thomas Andrew Gulick | Psychiatry & Neurology | 312 Grammont Street;, Suite 402, Monroe, LA 71201 | 2006-06-29 |
| 1851359244 | Maximo C Kiok | Psychiatry & Neurology | 920 Oliver Rd # L, Monroe, LA 71201-5702 | 2006-05-03 |
| 1427038165 | Stanford C Rapp | Psychiatry & Neurology | 730 N Macomb St Ste 415, Monroe, MI 48162-2904 | 2006-01-19 |
| 1013552884 | Affinity Health Gorup, LLC | Psychiatry & Neurology | 920 Oliver Rd # L, Monroe, LA 71201-5702 | 2019-11-15 |
| 1225443120 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 1550 Faulk St, Suite 3100, Monroe, NC 28112-5086 | 2014-06-30 |
| 1073940433 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 600 Hospital Dr, Ste A, Monroe, NC 28112-6000 | 2013-10-01 |
| Find all providers in MONROE | ||||
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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.