CMC-NORTHEAST, INC. (NPI# 1174823900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174823900 |
Entity Type | Organization |
Organization Name | CMC-NORTHEAST, INC. |
Other Organization Name | CAROLINAS PEDIATRIC NEUROLOGY CARE - GASTONIA |
Practice Address |
2550 Court Dr Suite 203 Gastonia NC 28054-2152 |
Practice Telephone | 7044032660 |
Practice Fax Number | 7044032670 |
Mailing Telephone | 7044032660 |
Mailing Fax Number | 7044032670 |
Enumeration Date | 2010-10-27 |
Last Update Date | 2011-11-15 |
Authorized Official Name | FRIEDA M LOWDER (SR. VICE PRESIDENT) |
Authorized Official Telephone | 7044034146 |
Is Organization Subpart | Y |
Parent Organization Name | CMC-NORTHEAST, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 5916350 | 05 | |
SC | NPB455 | 05 |
Other Name | Type Code |
---|---|
Carolinas Pediatric Neurology Care - Gastonia | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043525280 | Cmc-northeast, Inc. | Psychiatry & Neurology | 6600 Wilkinson Blvd, Carolinas Pediatric Neurology Care - Holy Angels, Belmont, NC 28012-2796 | 2010-08-12 |
1184777617 | Cmc-northeast, Inc. | Counselor | 105 Yadkin Street, Suite 302, Albemarle, NC 28001-3454 | 2007-01-19 |
1497716989 | Cmc-northeast, Inc. | Internal Medicine | 219 Le Phillip Ct Ne, Northeast Lung Associates, Concord, NC 28025-2900 | 2006-04-01 |
1841595121 | Cmc-northeast, Inc. | Pediatrics | 129 Woodson St, Suite C, Salisbury, NC 28144-3255 | 2011-01-19 |
1669777942 | Cmc-northeast, Inc. | Psychiatry & Neurology | 129 Woodson St, Suite B, Salisbury, NC 28144-3255 | 2011-01-19 |
1093010407 | Cmc-northeast, Inc. | Pediatrics | 129 Woodson St, Suite A, Salisbury, NC 28144-3255 | 2011-01-14 |
1972806321 | Cmc-northeast, Inc. | Psychiatry & Neurology | 1001 Blythe Blvd, Suite 200 Cpnc - Charlotte Specialty Center, Charlotte, NC 28203-5866 | 2010-12-07 |
1831407295 | Cmc-northeast, Inc. | Internal Medicine | 920 Church St N, Northeast Transition of Care, Concord, NC 28025-2927 | 2010-09-20 |
1033424270 | Cmc-northeast, Inc. | Psychiatry & Neurology | 1781 Tate Blvd Se, Carolinas Pediatric Neurology Care - Hickory, Hickory, NC 28602-4251 | 2010-08-12 |
1265747497 | Cmc-northeast, Inc. | Psychiatry & Neurology | 1010 Edgehill Rd N, Carolinas Pediatric Neurology Care - Charlotte, Charlotte, NC 28207-1885 | 2010-08-12 |
Street Address |
2550 COURT DR SUITE 203 |
City | GASTONIA |
State | NC |
Zip Code | 28054-2152 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881674083 | Mecklenburg Home Health, Inc. | Home Health | 2550 Court Dr, Suite 103, Gastonia, NC 28054-2152 | 2006-01-23 |
1770940678 | Advanced Prosthetics of Easley, Inc. | Prosthetic/Orthotic Supplier | 2550 Court Dr, Ste 101, Gastonia, NC 28054-2152 | 2016-01-22 |
1881021475 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 2550 Court Dr, Ste 203, Gastonia, NC 28054-2152 | 2013-09-27 |
1801188941 | Carolinas Physicians Network Inc | Internal Medicine | 2550 Court Dr, Ste 202, Gastonia, NC 28054-2152 | 2011-05-09 |
1447540224 | Carolinas Medical Center | Pediatrics | 2550 Court Dr, Suite 203, Gastonia, NC 28054-2152 | 2011-04-13 |
1346566361 | Pediatric Endocrinology & Diabetes Specialists | Pediatrics | 2550 Court Dr, Suite 203, Gastonia, NC 28054-2152 | 2010-04-15 |
1700101128 | Carolinas Physicians Network Inc | Internal Medicine | 2550 Court Dr, Suite 203, Gastonia, NC 28054-2152 | 2010-03-29 |
1396068151 | Carolinas Physicians Network, Inc. | Urology | 2550 Court Dr, Suite 203, Gastonia, NC 28054-2152 | 2010-03-09 |
1285817445 | Primary Health Concepts | Home Health | 2550 Court Dr, Suite 103, Gastonia, NC 28054-2152 | 2007-12-11 |
1710160981 | Primary Health Concepts | Nursing Care | 2550 Court Dr, Suite 103, Gastonia, NC 28054-2152 | 2007-12-11 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225671423 | Michaela Karsyn Morris | Behavioral Analyst | 2875 Court Dr. B, Gastonia, NC 28054 | 2019-10-21 |
1982263810 | Brenda Sue Fox | Occupational Therapist | Brian Center, 969 Cox Rd, Gastonia, NC 28054 | 2019-06-13 |
1174096911 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 469 Hospital Drive, Suite B1, Gastonia, NC 28054 | 2019-01-04 |
1255801817 | Jarae Mcswain | Counselor | 1558 Union Road, Ste F, Gastonia, NC 28054 | 2018-11-27 |
1427549807 | Alterman & Dhillon Charlotte Metro, Pplc | Dentist | 2205 E. Franklin Blvd, Ste 110, Gastonia, NC 28054 | 2018-05-22 |
1871083147 | Terrence Lamont Campbell | Dentist | 2641 Court Dr Ste A, Gastonia, NC 28054 | 2018-05-13 |
1861995367 | Jefferson and Jefferson LLC. | Respite Care | 945 East 6 Ave, Gastonia, NC 28054 | 2018-03-12 |
1790154912 | Tyler Adcock | Pharmacist | 2324 South New Hope Rd, Gastonia, NC 28054 | 2015-09-17 |
1922481894 | Alesha Nicole Logan | Nurse Practitioner | 1895 Hoffman Rd Ste A, Gastonia, NC 28054 | 2015-07-09 |
1457732596 | Buffie Baker Eller | Counselor | 2005 Flint Lane, Gastonia, NC 28054 | 2015-06-15 |
Find all providers in zip 28054 |
Taxonomy Code | 2084N0402X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Neurology with Special Qualifications in Child Neurology |
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881021475 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 2550 Court Dr, Ste 203, Gastonia, NC 28054-2152 | 2013-09-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033675079 | Novant Medical Group Inc | Psychiatry & Neurology | 1918 Randolph Rd Ste 320, Charlotte, NC 28207-1109 | 2019-02-14 |
1740547496 | Dmitry Tchapyjnikov | Psychiatry & Neurology | Dept of Pediatrics Duke University Medical Ctr, 2301 Erwin Rd., Children's Health Center, Duke Universi, Durham, NC 27710-0001 | 2012-04-19 |
1043525280 | Cmc-northeast, Inc. | Psychiatry & Neurology | 6600 Wilkinson Blvd, Carolinas Pediatric Neurology Care - Holy Angels, Belmont, NC 28012-2796 | 2010-08-12 |
1750610689 | Virinder Nohria | Psychiatry & Neurology | 111 Skyline View Rd, Franklin, NC 28734-4769 | 2009-12-24 |
1144463993 | Monica Elizabeth Lemmon | Psychiatry & Neurology | Dumc 3936, Durham, NC 27710-6667 | 2009-04-09 |
1245431600 | Yael Shiloh-malawsky | Psychiatry & Neurology | 170 Manning Dr., Department of Neurology Cb#7025, Chapel Hill, NC 27514-4220 | 2007-05-31 |
1598795635 | Kadry R Allaboun | Psychiatry & Neurology | 115 Foothills Dr, Morganton, NC 28655-5152 | 2006-07-04 |
1962473033 | David Jay Jaffe | Psychiatry & Neurology | 508 Sandhurst Dr, A, Fayetteville, NC 28304-4434 | 2006-01-27 |
1558368936 | Susan B Boutilier | Psychiatry & Neurology | 2280 Hemby Ln, Greenville, NC 27834-3773 | 2005-06-30 |
1164987616 | Novant Medical Group Inc | Psychiatry & Neurology | 311 Coddle Market Dr Nw, Ste 200, Concord, NC 28027-2432 | 2019-02-08 |
Find all providers with the same taxonomy |
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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.