NORTHEAST MEDICAL CENTER


Address: 920 Church St, Concord, NC 28075
Phone: 7047831622

NORTHEAST MEDICAL CENTER (NPI# 1194748525) 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) 1194748525
Entity Type Organization
Organization Name NORTHEAST MEDICAL CENTER
Practice Address 920 Church St
Concord
NC 28075
Mailing Address 12729 Kane Alexander Dr
Huntersville
NC 28078-3775
Practice Telephone 7047831622
Mailing Telephone 7049920527
Enumeration Date 2006-07-26
Last Update Date 2020-08-22
Authorized Official Name MRS. JENNIFER LYNN ZOBA (NURSE ANESTHETIST)
Authorized Official Telephone 7047831622
Authorized Official Credential CRNA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered 173393 NC Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NC 8051934 05

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities NORTHEAST MEDICAL CENTER HOME HEALTH 2001 N Center St, Bonham, TX 75418-2625

Office Location

Street Address 920 CHURCH ST
City CONCORD
State NC
Zip Code 28075

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316576283 Foot and Ankle Specialists of The Mid-atlantic, LLC Podiatrist 3800 Highway 49 South, Harrisburg, NC 28075 2020-04-03
1043726250 Megan M. Raynor, Dmd, Pllc Clinic/Center 5500 Highway 49 South, Suite 100, Harrisburg, NC 28075 2017-12-26
1760994008 Publix North Carolina Lp Durable Medical Equipment & Medical Supplies 4055 Harris Square Dr, Harrisburg, NC 28075 2017-10-26
1578085783 Trey Wyate Miller Dentist 4291 School House Commons, Harrisburg, NC 28075 2017-07-10
1700320850 R. Barrows & Associates II PC Dentist 7230 Caldwell Road, Harrisburg, NC 28075 2016-12-08
1699125393 Megan Morse Raynor Dentist 5500 Hwy 49 South, Suite 100, Harrisburg, NC 28075 2016-06-14
1740642289 Bradley William Lind Podiatrist 3800 Hwy 49 South, Harrisburg, NC 28075 2016-03-23
1578870630 David A Hysell Physical Therapist 8555 Magnolia Springs Dr, Harrisburg, NC 28075 2010-09-09
1124248331 Harrisburg Pharmacy Services Inc Pharmacy 4310 Physicians Blvd, Harrisburg, NC 28075 2007-04-27
1194845578 Andrea Jean Dobrich Chiropractor 116 Candystick Circle, Harrisburg, NC 28075 2007-03-30
Find all providers in zip 28075

Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437622800 Bryan Do Nurse Anesthetist, Certified Registered 1036 Oak Grove Rd Apt 22, Concord, CA 94518-3233 2019-01-08
1437640679 Kyle Moore Thorne Nurse Anesthetist, Certified Registered 1 Pillsbury St Ste 202, Concord, NH 03301 2018-05-23
1194148593 Kerry Ann Gallagher Nurse Anesthetist, Certified Registered 1987 Quail Dr Nw, Concord, NC 28027-8876 2014-01-22
1326383100 Kyle C Anderson Nurse Anesthetist, Certified Registered 22 Bridge St Ste 9, Concord, NH 03301-4987 2012-12-04
1548401789 Gateway Anesthesia LLC Nurse Anesthetist, Certified Registered 1025 Ne Gateway Ct, Concord, NC 28025-2440 2009-03-18
1447206479 Sherri Lynn Reynolds Nurse Anesthetist, Certified Registered 860 Craigmont Ln Nw, Concord, NC 28027-6442 2006-05-25
1962451385 Karyl Heritage Mcclellan Nurse Anesthetist, Certified Registered 1025 Northeast Gateway Ct, Ne, Concord, NC 28025 2006-05-10
1801894845 Pamela Elizabeth Chadwick Nurse Anesthetist, Certified Registered 1 Pillsbury St, Suite 202, Concord, NH 03301-3556 2005-07-13
1386647808 Leanne Smith Nurse Anesthetist, Certified Registered 920 Church St N, Concord, NC 28025-2927 2005-05-30
1831712520 Margaret Davis Mcdonell Nurse Anesthetist, Certified Registered 250 Pleasant St, Concord, NH 03301-7559 2020-05-28
Find all providers in CONCORD

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City CONCORD
Zip Code 28075

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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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