CABARRUS GASTROENTEROLOGY ASSOCIATES, PLLC (NPI# 1245776889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245776889 |
| Entity Type | Organization |
| Organization Name | CABARRUS GASTROENTEROLOGY ASSOCIATES, PLLC |
| Other Organization Name | NORTHEAST DIGESTIVE HEALTH CENTER EDISON SQUARE |
| Practice Address |
10030 Edison Square Dr Nw Suite 204 Concord NC 28027-8308 |
| Mailing Address |
1070 Vinehaven Dr Ne Concord NC 28025-2438 |
| Practice Telephone | 7047831840 |
| Practice Fax Number | 7047831850 |
| Mailing Telephone | 7047831840 |
| Mailing Fax Number | 7047831850 |
| Enumeration Date | 2017-01-06 |
| Last Update Date | 2017-01-06 |
| Authorized Official Name | MARK ALDOUS (MANAGING PARTNER) |
| Authorized Official Telephone | 7047831840 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | CABARRUS GASTROENTEROLOGY ASSOCIATES, PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
AS0104 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 89128WY | 05 | |
| NC | NPI | 1396923322 | 01 |
| NC | 1194142422 | 05 | |
| NC | 89136HK | 05 | |
| NC | 5904428 | 05 | |
| NC | 710009300 | 05 | |
| NC | 891031V | 05 | |
| NC | 1508279043 | 05 | |
| NC | 8971386 | 05 | |
| NC | 8926776 | 05 |
| Other Name | Type Code |
|---|---|
| Northeast Digestive Health Center Edison Square | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861059172 | Cabarrus Gastroenterology Associates, Pllc | Clinic/Center | 9965 Poplar Tent Rd, Concord, NC 28027-9304 | 2019-05-22 |
| 1780790592 | Cabarrus Gastroenterology Associates, Pllc | Internal Medicine | 1070 Vinehaven Drive Ne, Concord, NC 28025 | 2006-08-22 |
| 1417514522 | Cabarrus Gastroenterology Associates, Pllc | Internal Medicine | 9965 Poplar Tent Rd, Concord, NC 28027-9304 | 2019-05-23 |
| Street Address |
10030 EDISON SQUARE DR NW SUITE 204 |
| City | CONCORD |
| State | NC |
| Zip Code | 28027-8308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366412207 | Marc Dy | Family Medicine | 10030 Edison Square Dr Nw, Ste 100, Concord, NC 28027-8308 | 2006-01-24 |
| 1184267577 | Bethany Simpson | Physician Assistant | 10030 Edison Square Dr Nw, Concord, NC 28027-8308 | 2019-10-18 |
| 1538613302 | Brain Training Center of Charlotte | Specialist/Technologist | 10030 Edison Square Dr Nw, Concord, NC 28027-8308 | 2016-08-10 |
| 1356745566 | Elizabeth Skalsky | Nurse Practitioner | 10030 Edison Square Dr Nw, Ste 100a, Concord, NC 28027-8308 | 2014-10-17 |
| 1366879934 | The Charlotte-mecklenburg Hospital Authority | Family Medicine | 10030 Edison Square Dr Nw, Ste 100, Concord, NC 28027-8308 | 2013-09-27 |
| 1588091177 | The Charlotte-mecklenburg Hospital Authority | Obstetrics & Gynecology | 10030 Edison Square Dr Nw, Ste 100a, Concord, NC 28027-8308 | 2013-09-27 |
| 1760727218 | Dr Michael J Landers Dc | Chiropractor | 10030 Edison Square Dr Nw, 203, Concord, NC 28027-8308 | 2012-12-10 |
| 1124345327 | Michael James Landers | Chiropractor | 10030 Edison Square Dr Nw, 203, Concord, NC 28027-8308 | 2010-04-27 |
| 1265764443 | Cmc-northeast, Inc. | Family Medicine | 10030 Edison Square Dr Nw, Suite 100, Concord, NC 28027-8252 | 2010-02-12 |
| 1255664900 | Kerry Marie Sanford | Speech-Language Pathologist | 10030 Edison Square Dr Nw, Concord, NC 28027-8308 | 2009-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023652252 | Medcare Transport of Nc | Non-emergency Medical Transport (VAN) | 7039 Northwinds Dr Nw, Unit C, Concord, NC 28027 | 2019-10-31 |
| 1538718770 | Carolyn Ann Broadnax | Technician | 3524 Cedar Springs Dr, Concord, NC 28027 | 2019-09-10 |
| 1447806575 | Claire-ann E Papp | Dentist | 8815 Christenbury Parkway, Suite 40, Concord, NC 28027 | 2019-08-14 |
| 1578120218 | Philip Osborn | Dentist | 5408 Nc-49, Harrisburg, NC 28027 | 2019-05-28 |
| 1639648306 | Kristen Morris Spell | Counselor | 195 Lower Cape Dr Sw Apt 107, Concord, NC 28027 | 2018-11-25 |
| 1568959625 | Laurie Ford | Counselor | 705 Samuel Adams Cir Sw, Concord, NC 28027 | 2018-04-15 |
| 1598278194 | Autumn Nobles | Specialist/Technologist | 10193 Falling Leaf Dr Nw, Concord, NC 28027 | 2017-11-06 |
| 1386192938 | Brundasudha Satti IIi | Physical Therapist | 379 Sutoforest Dr Nw, Concord, NC 28027 | 2016-09-12 |
| 1467809616 | Kathryn Teal Watts | Dentist | 5305345 Vining St Nw, #201, Concord, NC 28027 | 2016-05-18 |
| 1720443849 | Denette Carte | Health Educator | 9712 Ravenscroft Lane Nw, Concord, NC 28027 | 2015-12-16 |
| Find all providers in zip 28027 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003234501 | Sanya Wadhwa | Internal Medicine | 2222 East St Ste 300, Concord, CA 94520-2066 | 2014-04-01 |
| 1508061631 | Tedmond Cw Szeto | Internal Medicine | 2700 Grant St Ste 310, Concord, CA 94520-2279 | 2007-06-19 |
| 1053439844 | Richard P Schwartz | Internal Medicine | 131 Ornac Ste 510, John Cuming Building, Concord, MA 01742-4162 | 2007-03-27 |
| 1083730782 | Advanced Concepts In Endoscopy LLC | Internal Medicine | 7551 Fredle Drive, Concord, OH 44077 | 2007-03-22 |
| 1780790592 | Cabarrus Gastroenterology Associates, Pllc | Internal Medicine | 1070 Vinehaven Drive Ne, Concord, NC 28025 | 2006-08-22 |
| 1760491815 | Frank S Pancotto | Internal Medicine | 1070 Vinehaven Drive, Concord, NC 28025 | 2006-08-07 |
| 1114955291 | Nirav Paresh Chiniwalla | Internal Medicine | 1070 Vinehaven Dr, Concord, NC 28025-2438 | 2006-06-29 |
| 1336186055 | Dennis P Berk | Internal Medicine | 131 Ornac John Cuming Building, Suite 550, Concord, MA 01742 | 2006-06-01 |
| 1477506186 | Scott R Oosterveen | Internal Medicine | 60 Commercial St Ste 404, Concord Hospital Medical Office At Horseshoe Pond, Concord, NH 03301-5096 | 2006-05-17 |
| 1417514522 | Cabarrus Gastroenterology Associates, Pllc | Internal Medicine | 9965 Poplar Tent Rd, Concord, NC 28027-9304 | 2019-05-23 |
| Find all providers in CONCORD | ||||
Please comment or provide details below to improve the information on CABARRUS GASTROENTEROLOGY ASSOCIATES, PLLC.
| 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.