CAROLINAS MEDICAL CENTER-NORTHEAST (NPI# 1457679672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457679672 |
| Entity Type | Organization |
| Organization Name | CAROLINAS MEDICAL CENTER-NORTHEAST |
| Other Organization Name | NORTHEAST NEUROLOGY - DENVER |
| Practice Address |
1585 Forney Creek Pkwy Suite 2200 Northeast Neurology - Denver Denver NC 28037-9514 |
| Practice Telephone | 7044031911 |
| Practice Fax Number | 7044031901 |
| Mailing Telephone | 7044031911 |
| Mailing Fax Number | 7044031901 |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2013-07-31 |
| Authorized Official Name | FRIEDA M LOWDER (SR VP) |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | RAILROAD MEDICARE | DF8926 | 01 |
| NC | 5915569 | 05 | |
| NC | MEDICARE PTAN, GROUP | 232009 | 01 |
| Other Name | Type Code |
|---|---|
| NorthEast Neurology - Denver | 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 |
1585 FORNEY CREEK PKWY SUITE 2200 NORTHEAST NEUROLOGY - DENVER |
| City | DENVER |
| State | NC |
| Zip Code | 28037-9514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912937434 | Jeffrey Kirsch | Physician Assistant | 1585 Forney Creek Pkwy, Ste 2100, Denver, NC 28037-9514 | 2006-07-03 |
| 1811517170 | Carolinas Physicians Network Inc | Family Medicine | 1585 Forney Creek Pkwy, Denver, NC 28037-9514 | 2020-04-16 |
| 1740755610 | South Lake Pediatrics | Pediatrics | 1585 Forney Creek Pkwy, Ste 2100, Denver, NC 28037-9514 | 2018-10-08 |
| 1679944706 | Carolinas Physicians Network Inc | Internal Medicine | 1585 Forney Creek Pkwy, Ste 2350, Denver, NC 28037-9514 | 2015-10-15 |
| 1750720710 | Richard Kuzma | Family Medicine | 1585 Forney Creek Pkwy, Ste 2100, Denver, NC 28037-9514 | 2013-06-22 |
| 1336584796 | Carolinas Physicians Network Inc | Obstetrics & Gynecology | 1585 Forney Creek Pkwy, Ste 2200, Denver, NC 28037-9514 | 2013-04-30 |
| 1235491226 | Deanna Didiano | Family Medicine | 1585 Forney Creek Pkwy, Ste 2100, Denver, NC 28037-9514 | 2012-06-14 |
| 1598025983 | Ankur Mansukhlal Manvar | Anesthesiology | 1585 Forney Creek Pkwy, Denver, NC 28037-9514 | 2012-05-21 |
| 1174891428 | The Charlotte-mecklenburg Hospital Authority | Orthopaedic Surgery | 1585 Forney Creek Pkwy, Suite 2350, Denver, NC 28037-9514 | 2011-12-01 |
| 1124359112 | The Charlotte-mecklenburg Hospital Authority | Surgery | 1585 Forney Creek Pkwy, Suite 2350, Denver, NC 28037-9514 | 2010-01-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922619253 | Patricia Marie Froneberger | Massage Therapist | 751 N Nc 16, Suite C, Denver, NC 28037 | 2020-08-11 |
| 1326682907 | Wild Hearts Counseling and Wellness, Pllc | Counselor | 7472 Waterside Loop Dr., #114, Denver, NC 28037 | 2019-11-06 |
| 1316581408 | Laura O Wesson | Counselor | 7472 Waterside Loop Road, Denver, NC 28037 | 2019-10-31 |
| 1043712854 | Bryan T. Persinger Dds Pa II | Dentist | 175 Cross Center Road, Denver, NC 28037 | 2018-03-07 |
| 1962901934 | Laura Howard Burgess | Nurse Practitioner | 6127 Highway 16 South, Denver, NC 28037 | 2018-02-06 |
| 1649786716 | Vip Healthcare, Pllc | Internal Medicine | 294 Highway 16 N, Suite C, Denver, NC 28037 | 2017-12-27 |
| 1265944599 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 513 Brentwood Rd, Denver, NC 28037 | 2017-10-26 |
| 1831548106 | Christina Gliwa | Dentist | 175 Cross Center Rd, Denver, NC 28037 | 2016-06-08 |
| 1629340666 | Andrea E Garmon | Pharmacist | 6050 South North Carolina Highway 16, Denver, NC 28037 | 2012-02-07 |
| 1376830729 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7385 Nc 73 Hwy, Denver, NC 28037 | 2011-07-06 |
| Find all providers in zip 28037 | ||||
| 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 |
|---|---|---|---|---|
| 1902377179 | Para Health, LLC | Psychiatry & Neurology | 1091 E Bayaud Ave Apt W2604, Denver, CO 80209-2783 | 2018-12-16 |
| 1558715516 | Tara Celeste Carlisle | Psychiatry & Neurology | 3055 Roslyn St Unit 120, Denver, CO 80238-3324 | 2016-04-15 |
| 1346679826 | Michael A. Ament, M.d., Pllc | Psychiatry & Neurology | 4622 W Moncrieff Pl, Denver, CO 80212-1604 | 2013-11-05 |
| 1235484684 | Cherry Creek Neurology | Psychiatry & Neurology | 1720 S. Bellaire St. Ste 200, Denver, CO 80222 | 2012-07-20 |
| 1043538085 | Susan Patrice Anzalone | Psychiatry & Neurology | 1873 S Bellaire St Ste 620, Denver, CO 80222-4353 | 2010-05-15 |
| 1710140017 | Lawrence P Scibilia | Psychiatry & Neurology | 1660 S Albion St Ste 425, Denver, CO 80222 | 2008-07-07 |
| 1023207941 | Neurovision PC | Psychiatry & Neurology | 3480 S Galena St, 4b, Denver, CO 80231-5504 | 2007-10-16 |
| 1063567477 | Advanced Neurological Evaluation and Treatment Center PC | Psychiatry & Neurology | 1721 E 19th Ave Ste 510, Denver, CO 80218-1243 | 2007-01-24 |
| 1639227564 | David Seymour Madison | Psychiatry & Neurology | 2525 So Downing, Porter Hosp, Denver, CO 80210 | 2007-01-08 |
| 1215019609 | Justin Suk Joo Moon | Psychiatry & Neurology | 950 E Harvard Ave Ste 570, Denver, CO 80210 | 2006-10-19 |
| Find all providers in DENVER | ||||
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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.