CMC-NORTHEAST, INC.


Address: 200 Medical Park Dr, Suite 330, Northeast Rheumatology, Concord, NC 28025-2982
Phone: 7044031308

CMC-NORTHEAST, INC. (NPI# 1477509735) 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) 1477509735
Entity Type Organization
Organization Name CMC-NORTHEAST, INC.
Other Organization Name NORTHEAST RHEUMATOLOGY
Practice Address 200 Medical Park Dr
Suite 330, Northeast Rheumatology
Concord
NC 28025-2982
Practice Telephone 7044031308
Practice Fax Number 7044031194
Mailing Telephone 7044031308
Mailing Fax Number 7044031194
Enumeration Date 2006-05-26
Last Update Date 2010-06-01
Authorized Official Name FRIEDA M LOWDER (VP PHYSICIAN SERVICES)
Authorized Official Telephone 7044034146
Is Organization Subpart Y
Parent Organization Name CMC-NORTHEAST, INC.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RR0500X Internal Medicine
Specialization: Rheumatology
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NC BCBS EFF PRIOR TO 7-1-07 0272K 01
NC PARTNERS MEDICARE CHOICE 7115 01
NC RAILROAD MEDICARE PTAN DF8926 01
NC MAMSI GROUP NUMBER 355573 01
NC TRICARE STANDARD, NON NWK 566000156040 01
NC 5906974 05
NC BCBS EFF 7-1-07 019FY 01
NC RAILROAD MEDICARE GRP CC2854 01

Other Provider/Organization Names

Other Name Type Code
NorthEast Rheumatology Doing Business As Name - Organization

Other Provider IDs and Locations

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
1174823900 Cmc-northeast, Inc. Psychiatry & Neurology 2550 Court Dr, Suite 203, Gastonia, NC 28054-2152 2010-10-27
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

Office Location

Street Address 200 MEDICAL PARK DR
SUITE 330, NORTHEAST RHEUMATOLOGY
City CONCORD
State NC
Zip Code 28025-2982

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346245040 Myron Roddenberry Physician Assistant 200 Medical Park Dr, Suite 230, Concord, NC 28025-2982 2005-06-17
1679183776 Carolinas Physicians Network Inc Orthopaedic Surgery 200 Medical Park Dr, Ste 500, Concord, NC 28025-2982 2020-08-04
1518577832 Leah Mccain Nurse Practitioner 200 Medical Park Dr, Ste 230, Concord, NC 28025-2982 2020-08-01
1477198091 Ryan Cannici Nurse Practitioner 200 Medical Park Dr, Ste 550, Concord, NC 28025-2982 2019-11-07
1881159341 Jessica Surane Physician Assistant 200 Medical Park Dr, Ste 230, Concord, NC 28025-2982 2019-02-08
1740756253 Samantha Mason Nurse Practitioner 200 Medical Park Dr, Ste 550, Concord, NC 28025-2982 2018-10-23
1700361466 Montana Poe Nurse Practitioner 200 Medical Park Dr, Ste 550, Concord, NC 28025-2982 2018-09-28
1932695574 Stephanie White Nurse Practitioner 200 Medical Park Dr, Ste 430, Concord, NC 28025-2982 2018-07-06
1487185534 Mukunda Singh Internal Medicine 200 Medical Park Dr, Ste 550, Concord, NC 28025-2982 2017-03-21
1497207641 Jessica Marchal Physician Assistant 200 Medical Park Dr, Ste 230, Concord, NC 28025-2982 2016-11-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053910729 Renewed Mindset Therapeutic Services, Pllc Social Worker 349 Copperfield Blvd Suite L #334, Concord, NC 28025 2020-10-22
1194284380 Carolinas Physicians Network Inc Internal Medicine 610 Alfred Brown Jr. Court, Concord, NC 28025 2019-03-18
1164913596 Damarius Raymond Faggart Counselor 503 Amhurst Drive, Concord, NC 28025 2018-05-22
1437677085 Kathryn Emily Kanauer Counselor 280 Executive Park Dr Ne, Concord, NC 28025 2017-09-05
1649794439 Foster Health & Homecare, LLC Home Health 363 Church Street North, Suite 260-i, Concord, NC 28025 2017-08-02
1326569336 Jessie Leigh Tilley-compton Social Worker 371 Amhurst St Sw, Concord, NC 28025 2017-06-29
1609305663 Sarah Katherine Thompson Licensed Practical Nurse 248 Executive Park Dr, Concord, NC 28025 2017-06-05
1023463098 Kiera Brown Social Worker 219 Lephillip Court, Concord, NC 28025 2016-04-27
1992169445 Brittiny N. Ingram Vanterpool Counselor 250 Branchview Dr Sw, Concord, NC 28025 2016-04-11
1215399852 The Charlotte-mecklenburg Hospital Authority Clinic/Center 840 Warren C. Coleman Blvd, Concord, NC 28025 2016-03-23
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Taxonomy Information

Taxonomy Code 207RR0500X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Rheumatology

Taxonomy Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689773236 Alan B Marks Internal Medicine 290 Baker Ave Suite 102n, Alan B Marks Md, Concord, MA 01742 2006-09-21
1265465470 Rajani Relangi Internal Medicine Cabarrus Rheumatology Clinic, 478 Copperfield Blvd, Concord, NC 28025 2006-07-09
1376572040 Cabarrus Rheumatology Clinic Internal Medicine 478 Copperfield Blvd Ne, Concord, NC 28025-2404 2006-07-03
1609836766 James Matthew Trice Internal Medicine 4 Ridgewood Ln, Concord, NH 03301-3035 2006-03-24
1063849487 The Charlotte-mecklenburg Hospital Authority Internal Medicine 200 Medical Park Dr, Ste 330, Concord, NC 28025-2982 2013-09-30
1023453008 Ashley Green Internal Medicine 200 Medical Park Dr, Ste 330, Concord, NC 28025-2982 2013-05-06
1558603910 Rachel Romero Internal Medicine 200 Medical Park Dr, Ste 330, Concord, NC 28025-2982 2013-03-25
1114160652 Meera Gangam Internal Medicine 200 Medical Park Dr, Ste 330, Concord, NC 28025-2982 2009-04-14
1437182490 Concord Orthopaedics Professional Association Internal Medicine 264 Pleasant St, Concord, NH 03301-2551 2006-07-09
1477583557 Andree C Phillips Internal Medicine 264 Pleasant St, Concord, NH 03301-2551 2006-07-04
Find all providers in CONCORD

Competitor

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City CONCORD
Zip Code 28025

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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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