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).
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. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians |
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 Name | Type Code |
---|---|
NorthEast Rheumatology | 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 |
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 |
Street Address |
200 MEDICAL PARK DR SUITE 330, NORTHEAST RHEUMATOLOGY |
City | CONCORD |
State | NC |
Zip Code | 28025-2982 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 28025 |
Taxonomy Code | 207RR0500X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Rheumatology |
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. |
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 |
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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.