CAROLINAS MEDICAL CENTER-NORTHEAST (NPI# 1518237825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518237825 |
| Entity Type | Organization |
| Organization Name | CAROLINAS MEDICAL CENTER-NORTHEAST |
| Other Organization Name | NORTHEAST DERMATOLOGY |
| Practice Address |
200 Medical Park Drive Suite 320 Concord NC 28025-0936 |
| Practice Telephone | 7044032777 |
| Practice Fax Number | 7044032779 |
| Mailing Telephone | 7044032777 |
| Mailing Fax Number | 7044032779 |
| Enumeration Date | 2012-01-03 |
| Last Update Date | 2012-03-28 |
| Authorized Official Name | FRIEDA M LOWDER (SR. VICE PRESIDENT) |
| 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 | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5919313 | 05 | |
| NC | MEDICARE PTAN, GROUP | 232009 | 01 |
| NC | RAILROAD MEDICARE PTAN, GROUP | DF8926 | 01 |
| Other Name | Type Code |
|---|---|
| NorthEast Dermatology | 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 |
| 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 |
| 1073867594 | Carolinas Medical Center-northeast | Internal Medicine | 340 Jake Alexander Blvd W, Suite C, Salisbury, NC 28147-1364 | 2012-11-06 |
| Street Address |
200 MEDICAL PARK DRIVE SUITE 320 |
| City | CONCORD |
| State | NC |
| Zip Code | 28025-0936 |
| 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 | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477707164 | Ebaa Mohammed Alawami | Dermatology | 248 Pleasant St Ste 103, Concord, NH 03301-2588 | 2008-11-08 |
| 1386777407 | Anthony J Aversa Md | Dermatology | 111 Loudon Rd, Concord, NH 03301-5605 | 2007-03-14 |
| 1124133277 | David E Geist | Dermatology | 54 Baker Avenue Ext Ste 305, Concord, MA 01742-2143 | 2006-08-20 |
| 1124006127 | Peter Muz | Dermatology | 54 Baker Avenue Ext 305, Concord, MA 01742-2143 | 2006-01-09 |
| 1689652257 | Kathleen Mary Joyce | Dermatology | 1620 Sudbury Rd, Concord, MA 01742-5800 | 2006-01-04 |
| 1720064116 | William D Hoover | Dermatology | 335 Penny Ln, Concord, NC 28025-1221 | 2005-12-19 |
| 1184619223 | Michael M Pugliese | Dermatology | 290 Baker Ave, Suite 220n, Concord, MA 01742-2189 | 2005-09-14 |
| 1679138879 | Apderm Massachusetts PC | Dermatology | 54 Baker Avenue Ext Ste 305, Concord, MA 01742-2143 | 2019-05-03 |
| 1548647613 | Nathaniel Allen Slater | Dermatology | 335 Penny Ln, Concord, NC 28025-1221 | 2015-04-28 |
| 1982091005 | Matthew Hill Overton | Dermatology | 335 Penny Ln, Concord, NC 28025-1221 | 2015-04-16 |
| 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.