CAROLINAS MEDICAL CENTER-NORTHEAST (NPI# 1588959258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588959258 |
| Entity Type | Organization |
| Organization Name | CAROLINAS MEDICAL CENTER-NORTHEAST |
| Other Organization Name | CAROLINA PEDIATRIC SURGERY - UNIVERSITY |
| Practice Address |
101 E W T Harris Blvd Bldg 3000, Suite 3301a Charlotte NC 28262-7000 |
| Practice Telephone | 7044032660 |
| Practice Fax Number | 7044032670 |
| Mailing Telephone | 7044032660 |
| Mailing Fax Number | 7044032670 |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2011-11-15 |
| 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 | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5917530 | 05 | |
| SC | QPB706 | 05 |
| Other Name | Type Code |
|---|---|
| Carolina Pediatric Surgery - University | 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 |
101 E W T HARRIS BLVD BLDG 3000, SUITE 3301A |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28262-7000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932103660 | Sanjay Patel | Internal Medicine | 101 E W T Harris Blvd, Ste 1213, Charlotte, NC 28262-3485 | 2005-06-10 |
| 1417429457 | Danelle Boone | Nurse Practitioner | 101 E W T Harris Blvd, Ste 2320, Charlotte, NC 28262-3485 | 2018-12-31 |
| 1598207730 | Ankita Desai | Physician Assistant | 101 E W T Harris Blvd, Ste 5401, Charlotte, NC 28262-3485 | 2016-11-04 |
| 1578913562 | Katherine Silverwood | Nurse Practitioner | 101 E W T Harris Blvd, Ste 1121, Charlotte, NC 28262-3485 | 2016-06-21 |
| 1750735064 | The Charlotte-mecklenburg Hospital Authority | Internal Medicine | 101 E W T Harris Blvd, Ste 5203, Charlotte, NC 28262-3485 | 2016-04-22 |
| 1588044002 | Loverica Irby | Pediatrics | 101 E W T Harris Blvd, Ste 1121, Charlotte, NC 28262-3485 | 2015-06-01 |
| 1811384258 | Nicole Kuhn | Obstetrics & Gynecology | 101 E W T Harris Blvd, Ste 5301, Charlotte, NC 28262-3485 | 2015-04-23 |
| 1427445527 | Erin Straight | Obstetrics & Gynecology | 101 E W T Harris Blvd, Ste 5301, Charlotte, NC 28262-3485 | 2015-04-16 |
| 1659761302 | April Sink | Nurse Practitioner | 101 E W T Harris Blvd, Ste 5202, Charlotte, NC 28262-3485 | 2015-02-03 |
| 1730577438 | Elizabeth Rudd | Nurse Practitioner | 101 E W T Harris Blvd, Suite 5002, Charlotte, NC 28262-3485 | 2015-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366056913 | Aleta Michelle Johnson | Specialist | 9711 David Taylor Dr., Ste. 145, Charlotte, NC 28262 | 2020-09-01 |
| 1275161580 | Londyn Homecare Agency L.l.c | Home Health | 1914j.n. Place, Charlotte, NC 28262 | 2020-03-31 |
| 1154964914 | Abundant Love Home Care Service LLC | In Home Supportive Care | 1981 J.n. Pease Place, Ste 204, Charlotte, NC 28262 | 2019-10-24 |
| 1104399070 | Nattya S Pilgreen | Prosthetist | 410 E Mccullough Drive, Suite 103, Charlotte, NC 28262 | 2019-01-03 |
| 1114404506 | Laura Ida Anthony-getant | Social Worker | 10130 Mallard Creek Road, Ste 300 #333, Charlotte, NC 28262 | 2018-07-27 |
| 1720573587 | Carolinas Center for Ambulatory Dentistry LLC | Dentist | 8415 Medical Plaza Drice, Charlotte, NC 28262 | 2018-06-25 |
| 1598254799 | Cassandra Faye Harding | Nurse Practitioner | 1905 Jn Pease Place Suite 103, Charlotte, NC 28262 | 2018-05-03 |
| 1669960746 | Michael Riley | In Home Supportive Care | 8301 University Exec Park Dr Ste 120, Charlotte, NC 28262 | 2018-04-25 |
| 1568989804 | Bridget Coomber | Behavior Technician | 8420 University Executive Dr Ste 810, Charlotte, NC 28262 | 2017-08-28 |
| 1073037701 | Toshana Daley | Physical Therapist | 8801 Jm Keynes Blvd, Charlotte, NC 28262 | 2017-08-03 |
| Find all providers in zip 28262 | ||||
| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386819993 | Lauren Piper | Pediatrics | 1350 S Kings Dr, Charlotte, NC 28207-2134 | 2008-04-24 |
| 1134337843 | Ryan Wilkes | Pediatrics | 1001 Blythe Blvd, Ste 200d, Charlotte, NC 28203-5866 | 2007-05-18 |
| 1609092329 | Sydney Primis | Pediatrics | 1350 S Kings Dr, Charlotte, NC 28207-2134 | 2007-04-18 |
| 1548272107 | Kshitij P Mistry | Pediatrics | 1001 Blythe Blvd, Medical Center Plaza, Suite 200, Charlotte, NC 28203-5866 | 2006-08-12 |
| 1699790923 | Edwin Young Jr. | Pediatrics | 1001 Blythe Blvd, Medical Center Plaza Suite 200, Charlotte, NC 28203-5866 | 2006-07-13 |
| 1073538328 | Dwight Bailey | Pediatrics | 1001 Blythe Blvd, Medical Center Plaza Suite 200, Charlotte, NC 28203-5866 | 2006-07-13 |
| 1316962632 | Michael Wilson | Pediatrics | 1001 Blythe Blvd, Medical Center Plaza Suite 200, Charlotte, NC 28203-5866 | 2006-07-13 |
| 1568495067 | Otwell Timmons | Pediatrics | 1001 Blythe Blvd, Medical Center Plaza Suite 200, Charlotte, NC 28203-5866 | 2006-07-08 |
| 1306816368 | Donald R Black | Pediatrics | 200 Hawthorne Ln, Presbyterian Inpatient Pediatric Subspecialists, Charlotte, NC 28204-2515 | 2006-01-24 |
| 1639152028 | David R Hufford Jr. | Pediatrics | 1350 S Kings Dr, Charlotte, NC 28207-2134 | 2005-11-21 |
| Find all providers in CHARLOTTE | ||||
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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.