CAROLINAS MEDICAL CENTER-NORTHEAST (NPI# 1689613754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689613754 |
| Entity Type | Organization |
| Organization Name | CAROLINAS MEDICAL CENTER-NORTHEAST |
| Other Organization Name | OCCUPATIONAL MEDICINE SERVICES |
| Practice Address |
1090 Northeast Gateway Court Ne Suite 201 Concord NC 28025-2440 |
| Practice Telephone | 7044039000 |
| Practice Fax Number | 7044039001 |
| Mailing Telephone | 7044039000 |
| Mailing Fax Number | 7044039001 |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2012-02-14 |
| Authorized Official Name | FRIEDA M LOWDER (VP PHYSICIAN SERVICES) |
| 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 | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | RAILROAD MEDICARE | CC2854 | 01 |
| NC | BCBS EFF 7-1-07 | 019FC | 01 |
| NC | TRICARE STANDARD, NON NWK | 566000156060 | 01 |
| NC | PARTNERS MEDICARE CHOICE | H802 | 01 |
| NC | RAILROAD MEDICARE PTAN | DF8926 | 01 |
| NC | BCBS GROUP ID | 013NT | 01 |
| NC | MAMSI | 355573 | 01 |
| Other Name | Type Code |
|---|---|
| OCCUPATIONAL MEDICINE SERVICES | 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 |
1090 NORTHEAST GATEWAY COURT NE SUITE 201 |
| City | CONCORD |
| State | NC |
| Zip Code | 28025-2440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083686026 | Steven H St. Clair | Preventive Medicine | 1090 Northeast Gateway Court Ne, Suite 201, Concord, NC 28025-2440 | 2006-02-03 |
| 1841627437 | The Charlotte-mecklenburg Hospital Authority | Internal Medicine | 1090 Northeast Gateway Court Ne, Suite 101, Concord, NC 28025-2440 | 2013-09-27 |
| 1801956859 | Northeast Surgical Specialties, LLC | Orthopaedic Surgery | 1090 Northeast Gateway Court Ne, Suite 204, Concord, NC 28025-2440 | 2006-12-11 |
| 1194792093 | Tamara Heglar Gentle | Nurse Practitioner | 1090 Northeast Gateway Court Ne, Suite 202, Concord, NC 28025-4400 | 2006-03-01 |
| 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 | 2083X0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Occupational Medicine |
| Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104371087 | U.S. Healthworks Medical Group, PC | Preventive Medicine | 1855 Gateway Blvd, Concord, CA 94520-3200 | 2016-08-19 |
| 1215074794 | John Pierce Gunderson | Preventive Medicine | 2231 Galaxy Ct, Concord, CA 94520-4933 | 2007-01-31 |
| 1083686026 | Steven H St. Clair | Preventive Medicine | 1090 Northeast Gateway Court Ne, Suite 201, Concord, NC 28025-2440 | 2006-02-03 |
| 1821008483 | Robert William Pippin | Preventive Medicine | 354 Copperfield Blvd Ne, Concord, NC 28025-2402 | 2006-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336708353 | Elizabeth Hall Carver | Preventive Medicine | Box Dumc 3148, Durham, NC 27710-0001 | 2019-06-12 |
| 1104396761 | Novant Medical Group. Inc. | Preventive Medicine | 9600 E. Independence Blvd, Matthews, NC 28105-4628 | 2018-11-27 |
| 1417446667 | Carolina Medicorp Enterprises, Inc. | Preventive Medicine | 330 Billingsley Rd Ste 101, Charlotte, NC 28211-5020 | 2018-05-03 |
| 1033621719 | Duke University | Preventive Medicine | 4825 Creekstone Drive, Suite 105, Durham, NC 27703 | 2017-11-02 |
| 1750623187 | Alexander Francis Sanchez Jr. | Preventive Medicine | 170 Iron Gate Cir, Mooresville, NC 28117-5518 | 2013-03-24 |
| 1386835098 | Michael Creel | Preventive Medicine | W A M C, Fort Bragg, NC 28310-0001 | 2007-08-07 |
| 1376745216 | Donald Merrill Garland | Preventive Medicine | 159 Stone House Road, Hendersonville, NC 28739-5830 | 2007-06-04 |
| 1417070897 | Terry Alice Mcinnis | Preventive Medicine | 203 Frenchmans Bluff Dr, Cary, NC 27513-5661 | 2007-04-09 |
| 1992823629 | Shari J Baum | Preventive Medicine | 2830 North I-85, Suite A and B, Charlotte, NC 28206 | 2007-03-27 |
| 1588779102 | Joseph Anthony Guarino | Preventive Medicine | 217 Turner Dr Ste A, Reidsville, NC 27320-5754 | 2006-08-21 |
| Find all providers with the same taxonomy | ||||
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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.