CAROLINAS MEDICAL CENTER-NORTHEAST (NPI# 1700075702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700075702 |
| Entity Type | Organization |
| Organization Name | CAROLINAS MEDICAL CENTER-NORTHEAST |
| Other Organization Name | NORTHEAST NEUROLOGY -HUNTERSVILLE |
| Practice Address |
9625 Northcross Center Ct Suite 102-f Huntersville NC 28078-7348 |
| Practice Telephone | 8002301721 |
| Practice Fax Number | 7044031901 |
| Mailing Telephone | 8002301721 |
| Mailing Fax Number | 7044031901 |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2013-03-25 |
| 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 | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | RAILROAD MEDICARE PTAN | DF8926 | 01 |
| NC | BCBSNC | 019GN | 01 |
| NC | 5908519 | 05 |
| Other Name | Type Code |
|---|---|
| NORTHEAST NEUROLOGY -HUNTERSVILLE | 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 |
9625 NORTHCROSS CENTER CT SUITE 102-F |
| City | HUNTERSVILLE |
| State | NC |
| Zip Code | 28078-7348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295766079 | South Lake Pediatrics | Pediatrics | 9625 Northcross Center Ct, Ste 201, Huntersville, NC 28078-7348 | 2006-07-06 |
| 1598131575 | Southlake Family and Cosmetic Dentistry | Dentist | 9625 Northcross Center Ct, Huntersville, NC 28078-7348 | 2015-08-13 |
| 1760810501 | Charlotte-mecklenburg Hospital Authority | Internal Medicine | 9625 Northcross Center Ct, Suite 102, Huntersville, NC 28078-7348 | 2013-10-14 |
| 1376970418 | The Charlotte-mecklenburg Hospital Authority | Pediatrics | 9625 Northcross Center Ct, Suite 102g, Huntersville, NC 28078-7348 | 2013-10-03 |
| 1225465362 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 9625 Northcross Center Ct, Suite 102b, Huntersville, NC 28078-7348 | 2013-10-03 |
| 1962839068 | The Charlotte-mecklenburg Hospital Authority | Pediatrics | 9625 Northcross Center Ct, Ste 102d, Huntersville, NC 28078-7348 | 2013-10-03 |
| 1902233380 | The Charlotte-mecklenburg Hospital Authority | Pediatrics | 9625 Northcross Center Ct, Ste 102c, Huntersville, NC 28078-7348 | 2013-10-01 |
| 1801223482 | The Charlotte-mecklenburg Hospital Authority | Internal Medicine | 9625 Northcross Center Ct, Ste 102e, Huntersville, NC 28078-7348 | 2013-09-27 |
| 1629405212 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 9625 Northcross Center Ct, Ste 102, Huntersville, NC 28078-7348 | 2013-09-27 |
| 1548608292 | Steven Hayes | Pediatrics | 9625 Northcross Center Ct, Ste 201, Huntersville, NC 28078-7348 | 2013-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538787718 | John M. Bakarich, Dds, Pllc | Dentist | 15810 Northcross Drive, Suite A, Huntersville, NC 28078 | 2020-07-14 |
| 1316587082 | Blake Allen Klessig | Chiropractor | 8936 Northpointe Executive Park Dr, Suite 195, Huntersville, NC 28078 | 2020-01-10 |
| 1922644830 | Steven James Underwood | Physical Therapist | Aldersgate Ccrc, 3800 Shamrock Drive, Charlotte, NC 28078 | 2019-11-26 |
| 1851856306 | Jessica Runnion | Behavior Technician | 14625 Reese Blvd, Apartment 208, Huntersville, NC 28078 | 2019-02-08 |
| 1568935401 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 111 Commerce Centre Drive, Suite 305, Huntersville, NC 28078 | 2019-01-03 |
| 1932691763 | Shakira Grier | Massage Therapist | 15905 Brookway Drive, Ste 4202, Huntersville, NC 28078 | 2018-06-06 |
| 1457850596 | Chudney Drew | Counselor | 10224 Hickorywood Hill Ave Ste 201, Huntersville, NC 28078 | 2018-02-05 |
| 1215457122 | Amy Nicole Castongia | Counselor | 10511 Drake Hill Dr, Huntersville, NC 28078 | 2017-06-21 |
| 1457714057 | Robin D Disbro | Registered Nurse | 6216 Colonial Garden Drive, Huntersville, NC 28078 | 2016-03-31 |
| 1144695545 | Huntersville H&r Ops Limited Partnership | Skilled Nursing Facility | 13835 Boren Street, Huntersville, NC 28078 | 2015-12-10 |
| Find all providers in zip 28078 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952657363 | Roderick Elias | Psychiatry & Neurology | 9735 Kincey Ave Ste 203, Huntersville, NC 28078-9120 | 2012-08-03 |
| 1811100142 | Peterson F Giallanza | Psychiatry & Neurology | 403 Gilead Rd, Suite B, Huntersville, NC 28078-6813 | 2007-05-07 |
| 1073998787 | Novant Medical Group, Inc | Psychiatry & Neurology | 6909 Prosperity Church Rd, Huntersville, NC 28078-6698 | 2015-07-23 |
| 1225465362 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 9625 Northcross Center Ct, Suite 102b, Huntersville, NC 28078-7348 | 2013-10-03 |
| 1629405212 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 9625 Northcross Center Ct, Ste 102, Huntersville, NC 28078-7348 | 2013-09-27 |
| 1821248196 | Novant Medical Group, Inc. | Psychiatry & Neurology | 16525 Holly Crest Ln, Suite 120, Huntersville, NC 28078-4909 | 2008-09-24 |
| 1609862283 | Ki Soo Jung | Psychiatry & Neurology | 10305 Hamptons Park Dr Ste 101, Huntersville, NC 28078-7217 | 2005-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574706 | Nandigam Neurology, LLC | Psychiatry & Neurology | 10 Doctors Cir Ste 1, Supply, NC 28462-4218 | 2020-09-30 |
| 1033738299 | Catawba Valley Medical Group Inc | Psychiatry & Neurology | 3246 6th Ave Se Ste 101, Hickory, NC 28602-8335 | 2020-04-08 |
| 1700433711 | Novant Medical Group Inc | Psychiatry & Neurology | 933 Rockford St Ste 2, Mount Airy, NC 27030-5323 | 2019-08-23 |
| 1952886582 | John Messenheimer | Psychiatry & Neurology | 55 Hermitage Ln, Moncure, NC 27559-9670 | 2018-09-28 |
| 1578056057 | Novant Medical Group, Inc. | Psychiatry & Neurology | 15033 Ballancroft Pkwy Ste 200, Charlotte, NC 28277-4944 | 2018-06-11 |
| 1619474012 | Jamie Hannah Rose Aldridge | Psychiatry & Neurology | 1121 N Church Street, Greensboro, NC 27401 | 2018-04-11 |
| 1811417835 | Arvind Muralimohan Gomadam | Psychiatry & Neurology | 1492 Rymco Dr, Winston Salem, NC 27103 | 2017-06-21 |
| 1932637568 | Irena Dujmovic Basuroski | Psychiatry & Neurology | 194 Finley Golf Course Road, Suite 200, Chapel Hill, NC 27517 | 2017-05-26 |
| 1750838702 | Zuleyma Enid Toledo-nieves | Psychiatry & Neurology | Unc Hospitals Department of Neurology, 170 Manning Drive, Cb#7025, Chapel Hill, NC 27599-7025 | 2016-09-07 |
| 1659722593 | Arfeen Geriatric Care Pllc | Psychiatry & Neurology | 2961 Crouse Ln Ste D, Burlington, NC 27215-8833 | 2016-06-22 |
| Find all providers with the same taxonomy | ||||
| City | HUNTERSVILLE |
| Zip Code | 28078 |
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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.