CMC-NORTHEAST, INC. (NPI# 1770728487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770728487 |
| Entity Type | Organization |
| Organization Name | CMC-NORTHEAST, INC. |
| Other Organization Name | NORTHEAST PEDIATRIC PULMONOLOGY-HUNTERSVILLE |
| Practice Address |
9625 Northcross Center Ct Suite 102-c Huntersville NC 28078-7348 |
| Practice Telephone | 7048011240 |
| Practice Fax Number | 7048011240 |
| Mailing Telephone | 7048011240 |
| Mailing Fax Number | 7048011240 |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2012-08-21 |
| Authorized Official Name | FRIEDA M LOWDER (SR. VICE PRESIDENT) |
| 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 | 2080P0214X |
Pediatrics Specialization: Pediatric Pulmonology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | QPB689 | 05 | |
| NC | 5914678 | 05 | |
| NC | RAILROAD MEDICARE PTAN | DF8926 | 01 |
| Other Name | Type Code |
|---|---|
| NorthEast Pediatric Pulmonology-Huntersville | 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 |
9625 NORTHCROSS CENTER CT SUITE 102-C |
| 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 | 2080P0214X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Pulmonology |
| A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962839068 | The Charlotte-mecklenburg Hospital Authority | Pediatrics | 9625 Northcross Center Ct, Ste 102d, Huntersville, NC 28078-7348 | 2013-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407409543 | Wakemed Specialists Group, LLC | Pediatrics | 104 Medspring Dr, Clayton, NC 27520-9687 | 2019-07-18 |
| 1023519543 | Julie Renee Kerth | Pediatrics | Wake Forest Baptist Medical Center 1, Winston Salem, NC 27157-0001 | 2018-02-21 |
| 1649455072 | Timothy John Vece | Pediatrics | 450 Macnider, Cb # 7217, 333 S. Columbia St, Chapel Hill, NC 27599-7217 | 2008-01-03 |
| 1174531602 | Steven M Julius | Pediatrics | 11 Vanderbilt Parkway, Asheville, NC 28803 | 2006-08-03 |
| 1669032231 | Novant Medical Group, Inc. | Pediatrics | 6331 Carmel Rd Ste 102, Charlotte, NC 28226-8286 | 2019-06-17 |
| 1295392322 | Novant Medical Group Inc | Pediatrics | 5370 Ridge Rd, Charlotte, NC 28269-2298 | 2019-05-23 |
| 1225531445 | Novant Medical Group, Inc. | Pediatrics | 1401 Matthews Township Pkwy Ste 100, Matthews, NC 28105-5403 | 2018-03-14 |
| 1417477977 | Novant Medical Group, Inc | Pediatrics | 201 Queens Rd, Charlotte, NC 28204-3217 | 2017-06-26 |
| 1821475468 | Pallav Halani | Pediatrics | 333 S Columbia St, Chapel Hill, NC 27599 | 2015-05-04 |
| 1144624206 | Carolinas Physicians Network Inc | Pediatrics | 929 N 2nd St, Ste 205, Albemarle, NC 28001-3363 | 2014-10-20 |
| 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.