CAROLINAS MEDICAL CENTER-NORTHEAST


Address: 4501 Cameron Valley Pkwy, Suite 301-a, Charlotte, NC 28211-4297
Phone: 7044032660

CAROLINAS MEDICAL CENTER-NORTHEAST (NPI# 1922367077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922367077
Entity Type Organization
Organization Name CAROLINAS MEDICAL CENTER-NORTHEAST
Other Organization Name CAROLINAS PEDIATRIC NEUROLOGY CARE-MORROCROFT
Practice Address 4501 Cameron Valley Pkwy
Suite 301-a
Charlotte
NC 28211-4297
Practice Telephone 7044032660
Practice Fax Number 7044032670
Mailing Telephone 7044032660
Mailing Fax Number 7044032670
Enumeration Date 2012-05-10
Last Update Date 2012-09-05
Authorized Official Name FRIEDA M LOWDER (SR. VICE PRESIDENT)
Authorized Official Telephone 7044034146
Is Organization Subpart Y
Parent Organization Name CAROLINAS MEDICAL CENTER-NORTHEAST

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0402X Psychiatry & Neurology
Specialization: Neurology with Special Qualifications in Child Neurology
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NC 5920684 05

Other Provider/Organization Names

Other Name Type Code
Carolinas Pediatric Neurology Care-Morrocroft Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 4501 CAMERON VALLEY PKWY
SUITE 301-A
City CHARLOTTE
State NC
Zip Code 28211-4297

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801825914 Lisa Houchin Pediatrics 4501 Cameron Valley Pkwy, Ste 200, Charlotte, NC 28211-4297 2006-07-01
1184275570 Stefanie Kienker Nurse Practitioner 4501 Cameron Valley Pkwy, Suite 300, Charlotte, NC 28211-4297 2019-09-26
1063895977 Medcarerx Inc Pharmacy 4501 Cameron Valley Pkwy, Charlotte, NC 28211-4297 2015-07-09
1912393943 Summer Tetteh Nurse Practitioner 4501 Cameron Valley Pkwy, Ste 100, Charlotte, NC 28211-4297 2015-04-07
1447664164 Anne Elam Lactation Consultant, Non-RN 4501 Cameron Valley Pkwy, Suite 100, Charlotte, NC 28211-4297 2014-06-20
1861757197 Carolinas Medical Center Pediatrics 4501 Cameron Valley Pkwy, Suite 300, Charlotte, NC 28211-4297 2012-07-12
1063772374 Stephanie Kwon Pediatrics 4501 Cameron Valley Pkwy, Ste 100, Charlotte, NC 28211-4297 2012-05-21
1144580754 Carolinas Medical Center-northeast Pediatrics 4501 Cameron Valley Pkwy, Suite 301-b, Charlotte, NC 28211-4297 2012-05-17
1285922690 Adam Faizi Pediatrics 4501 Cameron Valley Pkwy, Ste 100, Charlotte, NC 28211-4297 2011-07-19
1053605873 Elizabeth Dabrowski Pediatrics 4501 Cameron Valley Pkwy, Ste 200, Charlotte, NC 28211-4297 2011-06-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184277832 I and J Wheelchair Transportation Non-emergency Medical Transport (VAN) 1512 Delane Avenue, Charlotte, NC 28211 2019-07-22
1922563923 The Charlotte-mecklenburg Hospital Authority Psychiatry & Neurology 447 Billingsley Rd, Cottage A, Charlotte, NC 28211 2019-02-04
1649798273 Ally Home Care Charlotte LLC In Home Supportive Care 3711 Latrobe Drive Suite 520, Charlotte, NC 28211 2017-09-04
1154866770 Vaibhav Bajaj Dentist 2809 Coltsgate Rd Ste 200, Charlotte, NC 28211 2017-01-05
1508254939 Lindsay Marie Smits Speech-Language Pathologist 427 N. Wendover Rd., Charlotte, NC 28211 2015-01-08
1457755480 Kristen Hammer Physical Therapy Assistant 4120 Providence Rd Apt D, Charlotte, NC 28211 2014-10-20
1669805610 Carla Elizabeth Scott Physical Therapist 3500 Ellington Street, Dr. Carlton Watkins Center, Charlotte, NC 28211 2013-08-14
1760726368 Jill Hensdale Shipp Social Worker 307 Hunter Lane, Charlotte, NC 28211 2012-11-20
1346592722 Danielle Marie Benoit Occupational Therapist 3541 Randolph Road Suite 100 W, Charlotte, NC 28211 2012-10-09
1487910832 John Joseph Marcel Jr. Orthopaedic Surgery 449 North Wendover Rd Ste A, Charlotte, NC 28211 2012-04-10
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Taxonomy Information

Taxonomy Code 2084N0402X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology with Special Qualifications in Child Neurology

Taxonomy Definition

A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033675079 Novant Medical Group Inc Psychiatry & Neurology 1918 Randolph Rd Ste 320, Charlotte, NC 28207-1109 2019-02-14
1023415981 The Charlotte-mecklenburg Hospital Authority Psychiatry & Neurology 12311 Copper Way, Suite 200-a, Charlotte, NC 28277-3642 2014-11-20
1073932885 Neurology Wellness, Pllc Psychiatry & Neurology 10508 Park Rd, Ste 130, Charlotte, NC 28210-8525 2014-04-09
1780011825 The Charlotte-mecklenburg Hospital Authority Psychiatry & Neurology 2608 E 7th St, Charlotte, NC 28204-4375 2013-10-03
1518394659 The Charlotte-mecklenburg Hospital Authority Psychiatry & Neurology 101 E W T Harris Blvd, Bldg 3000 Ste 3301b, Charlotte, NC 28262-3485 2013-10-03
1720415946 The Charlotte-mecklenburg Hospital Authority Psychiatry & Neurology 1001 Blythe Blvd, Ste 200, Charlotte, NC 28203-5866 2013-10-02
1699060384 Carolinas Medical Center-northeast Psychiatry & Neurology 101 E W T Harris Blvd, Bldg 3000, Suite 3301b, Charlotte, NC 28262-7000 2011-06-10
1972806321 Cmc-northeast, Inc. Psychiatry & Neurology 1001 Blythe Blvd, Suite 200 Cpnc - Charlotte Specialty Center, Charlotte, NC 28203-5866 2010-12-07
1265747497 Cmc-northeast, Inc. Psychiatry & Neurology 1010 Edgehill Rd N, Carolinas Pediatric Neurology Care - Charlotte, Charlotte, NC 28207-1885 2010-08-12
1437484243 Carolinas Physicians Network, Inc. Psychiatry & Neurology 10320 Mallard Creek Road, Suite 230, Charlotte, NC 28262-5209 2009-10-13
Find all providers in CHARLOTTE

Competitor

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City CHARLOTTE
Zip Code 28211

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Dataset Information

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.

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