CAROLINAS MEDICAL CENTER-NORTHEAST


Address: 101 E W T Harris Blvd, Bldg 3000, Suite 3301c, Charlotte, NC 28262-7000
Phone: 7044032660

CAROLINAS MEDICAL CENTER-NORTHEAST (NPI# 1962797654) 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) 1962797654
Entity Type Organization
Organization Name CAROLINAS MEDICAL CENTER-NORTHEAST
Other Organization Name NORTHEAST PEDIATRIC ENDOCRINOLOGY - UNIVERSITY
Practice Address 101 E W T Harris Blvd
Bldg 3000, Suite 3301c
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 2011-08-19
Authorized Official Name FRIEDA M LOWDER (SR VP)
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 2080P0205X Pediatrics
Specialization: Pediatric Endocrinology
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NC 5917536 05

Other Provider/Organization Names

Other Name Type Code
NorthEast Pediatric Endocrinology - University 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 101 E W T HARRIS BLVD
BLDG 3000, SUITE 3301C
City CHARLOTTE
State NC
Zip Code 28262-7000

Providers in the same location

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
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Providers in the same zip code

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 Information

Taxonomy Code 2080P0205X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Endocrinology

Taxonomy Definition

A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.
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) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801825914 Lisa Houchin Pediatrics 4501 Cameron Valley Pkwy, Ste 200, Charlotte, NC 28211-4297 2006-07-01
1386164051 Novant Medical Group, Inc Pediatrics 201 Queens Rd, Charlotte, NC 28204-3217 2017-06-23
1700213113 The Charlotte-mecklenburg Hospital Authority Pediatrics 101 E Wt Harris Blvd, Bldg 3000 Ste 3301c, Charlotte, NC 28262-3485 2013-09-30
1962778266 Diana Elizabeth Miller Pediatrics 201 Queens Rd, Charlotte, NC 28204-3217 2012-03-30
1053605873 Elizabeth Dabrowski Pediatrics 4501 Cameron Valley Pkwy, Ste 200, Charlotte, NC 28211-4297 2011-06-09
1184811937 Jakub Mieszczak Pediatrics 4501 Cameron Valley Pkwy, Ste 200, Charlotte, NC 28211-4297 2007-09-26
1679582134 Pediatric Endocrinology & Diabetes Specialists Pediatrics 4501 Cameron Valley Pkwy, Ste 200, Charlotte, NC 28211-4297 2006-08-05
1740212901 Mark Vanderwel Pediatrics 4501 Cameron Valley Pkwy, Ste 200, Charlotte, NC 28211-4297 2006-07-07
1609806264 Malaka Baharah Jackson Pediatrics 201 Queens Rd, Charlotte, NC 28204-3217 2006-07-03
1912937475 Mark Parker Pediatrics 4501 Cameron Valley Pkwy, Suite 200, Charlotte, NC 28211-4297 2006-07-03
Find all providers in CHARLOTTE

Competitor

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City CHARLOTTE
Zip Code 28262

Improve Information

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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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