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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 5917536 | 05 |
Other Name | Type Code |
---|---|
NorthEast Pediatric Endocrinology - University | 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 |
101 E W T HARRIS BLVD BLDG 3000, SUITE 3301C |
City | CHARLOTTE |
State | NC |
Zip Code | 28262-7000 |
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 |
Find all providers in the same location |
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 Code | 2080P0205X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Endocrinology |
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. |
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 |
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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.