THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY (NPI# 1063849487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063849487 |
| Entity Type | Organization |
| Organization Name | THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY |
| Other Organization Name | NORTHEAST RHEUMATOLOGY |
| Practice Address |
200 Medical Park Dr Ste 330 Concord NC 28025-2982 |
| Mailing Address |
Po Box 19305 Charlotte NC 28219-9305 |
| Practice Telephone | 7044031308 |
| Mailing Telephone | 7046310002 |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2020-08-31 |
| Authorized Official Name | THOMAS LAYMON (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 7044468250 |
| Is Organization Subpart | Y |
| Parent Organization Name | THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| NorthEast Rheumatology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225649718 | The Charlotte-mecklenburg Hospital Authority | Surgery | 101 E Wt Harris Blvd Ste 5500a, Charlotte, NC 28262-3485 | 2020-08-10 |
| 1922563923 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 447 Billingsley Rd, Cottage A, Charlotte, NC 28211 | 2019-02-04 |
| 1215399852 | The Charlotte-mecklenburg Hospital Authority | Clinic/Center | 840 Warren C. Coleman Blvd, Concord, NC 28025 | 2016-03-23 |
| 1942674775 | The Charlotte-mecklenburg Hospital Authority | Skilled Nursing Facility | 625 Bethany Road, Albemarle, NC 28001 | 2015-11-17 |
| 1356778567 | The Charlotte-mecklenburg Hospital Authority | Internal Medicine | 101 E W T Harris Blvd Bldg 3000, Ste 3301e, Charlotte, NC 28262-3485 | 2013-10-02 |
| 1588978290 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 441 Mcalister Road, Suite 1100b, Lincolnton, NC 28092-0000 | 2010-08-05 |
| 1477884302 | The Charlotte-mecklenburg Hospital Authority | Orthopaedic Surgery | 275 Highway 16 N, Suite 202, Denver, NC 28037-3002 | 2010-01-15 |
| 1326088139 | The Charlotte-mecklenburg Hospital Authority | General Acute Care Hospital | 433 Mcalister Drive, Lincolnton, NC 28092-4147 | 2006-06-08 |
| 1114564416 | The Charlotte-mecklenburg Hospital Authority | Pediatrics | 150 Winchester Ave, Monroe, NC 28110-3161 | 2019-12-05 |
| 1538637137 | The Charlotte-mecklenburg Hospital Authority | Internal Medicine | 2301 Us Highway 74 W, Wadesboro, NC 28170-7554 | 2018-11-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | The Charlotte-Mecklenburg Hospital Authority | 1111 Metropolitan Avenue, Suite 600, Charlotte, NC 28204 |
| Washington State Corporations | THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY | 1000 Blythe Blvd, Charlotte, NC 28203 |
| Colorado Business Entities | The Charlotte-Mecklenburg Hospital Authority | C/o Office of General Counsel, 1000 Blythe Boulevard, Charlotte, NC 28203 |
| Alabama Business Registrations | The Charlotte-Mecklenburg Hospital Authority | 1000 Blythe Boulevard, Charlotte, NC 28203 |
| Virginia Business Entities | The Charlotte-Mecklenburg Hospital Authority | 1111 Metropolitan Avenue Suite 600, Charlotte, North Carolina 28204 |
| Street Address |
200 MEDICAL PARK DR STE 330 |
| City | CONCORD |
| State | NC |
| Zip Code | 28025-2982 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346245040 | Myron Roddenberry | Physician Assistant | 200 Medical Park Dr, Suite 230, Concord, NC 28025-2982 | 2005-06-17 |
| 1679183776 | Carolinas Physicians Network Inc | Orthopaedic Surgery | 200 Medical Park Dr, Ste 500, Concord, NC 28025-2982 | 2020-08-04 |
| 1518577832 | Leah Mccain | Nurse Practitioner | 200 Medical Park Dr, Ste 230, Concord, NC 28025-2982 | 2020-08-01 |
| 1477198091 | Ryan Cannici | Nurse Practitioner | 200 Medical Park Dr, Ste 550, Concord, NC 28025-2982 | 2019-11-07 |
| 1881159341 | Jessica Surane | Physician Assistant | 200 Medical Park Dr, Ste 230, Concord, NC 28025-2982 | 2019-02-08 |
| 1740756253 | Samantha Mason | Nurse Practitioner | 200 Medical Park Dr, Ste 550, Concord, NC 28025-2982 | 2018-10-23 |
| 1700361466 | Montana Poe | Nurse Practitioner | 200 Medical Park Dr, Ste 550, Concord, NC 28025-2982 | 2018-09-28 |
| 1932695574 | Stephanie White | Nurse Practitioner | 200 Medical Park Dr, Ste 430, Concord, NC 28025-2982 | 2018-07-06 |
| 1487185534 | Mukunda Singh | Internal Medicine | 200 Medical Park Dr, Ste 550, Concord, NC 28025-2982 | 2017-03-21 |
| 1497207641 | Jessica Marchal | Physician Assistant | 200 Medical Park Dr, Ste 230, Concord, NC 28025-2982 | 2016-11-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910729 | Renewed Mindset Therapeutic Services, Pllc | Social Worker | 349 Copperfield Blvd Suite L #334, Concord, NC 28025 | 2020-10-22 |
| 1194284380 | Carolinas Physicians Network Inc | Internal Medicine | 610 Alfred Brown Jr. Court, Concord, NC 28025 | 2019-03-18 |
| 1164913596 | Damarius Raymond Faggart | Counselor | 503 Amhurst Drive, Concord, NC 28025 | 2018-05-22 |
| 1437677085 | Kathryn Emily Kanauer | Counselor | 280 Executive Park Dr Ne, Concord, NC 28025 | 2017-09-05 |
| 1649794439 | Foster Health & Homecare, LLC | Home Health | 363 Church Street North, Suite 260-i, Concord, NC 28025 | 2017-08-02 |
| 1326569336 | Jessie Leigh Tilley-compton | Social Worker | 371 Amhurst St Sw, Concord, NC 28025 | 2017-06-29 |
| 1609305663 | Sarah Katherine Thompson | Licensed Practical Nurse | 248 Executive Park Dr, Concord, NC 28025 | 2017-06-05 |
| 1023463098 | Kiera Brown | Social Worker | 219 Lephillip Court, Concord, NC 28025 | 2016-04-27 |
| 1992169445 | Brittiny N. Ingram Vanterpool | Counselor | 250 Branchview Dr Sw, Concord, NC 28025 | 2016-04-11 |
| 1215399852 | The Charlotte-mecklenburg Hospital Authority | Clinic/Center | 840 Warren C. Coleman Blvd, Concord, NC 28025 | 2016-03-23 |
| Find all providers in zip 28025 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689773236 | Alan B Marks | Internal Medicine | 290 Baker Ave Suite 102n, Alan B Marks Md, Concord, MA 01742 | 2006-09-21 |
| 1265465470 | Rajani Relangi | Internal Medicine | Cabarrus Rheumatology Clinic, 478 Copperfield Blvd, Concord, NC 28025 | 2006-07-09 |
| 1376572040 | Cabarrus Rheumatology Clinic | Internal Medicine | 478 Copperfield Blvd Ne, Concord, NC 28025-2404 | 2006-07-03 |
| 1609836766 | James Matthew Trice | Internal Medicine | 4 Ridgewood Ln, Concord, NH 03301-3035 | 2006-03-24 |
| 1023453008 | Ashley Green | Internal Medicine | 200 Medical Park Dr, Ste 330, Concord, NC 28025-2982 | 2013-05-06 |
| 1558603910 | Rachel Romero | Internal Medicine | 200 Medical Park Dr, Ste 330, Concord, NC 28025-2982 | 2013-03-25 |
| 1114160652 | Meera Gangam | Internal Medicine | 200 Medical Park Dr, Ste 330, Concord, NC 28025-2982 | 2009-04-14 |
| 1437182490 | Concord Orthopaedics Professional Association | Internal Medicine | 264 Pleasant St, Concord, NH 03301-2551 | 2006-07-09 |
| 1477583557 | Andree C Phillips | Internal Medicine | 264 Pleasant St, Concord, NH 03301-2551 | 2006-07-04 |
| 1962432047 | Hoke H Shirley | Internal Medicine | 264 Pleasant St, Concord, NH 03301-2551 | 2006-07-04 |
| Find all providers in CONCORD | ||||
Please comment or provide details below to improve the information on THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY.
| 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.