THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY


Address: 319 Penny Ln, Suite A, Concord, NC 28025-1221
Phone: 7044037575

THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY (NPI# 1093142457) 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) 1093142457
Entity Type Organization
Organization Name THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
Other Organization Name NORTHSIDE INTERNAL MEDICINE
Practice Address 319 Penny Ln
Suite A
Concord
NC 28025-1221
Practice Telephone 7044037575
Practice Fax Number 7044037570
Mailing Telephone 7044037575
Mailing Fax Number 7044037570
Enumeration Date 2013-10-01
Last Update Date 2016-01-26
Authorized Official Name THOMAS F LAYMON (SR. VICE PRESIDENT)
Authorized Official Telephone 7044032276
Is Organization Subpart Y
Parent Organization Name THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Northside Internal Medicine Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

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

Office Location

Street Address 319 PENNY LN
SUITE A
City CONCORD
State NC
Zip Code 28025-1221

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184611485 David Christopherson Family Medicine 319 Penny Ln, Concord, NC 28025-1221 2005-10-02
1104384031 Carolinas Physicians Network Inc Family Medicine 319 Penny Ln, Concord, NC 28025-1221 2019-03-11
1346603453 The Charlotte-mecklenburg Hospital Authority Family Medicine 319 Penny Ln, Suite 107, Concord, NC 28025-1221 2016-04-05
1457788812 The Charlotte-mecklenburg Hospital Authority Internal Medicine 319 Penny Ln, Suite B, Concord, NC 28025-1221 2013-10-01
1881990687 Carolinas Medical Center-northeast Internal Medicine 319 Penny Ln, Suite A, Concord, NC 28025-1221 2011-01-27
1578709325 Carolinas Medical Center-northeast Internal Medicine 319 Penny Ln, Suite B, Concord, NC 28025-1221 2008-12-29
1508918293 Christopherson Family Medicine, LLC Family Medicine 319 Penny Ln, Concord, NC 28025-1221 2007-01-16
1699867218 James Paul Rivell Internal Medicine 319 Penny Ln, Concord, NC 28025-1221 2006-09-29
1922100981 Mahesh K Duggal Internal Medicine 319 Penny Ln, Suite B, Concord, NC 28025-1221 2006-09-01
1376514133 Vincent L Keipper Internal Medicine 319 Penny Ln, Suite B, Concord, NC 28025-1221 2006-01-30
Find all providers in the same location

Providers in the same zip code

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 Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821613480 Carolinas Physicians Network Inc Internal Medicine 8815 Christenbury Pkwy Ste 30, Concord, NC 28027-0261 2020-06-10
1205395480 Carolinas Physicians Network Inc Internal Medicine 845 Church St N Ste 101, Concord, NC 28025-4373 2019-03-18
1194284380 Carolinas Physicians Network Inc Internal Medicine 610 Alfred Brown Jr. Court, Concord, NC 28025 2019-03-18
1063873842 Beth Israel Lahey Health Primary Care, Inc. Internal Medicine 2284 Main Street, Lahey Health Primary Care, Concord, Concord, MA 01742 2016-03-08
1306259700 Charis Gn Stone Internal Medicine 200 Medical Park Dr Ste 330, Concord, NC 28025-0937 2014-06-04
1255766267 Pro Care Medical Group Inc Internal Medicine 1155 Rock Creek Way, Concord, CA 94521-5022 2013-09-10
1912339995 Mehmet Sercan Marangoz Internal Medicine 18 Foundry St Ste 102, Concord, NH 03301 2013-08-01
1891032892 Walter C Dueger Internal Medicine 215 Mountain Rd, Concord, NH 03301-6946 2013-01-10
1750680427 Julian Lel Internal Medicine 131 Old Road To Nac Cor Bldg Suite660, Concord, MA 01742 2011-03-21
1164654885 Patricia Ruze Internal Medicine 965 Elm St., Mci-concord, Concord, MA 01742-9106 2009-08-13
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Competitor

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City CONCORD
Zip Code 28025

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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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