CMC-NORTHEAST, INC. (NPI# 1265764443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265764443 |
| Entity Type | Organization |
| Organization Name | CMC-NORTHEAST, INC. |
| Other Organization Name | EDISON SQUARE FAMILY MEDICINE |
| Practice Address |
10030 Edison Square Dr Nw Suite 100 Concord NC 28027-8252 |
| Practice Telephone | 7044037830 |
| Practice Fax Number | 7044037840 |
| Mailing Telephone | 7044037830 |
| Mailing Fax Number | 7044037840 |
| Enumeration Date | 2010-02-12 |
| Last Update Date | 2010-09-09 |
| Authorized Official Name | MRS. FRIEDA M LOWDER (SR. VP) |
| Authorized Official Telephone | 7044034146 |
| Is Organization Subpart | Y |
| Parent Organization Name | CMC-NORTHEAST, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5914718 | 05 | |
| NC | RAILROAD MEDICARE PTAN | DF8926 | 01 |
| NC | MEDICARE PTAN, GROUP | 232009 | 01 |
| Other Name | Type Code |
|---|---|
| Edison Square Family Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043525280 | Cmc-northeast, Inc. | Psychiatry & Neurology | 6600 Wilkinson Blvd, Carolinas Pediatric Neurology Care - Holy Angels, Belmont, NC 28012-2796 | 2010-08-12 |
| 1184777617 | Cmc-northeast, Inc. | Counselor | 105 Yadkin Street, Suite 302, Albemarle, NC 28001-3454 | 2007-01-19 |
| 1497716989 | Cmc-northeast, Inc. | Internal Medicine | 219 Le Phillip Ct Ne, Northeast Lung Associates, Concord, NC 28025-2900 | 2006-04-01 |
| 1841595121 | Cmc-northeast, Inc. | Pediatrics | 129 Woodson St, Suite C, Salisbury, NC 28144-3255 | 2011-01-19 |
| 1669777942 | Cmc-northeast, Inc. | Psychiatry & Neurology | 129 Woodson St, Suite B, Salisbury, NC 28144-3255 | 2011-01-19 |
| 1093010407 | Cmc-northeast, Inc. | Pediatrics | 129 Woodson St, Suite A, Salisbury, NC 28144-3255 | 2011-01-14 |
| 1972806321 | Cmc-northeast, Inc. | Psychiatry & Neurology | 1001 Blythe Blvd, Suite 200 Cpnc - Charlotte Specialty Center, Charlotte, NC 28203-5866 | 2010-12-07 |
| 1174823900 | Cmc-northeast, Inc. | Psychiatry & Neurology | 2550 Court Dr, Suite 203, Gastonia, NC 28054-2152 | 2010-10-27 |
| 1831407295 | Cmc-northeast, Inc. | Internal Medicine | 920 Church St N, Northeast Transition of Care, Concord, NC 28025-2927 | 2010-09-20 |
| 1033424270 | Cmc-northeast, Inc. | Psychiatry & Neurology | 1781 Tate Blvd Se, Carolinas Pediatric Neurology Care - Hickory, Hickory, NC 28602-4251 | 2010-08-12 |
| Street Address |
10030 EDISON SQUARE DR NW SUITE 100 |
| City | CONCORD |
| State | NC |
| Zip Code | 28027-8252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366412207 | Marc Dy | Family Medicine | 10030 Edison Square Dr Nw, Ste 100, Concord, NC 28027-8308 | 2006-01-24 |
| 1184267577 | Bethany Simpson | Physician Assistant | 10030 Edison Square Dr Nw, Concord, NC 28027-8308 | 2019-10-18 |
| 1245776889 | Cabarrus Gastroenterology Associates, Pllc | Internal Medicine | 10030 Edison Square Dr Nw, Suite 204, Concord, NC 28027-8308 | 2017-01-06 |
| 1538613302 | Brain Training Center of Charlotte | Specialist/Technologist | 10030 Edison Square Dr Nw, Concord, NC 28027-8308 | 2016-08-10 |
| 1356745566 | Elizabeth Skalsky | Nurse Practitioner | 10030 Edison Square Dr Nw, Ste 100a, Concord, NC 28027-8308 | 2014-10-17 |
| 1366879934 | The Charlotte-mecklenburg Hospital Authority | Family Medicine | 10030 Edison Square Dr Nw, Ste 100, Concord, NC 28027-8308 | 2013-09-27 |
| 1588091177 | The Charlotte-mecklenburg Hospital Authority | Obstetrics & Gynecology | 10030 Edison Square Dr Nw, Ste 100a, Concord, NC 28027-8308 | 2013-09-27 |
| 1760727218 | Dr Michael J Landers Dc | Chiropractor | 10030 Edison Square Dr Nw, 203, Concord, NC 28027-8308 | 2012-12-10 |
| 1124345327 | Michael James Landers | Chiropractor | 10030 Edison Square Dr Nw, 203, Concord, NC 28027-8308 | 2010-04-27 |
| 1255664900 | Kerry Marie Sanford | Speech-Language Pathologist | 10030 Edison Square Dr Nw, Concord, NC 28027-8308 | 2009-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023652252 | Medcare Transport of Nc | Non-emergency Medical Transport (VAN) | 7039 Northwinds Dr Nw, Unit C, Concord, NC 28027 | 2019-10-31 |
| 1538718770 | Carolyn Ann Broadnax | Technician | 3524 Cedar Springs Dr, Concord, NC 28027 | 2019-09-10 |
| 1447806575 | Claire-ann E Papp | Dentist | 8815 Christenbury Parkway, Suite 40, Concord, NC 28027 | 2019-08-14 |
| 1578120218 | Philip Osborn | Dentist | 5408 Nc-49, Harrisburg, NC 28027 | 2019-05-28 |
| 1639648306 | Kristen Morris Spell | Counselor | 195 Lower Cape Dr Sw Apt 107, Concord, NC 28027 | 2018-11-25 |
| 1568959625 | Laurie Ford | Counselor | 705 Samuel Adams Cir Sw, Concord, NC 28027 | 2018-04-15 |
| 1598278194 | Autumn Nobles | Specialist/Technologist | 10193 Falling Leaf Dr Nw, Concord, NC 28027 | 2017-11-06 |
| 1386192938 | Brundasudha Satti IIi | Physical Therapist | 379 Sutoforest Dr Nw, Concord, NC 28027 | 2016-09-12 |
| 1467809616 | Kathryn Teal Watts | Dentist | 5305345 Vining St Nw, #201, Concord, NC 28027 | 2016-05-18 |
| 1720443849 | Denette Carte | Health Educator | 9712 Ravenscroft Lane Nw, Concord, NC 28027 | 2015-12-16 |
| Find all providers in zip 28027 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730646282 | Gifted Guidance | Family Medicine | 960 Copperfield Blvd Ne, Concord, NC 28025-2433 | 2019-02-20 |
| 1831572353 | Mark Prodger | Family Medicine | 250 Pleasant Street Chfhc, Yeaple Building, Concord, NH 03301-7539 | 2015-07-01 |
| 1700209244 | Carolinas Physicians Network Inc | Family Medicine | 675 Memorial Blvd, Suite 100, Concord, NC 28025-2992 | 2014-02-03 |
| 1932441979 | Monica Therese Lawler | Family Medicine | 270 Copperfield Blvd Ne Ste 102, Concord, NC 28025-2443 | 2013-03-16 |
| 1174868368 | Doctors Plus Pllc | Family Medicine | 205 Branchview Drive, Concord, NC 28025 | 2012-11-29 |
| 1831357508 | Peter C Loeser | Family Medicine | 194 Pleasant St Ste 7, Concord, NH 03301-2952 | 2008-05-29 |
| 1548451149 | Tess Georgette Richards | Family Medicine | 270 Copperfield Blvd, Suite 102, Concord, NC 28025-2443 | 2007-08-08 |
| 1821289679 | Curtis Reinhold Preik | Family Medicine | 9915 Clarkes View Pl Nw, Concord, NC 28027-7235 | 2007-08-07 |
| 1942407283 | Park Avenue Walk In Clinic | Family Medicine | 1280 Monument Blvd Ste 1, Concord, CA 94520-4405 | 2007-06-29 |
| 1285836783 | Suzanne Helen Powell | Family Medicine | 2000 Sierra Rd, Concord, CA 94518 | 2007-06-05 |
| Find all providers in CONCORD | ||||
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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.