CMC-NORTHEAST, INC


Address: 16623 Birkdale Cmns Pkwy, Suite 110, Ne Pediatric Endo, Huntersville, NC 28078-5621
Phone: 7049874277

CMC-NORTHEAST, INC (NPI# 1376696062) 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) 1376696062
Entity Type Organization
Organization Name CMC-NORTHEAST, INC
Other Organization Name NE PEDIATRIC ENDOCRINOLOGY, HUNTERSVILLE
Practice Address 16623 Birkdale Cmns Pkwy
Suite 110, Ne Pediatric Endo
Huntersville
NC 28078-5621
Practice Telephone 7049874277
Practice Fax Number 7049875096
Mailing Telephone 7049874277
Mailing Fax Number 7049875096
Enumeration Date 2007-01-18
Last Update Date 2007-08-22
Authorized Official Name FRIEDA M LOWDER (VP PHYSICIAN SERVICES COORD)
Authorized Official Telephone 7047834146
Is Organization Subpart Y
Parent Organization Name CMC-NORTHEAST,INC

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 AETNA 4462028 01
NC PARTNERS MEDICARE CHOICE I902 01
NC MAMSI 355573 01
NC BCBS GROUP ID 015Y2 01
NC TRICARE STANDARD, NON NWK 566000156074 01
NC 5903854 05

Other Provider/Organization Names

Other Name Type Code
NE Pediatric Endocrinology, Huntersville Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1467505016 Cmc-northeast, Inc Pediatrics 16623 Birkdale Pwky, Suite 110, Ne Pediatric Neuro, Huntersville, Huntersville, NC 28078 2007-01-18
1023313301 Cmc-northeast, Inc Pediatrics 129 Woodson St, Suite D, Salisbury, NC 28144-3255 2011-01-19

Office Location

Street Address 16623 BIRKDALE CMNS PKWY
SUITE 110, NE PEDIATRIC ENDO
City HUNTERSVILLE
State NC
Zip Code 28078-5621

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194995423 Mark D. Peacock Md PC Obstetrics & Gynecology 16623 Birkdale Cmns Pkwy, Suite 130, Huntersville, NC 28078-5621 2008-03-03
1023161726 Cmc-northeast, Inc. Pediatrics 16623 Birkdale Cmns Pkwy, Suite 110 Pediatric Pavilion At Huntersville, Huntersville, NC 28078-5621 2007-01-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538787718 John M. Bakarich, Dds, Pllc Dentist 15810 Northcross Drive, Suite A, Huntersville, NC 28078 2020-07-14
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1922644830 Steven James Underwood Physical Therapist Aldersgate Ccrc, 3800 Shamrock Drive, Charlotte, NC 28078 2019-11-26
1851856306 Jessica Runnion Behavior Technician 14625 Reese Blvd, Apartment 208, Huntersville, NC 28078 2019-02-08
1568935401 Carolinas Hometown Respiratory LLC Durable Medical Equipment & Medical Supplies 111 Commerce Centre Drive, Suite 305, Huntersville, NC 28078 2019-01-03
1932691763 Shakira Grier Massage Therapist 15905 Brookway Drive, Ste 4202, Huntersville, NC 28078 2018-06-06
1457850596 Chudney Drew Counselor 10224 Hickorywood Hill Ave Ste 201, Huntersville, NC 28078 2018-02-05
1215457122 Amy Nicole Castongia Counselor 10511 Drake Hill Dr, Huntersville, NC 28078 2017-06-21
1457714057 Robin D Disbro Registered Nurse 6216 Colonial Garden Drive, Huntersville, NC 28078 2016-03-31
1144695545 Huntersville H&r Ops Limited Partnership Skilled Nursing Facility 13835 Boren Street, Huntersville, NC 28078 2015-12-10
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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
1902233380 The Charlotte-mecklenburg Hospital Authority Pediatrics 9625 Northcross Center Ct, Ste 102c, Huntersville, NC 28078-7348 2013-10-01
1548466881 Cmc-northeast, Inc. Pediatrics 9625 Northcross Center Ct, Suite 102-c, Huntersville, NC 28078-7348 2007-06-25
1023161726 Cmc-northeast, Inc. Pediatrics 16623 Birkdale Cmns Pkwy, Suite 110 Pediatric Pavilion At Huntersville, Huntersville, NC 28078-5621 2007-01-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1073179867 Novant Medical Group, Inc. Pediatrics 311 Coddle Market Dr Nw Ste 200, Concord, NC 28027-2432 2019-05-16
1124202114 Jennifer Rachel Law Pediatrics 3341 Mbrb Cb 7039, University of North Carolina, Chapel Hill, NC 27599-0001 2007-12-26
1245443126 Nina Jain Pediatrics Unc, Cb # 7039, 3341 Biomolecular (mbrb), Chapel Hill, NC 27599-0001 2007-05-08
1801825914 Lisa Houchin Pediatrics 4501 Cameron Valley Pkwy, Ste 200, Charlotte, NC 28211-4297 2006-07-01
1437141611 Maria Janae Henwood-finley Pediatrics 2150 Herbert Ct, Ecu Pediatric Specialty Clinic, Greenville, NC 27834-3736 2005-08-16
1265097695 Wakemed Specialists Group, LLC Pediatrics 23 Sunnybrook Rd, Raleigh, NC 27610-1855 2019-05-01
1386164051 Novant Medical Group, Inc Pediatrics 201 Queens Rd, Charlotte, NC 28204-3217 2017-06-23
1518378553 Wake Specialty Physicians, LLC Pediatrics 23 Sunnybrook Rd, Raleigh, NC 27610-1855 2014-05-13
1912334335 The Charlotte-mecklenburg Hospital Authority Pediatrics 100 Medical Park Dr, Suite 310b, Concord, NC 28025-2948 2013-09-30
1700213113 The Charlotte-mecklenburg Hospital Authority Pediatrics 101 E Wt Harris Blvd, Bldg 3000 Ste 3301c, Charlotte, NC 28262-3485 2013-09-30
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Competitor

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City HUNTERSVILLE
Zip Code 28078

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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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