CMC NORTHEAST (NPI# 1497073431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497073431 |
| Entity Type | Organization |
| Organization Name | CMC NORTHEAST |
| Practice Address |
270 Copperfield Blvd Ne Suite 202 Concord NC 28025-2441 |
| Mailing Address |
Po Box 129 Macon NC 27551-0129 |
| Practice Telephone | 7047212063 |
| Mailing Telephone | 2527678877 |
| Mailing Fax Number | 2522573400 |
| Enumeration Date | 2010-05-15 |
| Last Update Date | 2010-05-19 |
| Authorized Official Name | JACKQUELYN HARVE (RESIDENCY COORDINATOR) |
| Authorized Official Telephone | 7047212063 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | NC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821203068 | Cmc Northeast | Public Health or Welfare | 920 Church St N, Concord, NC 28025-2927 | 2007-05-11 |
| Street Address |
270 COPPERFIELD BLVD NE SUITE 202 |
| City | CONCORD |
| State | NC |
| Zip Code | 28025-2441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447248208 | Jerome Nymberg IIi | Family Medicine | 270 Copperfield Blvd Ne, Ste 102, Concord, NC 28025-2441 | 2005-10-06 |
| 1427500354 | Tara Bush | Physician Assistant | 270 Copperfield Blvd Ne, Ste 102, Concord, NC 28025-2441 | 2016-10-26 |
| 1013462894 | Shannon Elizabeth Rudolph | Pharmacist | 270 Copperfield Blvd Ne, Suite 101, Concord, NC 28025-2441 | 2016-08-22 |
| 1215481510 | Cody Clifton | Pharmacist | 270 Copperfield Blvd Ne, Suite 101, Concord, NC 28025-2441 | 2016-08-04 |
| 1588019798 | Megan Campbell | Family Medicine | 270 Copperfield Blvd Ne, Ste 102, Concord, NC 28025-2441 | 2016-04-26 |
| 1316322340 | Desiree Gaines | Pharmacist | 270 Copperfield Blvd Ne, Concord, NC 28025-2441 | 2015-07-20 |
| 1437536489 | May Royer | Family Medicine | 270 Copperfield Blvd Ne, Ste 102, Concord, NC 28025-2441 | 2015-04-29 |
| 1588051981 | Kristen Shaheen Williams | Physician Assistant | 270 Copperfield Blvd Ne, Suite 102, Concord, NC 28025-2441 | 2015-04-23 |
| 1558756155 | Rachel Koontz | Nurse Practitioner | 270 Copperfield Blvd Ne, Ste 102, Concord, NC 28025-2441 | 2015-03-31 |
| 1750799375 | Caroline Traylor | Pharmacist | 270 Copperfield Blvd Ne, Concord, NC 28025-2441 | 2014-07-28 |
| 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 | 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 | ||||
Please comment or provide details below to improve the information on CMC NORTHEAST.
| 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.