CAROLINAS MEDICAL CENTER-NORTHEAST (NPI# 1578709325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578709325 |
| Entity Type | Organization |
| Organization Name | CAROLINAS MEDICAL CENTER-NORTHEAST |
| Other Organization Name | SENIOR CARE-NORTHEAST |
| Practice Address |
319 Penny Ln Suite B Concord NC 28025-1221 |
| Practice Telephone | 7044037780 |
| Practice Fax Number | 7044037781 |
| Mailing Telephone | 7044037780 |
| Mailing Fax Number | 7044037781 |
| Enumeration Date | 2008-12-29 |
| Last Update Date | 2013-03-29 |
| Authorized Official Name | FRIEDA M LOWDER (SR VICE PRESIDENT) |
| Authorized Official Telephone | 7044034146 |
| Is Organization Subpart | Y |
| Parent Organization Name | CAROLINAS MEDICAL CENTER-NORTHEAST |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | RAILROAD MEDICARE PTAN | DF8926 | 01 |
| NC | 5950737 | 05 |
| Other Name | Type Code |
|---|---|
| Senior Care-NorthEast | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306181128 | Carolinas Medical Center-northeast | Obstetrics & Gynecology | 10030 Edison Square Dr, 100-a, Concord, NC 28027-8252 | 2012-12-05 |
| 1518237825 | Carolinas Medical Center-northeast | Dermatology | 200 Medical Park Drive, Suite 320, Concord, NC 28025-0936 | 2012-01-03 |
| 1912286410 | Carolinas Medical Center-northeast | Pediatrics | 101 East W T Harris Blvd, Bldg 3000, Suite 3301e, Charlotte, NC 28262-7000 | 2011-08-15 |
| 1386683472 | Carolinas Medical Center-northeast | Internal Medicine | 1085 Northeast Gateway Court, Ne, Suite 330, Concord, NC 28025-2406 | 2006-06-05 |
| 1487600813 | Carolinas Medical Center-northeast | Internal Medicine | 1085 Northeast Gateway Ct, Ne, Suite 200-a, Concord, NC 28025-2412 | 2006-05-26 |
| 1154769636 | Carolinas Medical Center-northeast | Psychiatry & Neurology | 600 Hospital Dr, Suite A, Monroe, NC 28112-6000 | 2013-06-06 |
| 1376989061 | Carolinas Medical Center-northeast | Pediatrics | 9625 Northcross Center Ct, Suite 102-g, Huntersville, NC 28078-7348 | 2013-05-21 |
| 1407299795 | Carolinas Medical Center-northeast | Internal Medicine | 101 E Wt Harris Blvd, Bldg 3000, Suite 3301-g, Charlotte, NC 28262-7000 | 2013-04-17 |
| 1053754341 | Carolinas Medical Center-northeast | Internal Medicine | 101 E Wt Harris Blvd, Bldg 3000, Suite 3301-f, Charlotte, NC 28262-7000 | 2013-04-17 |
| 1770821035 | Carolinas Medical Center-northeast | Psychiatry & Neurology | 101 E W T Harris Blvd, Ste 5202, Charlotte, NC 28262-3443 | 2013-01-22 |
| Street Address |
319 PENNY LN SUITE B |
| City | CONCORD |
| State | NC |
| Zip Code | 28025-1221 |
| 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 |
| 1093142457 | The Charlotte-mecklenburg Hospital Authority | Internal Medicine | 319 Penny Ln, Suite A, Concord, NC 28025-1221 | 2013-10-01 |
| 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 |
| 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 | ||||
| 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 | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| 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 |
|---|---|---|---|---|
| 1457788812 | The Charlotte-mecklenburg Hospital Authority | Internal Medicine | 319 Penny Ln, Suite B, Concord, NC 28025-1221 | 2013-10-01 |
| 1730319633 | Lyn Singer Lindpaintner | Internal Medicine | 248 Pleasant St, Suite 2800, Concord, NH 03301-2588 | 2009-07-27 |
| 1386867422 | Daniel Cremin | Internal Medicine | 3052 Willow Pass Rd, Concord, CA 94519-7600 | 2007-04-10 |
| 1245346162 | Lilian R Mikael | Internal Medicine | 747 Main St, Suite 201, Concord, MA 01742-3302 | 2006-08-22 |
| 1871527382 | Sherry F Yudell | Internal Medicine | 101 Cabarrus Ave E, Concord, NC 28025-3699 | 2006-07-10 |
| 1780669655 | Karen M Bryant | Internal Medicine | 250 Pleasant St, Concord, NH 03301-7539 | 2005-12-13 |
| 1700889169 | Beverly J Entwisle | Internal Medicine | 250 Pleasant Street, Yeaple Building, Concord, NH 03301 | 2005-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205324449 | Innovative Healthcare Management Provider Group | Internal Medicine | 19401 Old Jetton Rd Ste 100, Cornelius, NC 28031-6575 | 2018-04-24 |
| 1396241030 | Erickson Health Medical Group of North Carolina, PC | Internal Medicine | 2030 Windsor Run Lane, Matthews, NC 28105 | 2018-04-02 |
| 1710480066 | Novant Medical Group, Inc. | Internal Medicine | 1450 Matthews Township Pkwy Ste 400, Matthews, NC 28105-5336 | 2018-03-13 |
| 1710306204 | Serena Wong | Internal Medicine | 40 Duke Medicine Cir Rm 2512, Durham, NC 27710-2527 | 2014-04-10 |
| 1033554811 | Ben Adam Blomberg | Internal Medicine | 6011 Farrington Rd, Suite 101, Chapel Hill, NC 27517-8168 | 2013-05-07 |
| 1881941706 | Robert Sullivan | Internal Medicine | 294 Highview Dr, Chapel Hill, NC 27517-7911 | 2012-08-09 |
| 1780974584 | Claire Kathryn Larson | Internal Medicine | 5003 Old Clinic Bldg Cb 7550, Chapel Hill, NC 27599-2204 | 2011-04-13 |
| 1316236649 | Mia Yang | Internal Medicine | Internal Medicine Section On Gerontology &, 1st Floor Sticht Center, Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2011-04-07 |
| 1659673838 | Moses Cone Affiliated Physicians, Inc. | Internal Medicine | 1200 N Elm Street, Moses Cone Health System, Administrativeservices,ste201, Greensboro, NC 27401-1020 | 2010-11-22 |
| 1871821728 | Pamela Estelle Gutman | Internal Medicine | 189 Country Club Rd, Asheville, NC 28804 | 2009-12-03 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CAROLINAS MEDICAL CENTER-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.