CAROLINAS MEDICAL CENTER-NORTHEAST


Address: 101 E W T Harris Blvd, Bldg 3000, Suite 3301d, Charlotte, NC 28262-7000
Phone: 7044032660

CAROLINAS MEDICAL CENTER-NORTHEAST (NPI# 1689969370) 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) 1689969370
Entity Type Organization
Organization Name CAROLINAS MEDICAL CENTER-NORTHEAST
Other Organization Name NORTHEAST PEDIATRIC PULMONOLOGY - UNIVERSITY
Practice Address 101 E W T Harris Blvd
Bldg 3000, Suite 3301d
Charlotte
NC 28262-7000
Practice Telephone 7044032660
Practice Fax Number 7044032670
Mailing Telephone 7044032660
Mailing Fax Number 7044032670
Enumeration Date 2011-06-10
Last Update Date 2011-11-15
Authorized Official Name FRIEDA M LOWDER (SR VP)
Authorized Official Telephone 7044034146
Is Organization Subpart Y
Parent Organization Name CAROLINAS MEDICAL CENTER-NORTHEAST

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0214X Pediatrics
Specialization: Pediatric Pulmonology
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NC 5917532 05
SC QPB689 05

Other Provider/Organization Names

Other Name Type Code
NorthEast Pediatric Pulmonology - University Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 101 E W T HARRIS BLVD
BLDG 3000, SUITE 3301D
City CHARLOTTE
State NC
Zip Code 28262-7000

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932103660 Sanjay Patel Internal Medicine 101 E W T Harris Blvd, Ste 1213, Charlotte, NC 28262-3485 2005-06-10
1417429457 Danelle Boone Nurse Practitioner 101 E W T Harris Blvd, Ste 2320, Charlotte, NC 28262-3485 2018-12-31
1598207730 Ankita Desai Physician Assistant 101 E W T Harris Blvd, Ste 5401, Charlotte, NC 28262-3485 2016-11-04
1578913562 Katherine Silverwood Nurse Practitioner 101 E W T Harris Blvd, Ste 1121, Charlotte, NC 28262-3485 2016-06-21
1750735064 The Charlotte-mecklenburg Hospital Authority Internal Medicine 101 E W T Harris Blvd, Ste 5203, Charlotte, NC 28262-3485 2016-04-22
1588044002 Loverica Irby Pediatrics 101 E W T Harris Blvd, Ste 1121, Charlotte, NC 28262-3485 2015-06-01
1811384258 Nicole Kuhn Obstetrics & Gynecology 101 E W T Harris Blvd, Ste 5301, Charlotte, NC 28262-3485 2015-04-23
1427445527 Erin Straight Obstetrics & Gynecology 101 E W T Harris Blvd, Ste 5301, Charlotte, NC 28262-3485 2015-04-16
1659761302 April Sink Nurse Practitioner 101 E W T Harris Blvd, Ste 5202, Charlotte, NC 28262-3485 2015-02-03
1730577438 Elizabeth Rudd Nurse Practitioner 101 E W T Harris Blvd, Suite 5002, Charlotte, NC 28262-3485 2015-01-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366056913 Aleta Michelle Johnson Specialist 9711 David Taylor Dr., Ste. 145, Charlotte, NC 28262 2020-09-01
1275161580 Londyn Homecare Agency L.l.c Home Health 1914j.n. Place, Charlotte, NC 28262 2020-03-31
1154964914 Abundant Love Home Care Service LLC In Home Supportive Care 1981 J.n. Pease Place, Ste 204, Charlotte, NC 28262 2019-10-24
1104399070 Nattya S Pilgreen Prosthetist 410 E Mccullough Drive, Suite 103, Charlotte, NC 28262 2019-01-03
1114404506 Laura Ida Anthony-getant Social Worker 10130 Mallard Creek Road, Ste 300 #333, Charlotte, NC 28262 2018-07-27
1720573587 Carolinas Center for Ambulatory Dentistry LLC Dentist 8415 Medical Plaza Drice, Charlotte, NC 28262 2018-06-25
1598254799 Cassandra Faye Harding Nurse Practitioner 1905 Jn Pease Place Suite 103, Charlotte, NC 28262 2018-05-03
1669960746 Michael Riley In Home Supportive Care 8301 University Exec Park Dr Ste 120, Charlotte, NC 28262 2018-04-25
1568989804 Bridget Coomber Behavior Technician 8420 University Executive Dr Ste 810, Charlotte, NC 28262 2017-08-28
1073037701 Toshana Daley Physical Therapist 8801 Jm Keynes Blvd, Charlotte, NC 28262 2017-08-03
Find all providers in zip 28262

Taxonomy Information

Taxonomy Code 2080P0214X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Pulmonology

Taxonomy Definition

A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.
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) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669032231 Novant Medical Group, Inc. Pediatrics 6331 Carmel Rd Ste 102, Charlotte, NC 28226-8286 2019-06-17
1295392322 Novant Medical Group Inc Pediatrics 5370 Ridge Rd, Charlotte, NC 28269-2298 2019-05-23
1417477977 Novant Medical Group, Inc Pediatrics 201 Queens Rd, Charlotte, NC 28204-3217 2017-06-26
1770910127 The Charlotte-mecklenburg Hospital Authority Pediatrics 1001 Blythe Blvd, Ste 200d, Charlotte, NC 28203-5866 2013-10-01
1750718102 The Charlotte-mecklenburg Hospital Authority Pediatrics 101 E W T Harris Blvd, Bldg 3000 Ste 3301d, Charlotte, NC 28262-3485 2013-10-01
1346504297 Robert Tillman Pediatrics 1001 Blythe Blvd, Medical Center Plaza Suite 200, Charlotte, NC 28203-5866 2012-06-26
1841513363 Cmc - Northeast, Inc. Pediatrics 1001 Blythe Blvd, Suite 200d Northeast Pediatric Pulmonlogy-charlotte, Charlotte, NC 28203-5866 2010-03-11
1790946754 Ashley Chadha Pediatrics 1001 Blythe Blvd, Medical Center Plaza Suite 200, Charlotte, NC 28203-5866 2008-06-23
1841477478 Maxine Semaneh Eikani Pediatrics 201 Queens Rd, Charlotte, NC 28204-3217 2008-01-25
1154525038 Shean J Aujla Pediatrics 171 Ashley Avenue, Charlotte, NC 28275-1461 2007-06-13
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Competitor

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City CHARLOTTE
Zip Code 28262

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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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