CAROLINAS MEDICAL CENTER-NORTHEAST (NPI# 1699060384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699060384 |
| Entity Type | Organization |
| Organization Name | CAROLINAS MEDICAL CENTER-NORTHEAST |
| Other Organization Name | CAROLINAS PEDIATRIC NEUROLOGY CARE - UNIVERSITY |
| Practice Address |
101 E W T Harris Blvd Bldg 3000, Suite 3301b 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5917531 | 05 | |
| SC | NPB455 | 05 |
| Other Name | Type Code |
|---|---|
| Carolinas Pediatric Neurology Care - University | 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 |
101 E W T HARRIS BLVD BLDG 3000, SUITE 3301B |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28262-7000 |
| 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 |
| Find all providers in the same location | ||||
| 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 Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033675079 | Novant Medical Group Inc | Psychiatry & Neurology | 1918 Randolph Rd Ste 320, Charlotte, NC 28207-1109 | 2019-02-14 |
| 1023415981 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 12311 Copper Way, Suite 200-a, Charlotte, NC 28277-3642 | 2014-11-20 |
| 1073932885 | Neurology Wellness, Pllc | Psychiatry & Neurology | 10508 Park Rd, Ste 130, Charlotte, NC 28210-8525 | 2014-04-09 |
| 1780011825 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 2608 E 7th St, Charlotte, NC 28204-4375 | 2013-10-03 |
| 1518394659 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 101 E W T Harris Blvd, Bldg 3000 Ste 3301b, Charlotte, NC 28262-3485 | 2013-10-03 |
| 1720415946 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 1001 Blythe Blvd, Ste 200, Charlotte, NC 28203-5866 | 2013-10-02 |
| 1922367077 | Carolinas Medical Center-northeast | Psychiatry & Neurology | 4501 Cameron Valley Pkwy, Suite 301-a, Charlotte, NC 28211-4297 | 2012-05-10 |
| 1972806321 | Cmc-northeast, Inc. | Psychiatry & Neurology | 1001 Blythe Blvd, Suite 200 Cpnc - Charlotte Specialty Center, Charlotte, NC 28203-5866 | 2010-12-07 |
| 1265747497 | Cmc-northeast, Inc. | Psychiatry & Neurology | 1010 Edgehill Rd N, Carolinas Pediatric Neurology Care - Charlotte, Charlotte, NC 28207-1885 | 2010-08-12 |
| 1437484243 | Carolinas Physicians Network, Inc. | Psychiatry & Neurology | 10320 Mallard Creek Road, Suite 230, Charlotte, NC 28262-5209 | 2009-10-13 |
| Find all providers in CHARLOTTE | ||||
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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.