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CAROLINAS MEDICAL CENTER-NORTHEAST NPI 1588959258


NPI Information

NPI: 1588959258
Provider Name: CAROLINAS MEDICAL CENTER-NORTHEAST

Doing Business As: CAROLINA PEDIATRIC SURGERY - UNIVERSITY

Classification: Pediatrics - 2080P0203X
Entity Type: Organization

Specialization: Pediatric Critical Care Medicine

Address:
101 E W T HARRIS BLVD
BLDG 3000, SUITE 3301A
CHARLOTTE, NC
ZIP 28262
Phone: (704) 403-2660
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CAROLINAS MEDICAL CENTER-NORTHEAST is a pediatric critical care medicine pediatrics in Charlotte, NC. The provider is a pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. CAROLINAS MEDICAL CENTER-NORTHEAST NPI is 1588959258. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Carolina Pediatric Surgery - University.

The provider's business location address is:

101 E W T HARRIS BLVD
BLDG 3000, SUITE 3301A
CHARLOTTE, NC
ZIP 28262-000
Phone: (704) 403-2660
Fax: (704) 403-2670

The provider's authorized official is Frieda M Lowder .
The authorized official title is Sr. Vp and has the following contact phone number (704) 403-4146.

The enumeration date for this NPI number is 6/10/2011 and was last updated on 11/15/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0203XPediatricsPediatric Critical Care MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15917530MEDICAIDNORTH CAROLINA
2QPB706MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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