Provider Type Icon

CAROLINAS MEDICAL CENTER-NORTHEAST NPI 1689969370


NPI Information

NPI: 1689969370
Provider Name: CAROLINAS MEDICAL CENTER-NORTHEAST

Doing Business As: NORTHEAST PEDIATRIC PULMONOLOGY - UNIVERSITY

Classification: Pediatrics - 2080P0214X
Entity Type: Organization

Specialization: Pediatric Pulmonology

Address:
101 E W T HARRIS BLVD
BLDG 3000, SUITE 3301D
CHARLOTTE, NC
ZIP 28262
Phone: (704) 403-2660
Get Directions

CAROLINAS MEDICAL CENTER-NORTHEAST is a pediatric pulmonology pediatrics in Charlotte, NC. The provider is 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. CAROLINAS MEDICAL CENTER-NORTHEAST NPI is 1689969370. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Northeast Pediatric Pulmonology - University.

The provider's business location address is:

101 E W T HARRIS BLVD
BLDG 3000, SUITE 3301D
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
12080P0214XPediatricsPediatric PulmonologyYes

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
1QPB689MEDICAIDSOUTH CAROLINA
25917532MEDICAIDNORTH 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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.