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CAROLINAS MEDICAL CENTER-NORTHEAST NPI 1962797654


NPI Information

NPI: 1962797654
Provider Name: CAROLINAS MEDICAL CENTER-NORTHEAST

Doing Business As: NORTHEAST PEDIATRIC ENDOCRINOLOGY - UNIVERSITY

Classification: Pediatrics - 2080P0205X
Entity Type: Organization

Specialization: Pediatric Endocrinology

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

CAROLINAS MEDICAL CENTER-NORTHEAST is a pediatric endocrinology pediatrics in Charlotte, NC. The provider is a pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. CAROLINAS MEDICAL CENTER-NORTHEAST NPI is 1962797654. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Northeast Pediatric Endocrinology - University.

The provider's business location address is:

101 E W T HARRIS BLVD
BLDG 3000, SUITE 3301C
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 8/19/2011.


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
12080P0205XPediatricsPediatric EndocrinologyYes

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
15917536MEDICAIDNORTH 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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