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CAROLINAS MEDICAL CENTER-NORTHEAST NPI 1104865112


NPI Information

NPI: 1104865112
Provider Name: CAROLINAS MEDICAL CENTER-NORTHEAST

Doing Business As: CAROLINA INTERNAL MEDICINE-CONCORD

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
200 MEDICAL PARK DR
SUITE 300
CONCORD, NC
ZIP 28025
Phone: (704) 403-3676
Get Directions

CAROLINAS MEDICAL CENTER-NORTHEAST is an internal medicine in Concord, NC. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. CAROLINAS MEDICAL CENTER-NORTHEAST NPI is 1104865112. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Carolina Internal Medicine-concord.

The provider's business location address is:

200 MEDICAL PARK DR
SUITE 300
CONCORD, NC
ZIP 28025-982
Phone: (704) 403-3676
Fax: (704) 403-3666

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

The enumeration date for this NPI number is 6/5/2006 and was last updated on 8/27/2013.


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
1207R00000XInternal 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
1232009MEDICARE PINNORTH CAROLINA
2019F2OTHERNORTH CAROLINABCBSNC
3J386OTHERNORTH CAROLINAPARTNERS MEDICARE CHOICE
4017EWOTHERNORTH CAROLINABCBS EFF PRIOR TO 7-1-07
5CN2098OTHERNORTH CAROLINARAILROAD GROUP ID
6355573OTHERNORTH CAROLINAMAMSI GROUP ID
75906962MEDICAIDNORTH CAROLINA
8566000156065OTHERNORTH CAROLINATRICARE
9=========022OTHERNORTH CAROLINATRICARE EFFECTIVE 7/1/07
10DF8926OTHERNORTH CAROLINARAILROAD MEDICARE PTAN
115901373MEDICAIDNORTH 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: 4/28/2024

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