Provider Type Icon

CMC - NORTHEAST INC. NPI 1154578417


NPI Information

NPI: 1154578417
Provider Name: CMC - NORTHEAST, INC.

Doing Business As: CONCORD WOMEN'S SPECIALTY

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
200 MEDICAL PARK DR
SUITE 430 CONCORD WOMEN'S SPECIALTY
CONCORD, NC
ZIP 28025
Phone: (704) 792-1000
Get Directions

CMC - NORTHEAST, INC. is an obstetrics gynecology in Concord, NC. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. CMC - NORTHEAST, INC. NPI is 1154578417. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Concord Women's Specialty.

The provider's business location address is:

200 MEDICAL PARK DR
SUITE 430 CONCORD WOMEN'S SPECIALTY
CONCORD, NC
ZIP 28025-982
Phone: (704) 792-1000
Fax: (704) 792-1004

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

The enumeration date for this NPI number is 8/19/2008 and was last updated on 8/19/2008.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207VG0400XObstetrics & GynecologyGynecologyNo
2207VX0000XObstetrics & GynecologyObstetricsNo
3207V00000XObstetrics & GynecologyYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1232009MEDICARE PINNORTH 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: 5/5/2024

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.