CMC-NORTHEAST INC NPI 1376696062

NPI Information

NPI: 1376696062
Provider Name: CMC-NORTHEAST, INC
Classification: Pediatrics - 2080P0205X
Specialization: Pediatric Endocrinology
Entity Type: Organization
Doing Business As: NE PEDIATRIC ENDOCRINOLOGY, HUNTERSVILLE
Address: 16623 BIRKDALE CMNS PKWY
SUITE 110, NE PEDIATRIC ENDO
HUNTERSVILLE, NC
ZIP 28078
Phone: (704) 987-4277

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NPI Details

CMC-NORTHEAST, INC is a pediatric endocrinology pediatrics in Huntersville, 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. CMC-NORTHEAST, INC NPI is 1376696062. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Ne Pediatric Endocrinology, Huntersville.

The provider's business location address is:

16623 BIRKDALE CMNS PKWY
SUITE 110, NE PEDIATRIC ENDO
HUNTERSVILLE, NC
ZIP 28078-621
Phone: (704) 987-4277
Fax: (704) 987-5096

The provider's authorized official is Frieda M Lowder .
The authorized official title is Vp Physician Services Coord and has the following contact phone number (704) 783-4146.

The enumeration date for this NPI number is 1/18/2007 and was last updated on 8/22/2007.

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
1	2080P0205X	Pediatrics	Pediatric Endocrinology			Yes

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
1	355573	OTHER	NORTH CAROLINA	MAMSI
2	015Y2	OTHER	NORTH CAROLINA	BCBS GROUP ID
3	4462028	OTHER	NORTH CAROLINA	AETNA
4	566000156074	OTHER	NORTH CAROLINA	TRICARE STANDARD, NON NWK
5	5903854	MEDICAID	NORTH CAROLINA
6	I902	OTHER	NORTH CAROLINA	PARTNERS MEDICARE CHOICE

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: 11/21/2025

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