CMC-NORTHEAST INC. NPI 1386840627

NPI Information

NPI: 1386840627
Provider Name: CMC-NORTHEAST, INC.
Classification: Pediatrics - 2080P0203X
Specialization: Pediatric Critical Care Medicine
Entity Type: Organization
Doing Business As: CAROLINA PEDIATRIC SURGERY - HUNTERSVILLE
Address: 9625 NORTHCROSS CENTER CT
SUITE 102-A
HUNTERSVILLE, NC
ZIP 28078
Phone: (704) 801-1240

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NPI Details

CMC-NORTHEAST, INC. is a pediatric critical care medicine pediatrics in Huntersville, NC. The provider is a pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. CMC-NORTHEAST, INC. NPI is 1386840627. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Carolina Pediatric Surgery - Huntersville.

The provider's business location address is:

9625 NORTHCROSS CENTER CT
SUITE 102-A
HUNTERSVILLE, NC
ZIP 28078-348
Phone: (704) 801-1240
Fax: (704) 801-1241

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 6/25/2007 and was last updated on 8/21/2012.

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	2080P0203X	Pediatrics	Pediatric Critical Care Medicine			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	QPB706	MEDICAID	SOUTH CAROLINA
2	017CP	OTHER	NORTH CAROLINA	BCBS EFF PRIOR TO 7-1-07
3	019FN	OTHER	NORTH CAROLINA	BCBS EFF 7-1-07
4	5906850	MEDICAID	NORTH CAROLINA
5	355573	OTHER	NORTH CAROLINA	MAMSI
6	5914359	OTHER	NORTH CAROLINA	MEDICAID, GROUP, EFF 5/1/09

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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