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CMC-NORTHEAST INC. NPI 1558300566


NPI Information

NPI: 1558300566
Provider Name: CMC-NORTHEAST, INC.

Doing Business As: PIEDMONT PEDIATRICS

Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
1085 NE GATEWAY CT
SUITE 290, PIEDMONT PEDIATRICS
CONCORD, NC
ZIP 28025
Phone: (704) 403-4650
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CMC-NORTHEAST, INC. is a pediatrics in Concord, NC. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. CMC-NORTHEAST, INC. NPI is 1558300566. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Piedmont Pediatrics.

The provider's business location address is:

1085 NE GATEWAY CT
SUITE 290, PIEDMONT PEDIATRICS
CONCORD, NC
ZIP 28025-406
Phone: (704) 403-4650
Fax: (704) 403-4656

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 6/1/2010.


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
1208000000XPediatricsYes

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
1G708OTHERNORTH CAROLINAPARTNERS MEDICARE CHOICE
2566000156045OTHERNORTH CAROLINATRICARE STANDARD, NON NWK
35906965MEDICAIDNORTH CAROLINA
489012YJMEDICAIDNORTH CAROLINA
502233OTHERNORTH CAROLINABCBS EFF PRIOR TO 7-1-07
6355573OTHERNORTH CAROLINAMAMSI
7CC2854OTHERNORTH CAROLINARAILROAD MEDICARE
8DF8926OTHERNORTH CAROLINARAILROAD MEDICARE PTAN
9019GKOTHERNORTH CAROLINABCBS EFF 7-1-07

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

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