Cmc-northeast, Inc, NPI 1467505016
Pediatric Neurodevelopmental Disabilities Physician in Huntersville, NC, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1467505016
NPI Entity Type Organization
Provider Name Cmc-northeast, Inc
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 16623 Birkdale Pwky, Suite 110, Ne Pediatric Neuro, Huntersville, Huntersville, NC, US
Provider Mailing Address 16623 Birkdale Pwky, Suite 110, Ne Pediatric Neuro, Huntersville, Huntersville, NC, US, 28078
Is Sole Proprietor? No
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Organization Official

Official Name Frieda M Lowder
Official Position VP PHYSICIAN SERV
Phone 704-783-4146

Group Taxonomy

Taxonomy Code 193400000X
Taxonomy Name 193400000X SINGLE SPECIALTY GROUP
Definition A business group of one or more individual practitioners, all of who practice with the same area of specialization.

Primary Taxonomy

Taxonomy Code

2080P0008X

Taxonomy Name Pediatric Neurodevelopmental Disabilities Physician
Classification

Pediatrics

Group

Allopathic & Osteopathic Physicians

Description A pediatrician who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions.

Other Organization Name

NE Pediatric Neurology, Huntersville
Doing Business As

Business Address

Cmc-northeast, Inc
16623 Birkdale Pwky
Suite 110, Ne Pediatric Neuro, Huntersville

Huntersville, NC, US

Phone: 704-987-4277
Fax: 704-987-5096

Mailing Address

Cmc-northeast, Inc
16623 Birkdale Pwky
Suite 110, Ne Pediatric Neuro, Huntersville
Huntersville, NC, US
ZIP 28078
Phone: 704-987-4277
Fax: 704-987-5096

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
7837542 NC AETNA 01
015Y1 NC BCBS GROUP ID 01
3555573 NC MAMSI 01
5903854 NC MEDICAID 05
566000156075 NC TRICARE STANDARD, NON NWK 01
I912 NC PARTNERS MEDICARE CHOICE 01

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