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CMC-NORTHEAST INC. NPI 1770728487


NPI Information

NPI: 1770728487
Provider Name: CMC-NORTHEAST, INC.

Doing Business As: NORTHEAST PEDIATRIC PULMONOLOGY-HUNTERSVILLE

Classification: Pediatrics - 2080P0214X
Entity Type: Organization

Specialization: Pediatric Pulmonology

Address:
9625 NORTHCROSS CENTER CT
SUITE 102-C
HUNTERSVILLE, NC
ZIP 28078
Phone: (704) 801-1240
Get Directions

CMC-NORTHEAST, INC. is a pediatric pulmonology pediatrics in Huntersville, NC. The provider is a pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques. CMC-NORTHEAST, INC. NPI is 1770728487. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Northeast Pediatric Pulmonology-huntersville.

The provider's business location address is:

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

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 12/9/2008 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
12080P0214XPediatricsPediatric PulmonologyYes

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
1DF8926OTHERNORTH CAROLINARAILROAD MEDICARE PTAN
2QPB689MEDICAIDSOUTH CAROLINA
35914678MEDICAIDNORTH 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

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