CMC-NORTHEAST INC. NPI 1548466881

NPI Information

NPI: 1548466881
Provider Name: CMC-NORTHEAST, INC.
Classification: Pediatrics - 2080P0205X
Specialization: Pediatric Endocrinology
Entity Type: Organization
Doing Business As: NORTHEAST PEDIATRIC ENDOCRINOLOGY-HUNTERSVILLE
Address: 9625 NORTHCROSS CENTER CT
SUITE 102-C
HUNTERSVILLE, NC
ZIP 28078
Phone: (704) 801-1240

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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 1548466881. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Northeast Pediatric Endocrinology-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 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	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	019FT	OTHER	NORTH CAROLINA	BCBS EFF 7-1-07
2	355573	OTHER	NORTH CAROLINA	MAMSI
3	5906850	MEDICAID	NORTH CAROLINA
4	5914403	OTHER	NORTH CAROLINA	MEDICAID GROUP NUMBER, EFF 5/1/09
5	DF8926	OTHER	NORTH CAROLINA	RAILROAD MEDICARE PTAN
6	015Y2	OTHER	NORTH CAROLINA	BCBS

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: 3/30/2025

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