Active NPI
CMC-Northeast, Inc.
Doing business as Northeast Infectious Diseases
- Infectious Disease Physician
- Concord, NC
National Provider Identifier
1013956028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- Legal business name
- CMC-NORTHEAST, INC.
- Doing business as
- Northeast Infectious Diseases
- Practice address
- 200 Medical Park Dr
Ste 208, Northeast Infectious Diseases
Concord, NC 28025-2982 - Phone
- (704) 403-1766
- Fax
- (704) 403-1096
- NPI assigned
- Jun 5, 2006
- Last updated
- Jun 1, 2010
- Organization subpart
- Yes
- Parent organization
- CMC-NORTHEAST, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Frieda M Lowder
- Title
- VP Physician Services
- Phone
- (704) 403-4146
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | NU | Primary |
Addresses
Primary practice location
200 Medical Park Dr
Ste 208, Northeast Infectious Diseases
Concord, NC 28025-2982
Mailing address
200 Medical Park Dr
Ste 208, Northeast Infectious Diseases
Concord, NC 28025-2982
Phone (704) 403-1766
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DF8926 | Other | NC | RAILROAD MEDICARE PTAN |
| 0233R | Other | NC | BCBS EFF PRIOR TO 7-1-07 |
| 019FX | Other | NC | BCBS EFF 7-1-07 |
| 7390 | Other | NC | PARTNERS MEDICARE CHOICE |
| CC2854 | Other | NC | RAILROAD MEDICARE GROUP |
| 5906967 | Medicaid | NC | |
| 890233R | Medicaid | NC | |
| 355573 | Other | NC | MAMSI GROUP |
| 566000156002 | Other | NC | TRICARE STANDARD, NON NWK |
Other names 1
- NORTHEAST INFECTIOUS DISEASES
National Provider Directory
National Provider Directory- Part of
- CMC-Northeast Inc
Locations
200 Medical Park Dr
Ste 208
Concord, NC 28025
Phone (704) 403-1766
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1275350400000",
"number": "1013956028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 MEDICAL PARK DR",
"address_2": "STE 208, NORTHEAST INFECTIOUS DISEASES",
"city": "CONCORD",
"state": "NC",
"postal_code": "280252982",
"telephone_number": "704-403-1766",
"fax_number": "704-403-1096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MEDICAL PARK DR",
"address_2": "STE 208, NORTHEAST INFECTIOUS DISEASES",
"city": "CONCORD",
"state": "NC",
"postal_code": "280252982",
"telephone_number": "704-403-1766",
"fax_number": "704-403-1096"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CMC-NORTHEAST, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CMC-NORTHEAST, INC.",
"enumeration_date": "2006-06-05",
"last_updated": "2010-06-01",
"status": "A",
"authorized_official_last_name": "LOWDER",
"authorized_official_first_name": "FRIEDA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "VP PHYSICIAN SERVICES",
"authorized_official_telephone_number": "704-403-4146"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PTAN",
"identifier": "DF8926",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS EFF PRIOR TO 7-1-07",
"identifier": "0233R",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS EFF 7-1-07",
"identifier": "019FX",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARTNERS MEDICARE CHOICE",
"identifier": "7390",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE GROUP",
"identifier": "CC2854",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5906967",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890233R",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI GROUP",
"identifier": "355573",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE STANDARD, NON NWK",
"identifier": "566000156002",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "NORTHEAST INFECTIOUS DISEASES",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Concord, NC
- CMC Northeast
- CMC Northeast, Inc.
- CMC-Northeast Psychiatric Services
- CMC-Northeast, Inc. (Northeast Oncology Associates)
- CMC-Northeast, Inc. (NorthEast Neurology-Copperfield)
- CMC-Northeast, Inc. (Crna)
- CMC-Northeast, Inc. (NorthEast Palliative Care Services)
- CMC-Northeast, Inc. (Edison Square Family Medicine)
- CMC-Northeast, Inc. (NorthEast OB/GYN Hospitalist Services)
- CMC-Northeast, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.