Carolinas Medical Center-Northeast

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

CAROLINAS MEDICAL CENTER-NORTHEAST

Doing business as

NorthEast Endocrinology-Salisbury

Practice address

340 Jake Alexander Blvd W
Suite C
Salisbury, NC 28147-1364

Phone

(704) 403-8320

Fax

(704) 403-8321

NPI assigned

Nov 6, 2012

Last updated

Jan 17, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

NORTHEAST ENDOCRINOLOGY-SALISBURYAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Frieda Miller Lowder

Title

Sr. Vice President

Phone

(704) 403-4146

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• NorthEast Endocrinology-Salisbury Doing business as

Part of

CMC-Northeast Inc

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1352160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358380800000",
    "number": "1073867594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 JAKE ALEXANDER BLVD W",
            "address_2": "SUITE C",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281471364",
            "telephone_number": "704-403-8320",
            "fax_number": "704-403-8321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 JAKE ALEXANDER BLVD W",
            "address_2": "SUITE C",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281471364",
            "telephone_number": "704-403-8320",
            "fax_number": "704-403-8321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINAS MEDICAL CENTER-NORTHEAST",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHEAST ENDOCRINOLOGY-SALISBURY",
        "enumeration_date": "2012-11-06",
        "last_updated": "2013-01-17",
        "status": "A",
        "authorized_official_last_name": "LOWDER",
        "authorized_official_first_name": "FRIEDA",
        "authorized_official_middle_name": "MILLER",
        "authorized_official_title_or_position": "SR. VICE PRESIDENT",
        "authorized_official_telephone_number": "704-403-4146"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5922039",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NorthEast Endocrinology-Salisbury",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carolina Spine & Hand Center PA
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• Carolinas Depression Clinic PLLC
• Carolinas Medical Center-Northeast (NorthEast Dermatology-Salisbury)
• Carolinas Medical Center-Northeast (SouthPoint Internal Medicine)
• Carolinas Medical Supply LLC
• Carolinas Physicians Network Inc (Atrium Health Urgent Care)
• Carolinas Physicians Network Inc (The Sanger Clinic)
• Carolinas Physicians Network, Inc. (The Sanger Clinic)
• Kelly Bergeron Carpenter, NP-C

• Endocrinology, Diabetes & Metabolism Physician in Salisbury, NC
• Providers in Salisbury, NC by specialty
• Endocrinology, Diabetes & Metabolism Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.