Active NPI
Carolinas Medical Center-Northeast
Doing business as Weddington Internal Medicine & Peds
- Internal Medicine Physician
- Concord, NC
National Provider Identifier
1124075973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- CAROLINAS MEDICAL CENTER-NORTHEAST
- Doing business as
- Weddington Internal Medicine & Peds
- Practice address
- 3020 Weddington Rd
Concord, NC 28027-8158 - Phone
- (704) 403-7770
- Fax
- (704) 403-7710
- NPI assigned
- May 27, 2006
- Organization subpart
- Yes
- Parent organization
- CAROLINAS MEDICAL CENTER-NORTHEAST
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Pediatrics Physician | 208000000X |
Addresses
Primary practice location
3020 Weddington Rd
Concord, NC 28027-8158
Mailing address
3020 Weddington Rd
Concord, NC 28027-8158
Phone (704) 403-7770
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CC2854 | Other | NC | RAILROAD MEDICARE |
| 01454 | Other | NC | BCBS GROUP ID |
| 566000156036 | Other | NC | TRICARE STANDARD, NON NWK |
| 019FH | Other | NC | BCBS EFF 7-1-07 |
| 7901454 | Medicaid | NC | |
| C572 | Other | NC | PARTNERS MEDICARE CHOICE |
| 5906960 | Medicaid | NC | |
| DF8926 | Other | NC | RAILROAD MEDICARE PTAN |
| 355573 | Other | NC | MAMSI |
Other names 1
- WEDDINGTON INTERNAL MEDICINE & PEDS
National Provider Directory
National Provider Directory- Part of
- CMC RX Pavilion
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Internal Medicine Physician
- Concord, NC
- NPI 1740241801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1395964800000",
"number": "1124075973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3020 WEDDINGTON RD",
"city": "CONCORD",
"state": "NC",
"postal_code": "280278158",
"telephone_number": "704-403-7770",
"fax_number": "704-403-7710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3020 WEDDINGTON RD",
"city": "CONCORD",
"state": "NC",
"postal_code": "280278158",
"telephone_number": "704-403-7770",
"fax_number": "704-403-7710"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROLINAS MEDICAL CENTER-NORTHEAST",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CAROLINAS MEDICAL CENTER-NORTHEAST",
"enumeration_date": "2006-05-27",
"last_updated": "2014-03-28",
"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": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CC2854",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP ID",
"identifier": "01454",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE STANDARD, NON NWK",
"identifier": "566000156036",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS EFF 7-1-07",
"identifier": "019FH",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7901454",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARTNERS MEDICARE CHOICE",
"identifier": "C572",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5906960",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PTAN",
"identifier": "DF8926",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "355573",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "WEDDINGTON INTERNAL MEDICINE & PEDS",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Concord, NC
- Carolinas Medical Center (Carolinas Rehabilitation Northeast Physician Clinic)
- Carolinas Medical Center (Atrium Health Women's Care Urogynecology and Pelvic Surgery)
- Carolinas Medical Center (Pediatric Hematology Oncology)
- Carolinas Medical Center (CMC Cosmetic and Plastic Surgery)
- Carolinas Medical Center-Northeast (Carolina Internal Medicine-Concord)
- Carolinas Medical Center-Northeast (NorthEast Women's Health & Obstetrics)
- Carolinas Medical Center-Northeast (Carolinas Weight Loss Surgery)
- Carolinas Medical Center-Northeast (GYN Care of the Carolinas)
- Carolinas Medical Center-Northeast (Northeast Endocrinology)
- Carolinas Medical Center-Northeast (Heart Success Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.