Carolinas Medical Center-Northeast

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

CAROLINAS MEDICAL CENTER-NORTHEAST

Practice address

1054 Burrage Rd NE
Concord, NC 28025-2910

Phone

(704) 403-7800

Fax

(704) 403-7810

NPI assigned

Dec 8, 2008

Organization subpart

Yes

Parent organization

CAROLINAS MEDICAL CENTER-NORTHEASTAs reported in NPPES

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

Authorized official

Name

Frieda M Lowder

Title

Sr. Vice President

Phone

(704) 403-4146

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• NorthEast Women's Health & Obstetrics Doing business as

Part of

CMC Northeast

Locations

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.

• Carolinas Medical Center-Northeast

  • Internal Medicine Physician
  • Concord, NC
  • NPI 1740241801
  NPPES parent name

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Berry Crouch, PA

  • Physician Assistant
  • Granite Falls, NC
  • NPI 1265928964
  NPD (past)
• Matrika D. Johnson, MD

  • Reproductive Endocrinology Physician
  • Charlotte, NC
  • NPI 1700809035
  NPD (past)
• Allison Mihalkanin, PA-C

  • Reproductive Endocrinology Physician
  • Charlotte, NC
  • NPI 1396201927

  Single Specialty

  NPD (past)
• Valerie Millwood, FNP-C

  • Nurse Practitioner
  • Charlotte, NC
  • NPI 1659976041

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1228694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382313600000",
    "number": "1184869984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1054 BURRAGE RD NE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252910",
            "telephone_number": "704-403-7800",
            "fax_number": "704-403-7810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1054 BURRAGE RD NE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252910",
            "telephone_number": "704-403-7800",
            "fax_number": "704-403-7810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINAS MEDICAL CENTER-NORTHEAST",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAROLINAS MEDICAL CENTER-NORTHEAST",
        "enumeration_date": "2008-12-08",
        "last_updated": "2013-10-21",
        "status": "A",
        "authorized_official_last_name": "LOWDER",
        "authorized_official_first_name": "FRIEDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SR. VICE PRESIDENT",
        "authorized_official_telephone_number": "704-403-4146"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "DF8926",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5911473",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NorthEast Women's Health & Obstetrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carolinas Medical Center
• Carolinas Medical Center
• Carolinas Medical Center
• Carolinas Medical Center-Northeast
• Carolinas Medical Center-Northeast
• Carolinas Medical Center-Northeast
• Carolinas Medical Center-Northeast
• Carolinas Medical Center-Northeast
• Carolinas Medical Center-Northeast
• Carolinas Medical Center-Northeast

• Obstetrics & Gynecology Physician in Concord, NC
• Providers in Concord, NC by specialty
• Obstetrics & Gynecology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.