CMC-Northeast, Inc.

Primary specialty

Gynecologic Oncology PhysicianTaxonomy code 207VX0201X

Legal business name

CMC-NORTHEAST, INC.

Doing business as

NorthEast Oncology Associates - High Point

Practice address

601 N Elm St
Northeast Oncology Associates - High Point
High Point, NC 27262-4331

Phone

(704) 403-1370

Fax

(704) 403-1389

NPI assigned

Jun 2, 2010

Last updated

Oct 5, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

CMC-NORTHEAST, INC.As 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 VP

Phone

(704) 403-4146

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• NorthEast Oncology Associates - High Point Doing business as

Part of

CMC-Northeast Inc

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Walter Lee Fanning Jr., M.D.

  • Infectious Disease Physician
  • Concord, NC
  • NPI 1639146780
  NPD (past)
• Robert Moser, MD

  • Internal Medicine Physician
  • Kannapolis, NC
  • NPI 1023080934
  NPD (past)

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

{
    "created_epoch": "1275436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286236800000",
    "number": "1194045195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 N ELM ST",
            "address_2": "NORTHEAST ONCOLOGY ASSOCIATES - HIGH POINT",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272624331",
            "telephone_number": "704-403-1370",
            "fax_number": "704-403-1389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N ELM ST",
            "address_2": "NORTHEAST ONCOLOGY ASSOCIATES - HIGH POINT",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272624331",
            "telephone_number": "704-403-1370",
            "fax_number": "704-403-1389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CMC-NORTHEAST, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CMC-NORTHEAST, INC.",
        "enumeration_date": "2010-06-02",
        "last_updated": "2010-10-05",
        "status": "A",
        "authorized_official_last_name": "LOWDER",
        "authorized_official_first_name": "FRIEDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SR VP",
        "authorized_official_telephone_number": "704-403-4146"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5915010",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN, GROUP",
            "identifier": "232009",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NorthEast Oncology Associates - High Point",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shaniqwa Marie Clemons, LPN
• Douglas Ray Cline, MSN, APRN, AGACNP-BC
• Emily Cline, NP
• Genevieve Clinton, RN
• Vicki Ann Clinton
• Co-Operative Care
• William Edward Cobb III, CRNA
• Ronald G. Cochran, CRNA
• Stacie Smith Cockerham, NP
• Julian Codrington

• Gynecologic Oncology Physician in High Point, NC
• Providers in High Point, NC by specialty
• Gynecologic Oncology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.

Verify at the official NPI Registry.