CMC-Northeast, Inc.

Primary specialty

Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X

Legal business name

CMC-NORTHEAST, INC.

Doing business as

NorthEast Palliative Care Services

Practice address

920 Church St N
Northeast Palliative Care Services
Concord, NC 28025-2927

Phone

(704) 403-3276

Fax

(704) 403-4331

NPI assigned

May 14, 2010

Last updated

Feb 8, 2011By 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 3

Other names 1

• NorthEast Palliative Care Services 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": "1273795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297123200000",
    "number": "1205154275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 CHURCH ST N",
            "address_2": "NORTHEAST PALLIATIVE CARE SERVICES",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252927",
            "telephone_number": "704-403-3276",
            "fax_number": "704-403-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 CHURCH ST N",
            "address_2": "NORTHEAST PALLIATIVE CARE SERVICES",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252927",
            "telephone_number": "704-403-3276",
            "fax_number": "704-403-4331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CMC-NORTHEAST, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CMC-NORTHEAST, INC.",
        "enumeration_date": "2010-05-14",
        "last_updated": "2011-02-08",
        "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": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "NU",
            "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": "5916056",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN, GROUP",
            "identifier": "232009",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NorthEast Palliative Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• CMC-Northeast Psychiatric Services
• CMC-Northeast, Inc. (Northeast Oncology Associates)
• CMC-Northeast, Inc. (NorthEast Neurology-Copperfield)
• CMC-Northeast, Inc. (Northeast Infectious Diseases)
• CMC-Northeast, Inc. (Crna)
• CMC-Northeast, Inc. (Edison Square Family Medicine)
• CMC-Northeast, Inc. (NorthEast OB/GYN Hospitalist Services)
• CMC-Northeast, Inc.
• CMC-Northeast, Inc. (Northeast Pediatric Intensivists)
• CMC-Northeast, Inc. (NorthEast Rheumatology)

• Hospice and Palliative Medicine (Internal Medicine) Physician in Concord, NC
• Providers in Concord, NC by specialty
• Hospice and Palliative Medicine (Internal Medicine) Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; 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.