Organization Active NPI

CMC-Northeast, Inc.

Doing business as NorthEast OB/GYN Hospitalist Services

  • Obstetrics & Gynecology Physician
  • Concord, NC
National Provider Identifier
1336380294
Registry record updated Jun 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
CMC-NORTHEAST, INC.
Doing business as
NorthEast OB/GYN Hospitalist Services
Practice address
920 Church St N
OB/GYN Hospitalists
Concord, NC 28025-2927
Phone
(704) 403-1632
Fax
(704) 403-1356
NPI assigned
Mar 23, 2009
Last updated
Jun 1, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
CMC - NORTHEAST, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 1, 2010

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 of Physician Network
Phone
(704) 403-4146

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X NU Primary
Hospitalist Physician 208M00000X NU

Addresses

Primary practice location

920 Church St N
OB/GYN Hospitalists
Concord, NC 28025-2927

Mailing address

920 Church St N
OB/GYN Hospitalists
Concord, NC 28025-2927
Phone (704) 403-1632

Other identifiers 2

IdentifierTypeStateIssuer
DF8926OtherNCRAILROAD MEDICARE PTAN
5911753MedicaidNC

Other names 1

  • NorthEast OB/GYN Hospitalist Services Doing business as

National Provider Directory

National Provider Directory
Part of
CMC - Northeast Inc

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1237766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275350400000",
    "number": "1336380294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 CHURCH ST N",
            "address_2": "OB/GYN HOSPITALISTS",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252927",
            "telephone_number": "704-403-1632",
            "fax_number": "704-403-1356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 CHURCH ST N",
            "address_2": "OB/GYN HOSPITALISTS",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252927",
            "telephone_number": "704-403-1632",
            "fax_number": "704-403-1356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CMC-NORTHEAST, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CMC - NORTHEAST, INC.",
        "enumeration_date": "2009-03-23",
        "last_updated": "2010-06-01",
        "status": "A",
        "authorized_official_last_name": "LOWDER",
        "authorized_official_first_name": "FRIEDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SR VP OF PHYSICIAN NETWORK",
        "authorized_official_telephone_number": "704-403-4146"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "DF8926",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5911753",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NorthEast OB/GYN Hospitalist Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.