Active NPI
CMC-Northeast, Inc.
Doing business as NorthEast OB/GYN Hospitalist Services
- Obstetrics & Gynecology Physician
- Concord, NC
National Provider Identifier
1336380294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- 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, 2010
- Organization subpart
- Yes
- Parent organization
- CMC - NORTHEAST, INC.
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
- Sr VP of Physician Network
- Phone
- (704) 403-4146
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DF8926 | Other | NC | RAILROAD MEDICARE PTAN |
| 5911753 | Medicaid | NC |
Other names 1
- NorthEast OB/GYN Hospitalist Services
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.
-
dba Atrium Health Primary Care and Integrative Medicine
- Internal Medicine Physician
- Concord, NC
- NPI 1023445517
Member Of
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
- CMC-Northeast, Inc. (NorthEast Neurology-Copperfield)
- CMC-Northeast, Inc. (Northeast Infectious Diseases)
- CMC-Northeast, Inc. (Crna)
- CMC-Northeast, Inc. (NorthEast Palliative Care Services)
- CMC-Northeast, Inc. (Edison Square Family Medicine)
- CMC-Northeast, Inc.
- CMC-Northeast, Inc. (Northeast Pediatric Intensivists)
- CMC-Northeast, Inc. (NorthEast Rheumatology)
- CMC-Northeast, Inc. (NorthEast Lung Associates)
- CMC-Northeast, Inc. (NorthEast Pediatric Hospitalists)
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.