NPIMap

Organization Active NPI

Carolinas Medical Center-Northeast

Doing business as NorthEast Neurology - Denver

  • Neurology Physician
  • Denver, NC
National Provider Identifier
1457679672
Registry record updated Jul 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
CAROLINAS MEDICAL CENTER-NORTHEAST
Doing business as
NorthEast Neurology - Denver
Practice address
1585 Forney Creek Pkwy
Suite 2200 Northeast Neurology - Denver
Denver, NC 28037-9514
Phone
(704) 403-1911
Fax
(704) 403-1901
NPI assigned
May 12, 2010
Last updated
Jul 31, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
CAROLINAS MEDICAL CENTER-NORTHEASTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 31, 2013

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

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

1585 Forney Creek Pkwy
Suite 2200 Northeast Neurology - Denver
Denver, NC 28037-9514

Mailing address

1585 Forney Creek Pkwy
Suite 2200 Northeast Neurology - Denver
Denver, NC 28037-9514
Phone (704) 403-1911

Other identifiers 3

IdentifierTypeStateIssuer
DF8926OtherNCRAILROAD MEDICARE
232009OtherNCMEDICARE PTAN, GROUP
5915569MedicaidNC

Other names 1

  • NorthEast Neurology - Denver Doing business as

National Provider Directory

National Provider Directory
Part of
CMC-Northeast Inc

Locations

315 Medical Park Dr
Ste 202
Concord, NC 28025
Phone (704) 262-1911

Ownership & related parties

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.

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1273622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375228800000",
    "number": "1457679672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1585 FORNEY CREEK PKWY",
            "address_2": "SUITE 2200 NORTHEAST NEUROLOGY - DENVER",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280379514",
            "telephone_number": "704-403-1911",
            "fax_number": "704-403-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 FORNEY CREEK PKWY",
            "address_2": "SUITE 2200 NORTHEAST NEUROLOGY - DENVER",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280379514",
            "telephone_number": "704-403-1911",
            "fax_number": "704-403-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINAS MEDICAL CENTER-NORTHEAST",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAROLINAS MEDICAL CENTER-NORTHEAST",
        "enumeration_date": "2010-05-12",
        "last_updated": "2013-07-31",
        "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": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DF8926",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN, GROUP",
            "identifier": "232009",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5915569",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NorthEast Neurology - Denver",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denver, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.