Carolinas Medical Center-Northeast

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

CAROLINAS MEDICAL CENTER-NORTHEAST

Doing business as

NorthEast Women's Health & Obstetrics at Renaissance

Practice address

2101 Shiloh Church Rd
Suite 202
Davidson, NC 28036-7603

Phone

(704) 439-3770

Fax

(704) 439-3779

NPI assigned

Jul 31, 2006

Last updated

Mar 17, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

CAROLINAS MEDICAL CENTER-NORTHEASTAs 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

VP Physician Services

Phone

(704) 403-4146

Specialties & licenses 1

Addresses

Other names 1

• NorthEast Women's Health & Obstetrics at Renaissance Doing business as

Part of

CMC RX Pavilion

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.

• Carolinas Medical Center-Northeast

  • Internal Medicine Physician
  • Concord, NC
  • NPI 1740241801
  NPPES parent name

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395014400000",
    "number": "1477569820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 SHILOH CHURCH RD",
            "address_2": "SUITE 202",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280367603",
            "telephone_number": "704-439-3770",
            "fax_number": "704-439-3779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 SHILOH CHURCH RD",
            "address_2": "SUITE 202",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280367603",
            "telephone_number": "704-439-3770",
            "fax_number": "704-439-3779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINAS MEDICAL CENTER-NORTHEAST",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAROLINAS MEDICAL CENTER-NORTHEAST",
        "enumeration_date": "2006-07-31",
        "last_updated": "2014-03-17",
        "status": "A",
        "authorized_official_last_name": "LOWDER",
        "authorized_official_first_name": "FRIEDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VP PHYSICIAN SERVICES",
        "authorized_official_telephone_number": "704-403-4146"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NorthEast Women's Health & Obstetrics at Renaissance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angela Carbonaro
• Marla Yamileth Carcamo, PA-C
• Carolina Medicorp Enterprises, Inc (Novant Health Express)
• Carolinas Medical Center (Atrium Health Behavioral Health Psychiatry & Counseling Davidson)
• Carolinas Medical Center-Northeast (Ardsley Internal Medicine Renaissance Square)
• Carolinas Physicians Network Inc (Carolinas HealthCare Urgent Care - Davidson)
• Carolinas Physicians Network Inc (Atrium Health Levine Children's Suburban Pediatrics)
• Carolinas Physicians Network, Inc. (The Sanger Clinic)
• Suzanne Noelle Carr, FNP-C
• Miranda Casey Huston, DPT

• Obstetrics & Gynecology Physician in Davidson, NC
• Providers in Davidson, NC by specialty
• Obstetrics & Gynecology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; 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.