Carolinas Medical Center-Northeast
Organization Active NPI Obstetrics & Gynecology Physician · Davidson, NC
NPI 1477569820 · NPPES record last updated Mar 17, 2014
Key facts
- NPI
- 1477569820
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- Legal business name
- CAROLINAS MEDICAL CENTER-NORTHEAST
- 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
- Organization subpart
- Yes
- Parent organization (as reported)
- CAROLINAS MEDICAL CENTER-NORTHEAST
Authorized official
- Name
- Frieda M Lowder
- Title
- VP Physician Services
- Phone
- (704) 403-4146
Parent organization (reported in NPPES) 1
National Provider Directory
- Part of
- CMC Northeast
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician |
207V00000X | Yes |
Addresses
Primary practice location
2101 Shiloh Church Rd
Suite 202
Davidson, NC 28036-7603
Mailing address
2101 Shiloh Church Rd
Suite 202
Davidson, NC 28036-7603
Phone (704) 439-3770
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| K076 | Other | NC | PARTNERS MEDICARE CHOICE |
| 019F4 | Other | NC | BCBS EFF 7-1-07 |
| 5903802 | Medicaid | NC | |
| 5906959 | Medicaid | NC | |
| CC2854 | Other | NC | RAILROAD MEDICARE |
| 566000156079 | Other | NC | TRICARE |
| DF8926 | Other | NC | RAILROAD MEDICARE PTAN |
| 355573 | Other | NC | MAMSI |
| 018FN | Other | NC | BCBS GROUP ID |
Other names
- NorthEast Women's Health & Obstetrics at Renaissance
Other providers in Davidson, NC
- Angela Carbonaro
- Marla Yamileth Carcamo
- Carolina Medicorp Enterprises, Inc
- Carolinas Medical Center
- Carolinas Medical Center-Northeast
- Carolinas Physicians Network Inc
- Carolinas Physicians Network Inc
- Carolinas Physicians Network, Inc.
- Suzanne Noelle Carr
- Miranda Casey Huston
All providers in Davidson, NC · Obstetrics & Gynecology Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.