Active NPI
Carolinas Medical Center-Northeast
Doing business as Ardsley Internal Medicine
- Internal Medicine Physician
- Concord, NC
National Provider Identifier
1487600813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- CAROLINAS MEDICAL CENTER-NORTHEAST
- Doing business as
- Ardsley Internal Medicine
- Practice address
- 1085 Northeast Gateway CT, NE
Suite 200-a
Concord, NC 28025-2412 - Phone
- (704) 403-8650
- Fax
- (704) 403-8655
- NPI assigned
- May 26, 2006
- Organization subpart
- Yes
- Parent organization
- CAROLINAS MEDICAL CENTER-NORTHEAST
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Frieda M Lowder
- Title
- VP Physician Services
- Phone
- (704) 403-4146
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
1085 Northeast Gateway CT, NE
Suite 200-a
Concord, NC 28025-2412
Mailing address
1085 Northeast Gateway CT, NE
Suite 200-a
Concord, NC 28025-2412
Phone (704) 403-8650
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89012HK | Medicaid | NC | |
| F827 | Other | NC | PARTNERS MEDICARE CHOICE |
| 5906964 | Medicaid | NC | |
| CC2854 | Other | NC | RAILROAD MEDICARE GROUP |
| DF8926 | Other | NC | RAILROAD MEDICARE PTAN |
| 01058 | Other | NC | BCBS EFF PRIOR TO 7-1-07 |
| 019FV | Other | NC | BCBS EFF 7-1-07 |
| 344295 | Other | NC | MAMSI GROUP NUMBER |
| 566000156042 | Other | NC | TRICARE STANDARD, NON NWK |
Other names 1
- ARDSLEY INTERNAL MEDICINE
National Provider Directory
National Provider Directory- Part of
- CMC Northeast
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.
-
- Internal Medicine Physician
- Concord, NC
- NPI 1740241801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1350604800000",
"number": "1487600813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1085 NORTHEAST GATEWAY CT, NE",
"address_2": "SUITE 200-A",
"city": "CONCORD",
"state": "NC",
"postal_code": "280252412",
"telephone_number": "704-403-8650",
"fax_number": "704-403-8655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1085 NORTHEAST GATEWAY CT, NE",
"address_2": "SUITE 200-A",
"city": "CONCORD",
"state": "NC",
"postal_code": "280252412",
"telephone_number": "704-403-8650",
"fax_number": "704-403-8655"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROLINAS MEDICAL CENTER-NORTHEAST",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CAROLINAS MEDICAL CENTER-NORTHEAST",
"enumeration_date": "2006-05-26",
"last_updated": "2012-10-19",
"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",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89012HK",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARTNERS MEDICARE CHOICE",
"identifier": "F827",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5906964",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE GROUP",
"identifier": "CC2854",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PTAN",
"identifier": "DF8926",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS EFF PRIOR TO 7-1-07",
"identifier": "01058",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS EFF 7-1-07",
"identifier": "019FV",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI GROUP NUMBER",
"identifier": "344295",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE STANDARD, NON NWK",
"identifier": "566000156042",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ARDSLEY INTERNAL MEDICINE",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Concord, NC
- Carolinas Medical Center-Northeast (NorthEast Women's Health & Obstetrics)
- Carolinas Medical Center-Northeast (Carolinas Weight Loss Surgery)
- Carolinas Medical Center-Northeast (GYN Care of the Carolinas)
- Carolinas Medical Center-Northeast (Northeast Endocrinology)
- Carolinas Medical Center-Northeast (Heart Success Clinic)
- Carolinas Medical Center-Northeast (NorthEast Dermatology)
- Carolinas Medical Center-Northeast (Development & Behavioral Pediatrics of the Carolina's)
- Carolinas Medical Center-Northeast (Cabarrus OB/GYN)
- Carolinas Medical Center-Northeast (Senior Care-NorthEast)
- Carolinas Medical Center-Northeast (Occupational Medicine Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.