Carolinas Medical Center-northeast
Developmental - Behavioral Pediatrics
Carolinas Medical Center-northeast is a Concord, North Carolina based Pediatric center with medical specialization in
Developmental - Behavioral Pediatrics. Carolinas Medical Center-northeast is doing business as
Development & Behavioral Pediatrics Of The Carolina's.
It is located at
301 Medical Park Dr, Suite 202b, Concord, North Carolina - 28025-2981. They can be contacted on phone at
704-403-2626 and fax number 704-784-8615.
NPI number (Unique professional ID) for Carolinas Medical Center-northeast is
1568424547 which was assigned by NPPES on 05 Apr, 2006 and it was last updated on 07 Nov, 2012.
Carolinas Medical Center-northeast is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
Complete Profile:
Carolinas Medical Center-northeast basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Developmental - Behavioral Pediatrics |
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| Provider Name : | Carolinas Medical Center-northeast |
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| Other Name : | Development & Behavioral Pediatrics Of The Carolina's |
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Business Address:
Carolinas Medical Center-northeast address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 301 Medical Park Dr, Suite 202b
Concord, NC, 28025-2981
United States |
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| Phone Number : | 704-403-2626 |
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| Fax Number : | 704-784-8615 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1568424547 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 05 Apr, 2006 |
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| Last Updated On : | 07 Nov, 2012 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Friedam Lowder |
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| Official Title or Position : | VP PHYSICIAN SERVICES |
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| Phone Number : | 704-403-4146 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Carolinas Medical Center-northeast are as mentioned. Primary taxonomy code for Carolinas Medical Center-northeast is
2080P0006X (Pediatrics Developmental - Behavioral Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0006X | Pediatrics Developmental - Behavioral Pediatrics | Yes | | |
Legacy Identifiers:
Other legacy medical identifiers of Carolinas Medical Center-northeast such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| DF8926 | Other | NC | RAILROAD MEDICARE PTAN |
| 561878722001 | Other | NC | TRICARE STANDARD, NON NWK |
| 016GN | Other | NC | BCBS GROUP ID |
| 89135FE | MEDICAID | NC | |
| 396408 | Other | NC | MAMSI GROUP NO |
| QPB658 | Other | SC | S.C. MEDICAID |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 301 Medical Park Dr, Suite 202b
Concord, NC, 28025-2981
United States |
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| Phone Number : | 704-403-2626 |
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| Fax Number : | 704-784-8615 |
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Business Location:
Patients can refer following map for directions to
Carolinas Medical Center-northeast practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.