Cmc-northeast, Inc.
Pediatrics
Cmc-northeast, Inc. is a Huntersville, North Carolina based Pediatric center with medical specialization in
General Pediatrics. Cmc-northeast, Inc. is doing business as
Pediatric Pavilion At Huntersville.
It is located at
16623 Birkdale Cmns Pkwy, Suite 110 Pediatric Pavilion At Huntersville, Huntersville, North Carolina - 28078-5621. They can be contacted on phone at
704-987-4277 and fax number 704-987-5096.
NPI number (Unique professional ID) for Cmc-northeast, Inc. is
1023161726 which was assigned by NPPES on 18 Jan, 2007 and it was last updated on 05 Feb, 2009.
Cmc-northeast, Inc. is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Cmc-northeast, Inc. basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Cmc-northeast, Inc. |
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| Other Name : | Pediatric Pavilion At Huntersville |
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Business Address:
Cmc-northeast, Inc. 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 : | 16623 Birkdale Cmns Pkwy, Suite 110 Pediatric Pavilion At Huntersville
Huntersville, NC, 28078-5621
United States |
|---|
| Phone Number : | 704-987-4277 |
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| Fax Number : | 704-987-5096 |
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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 : | 1023161726 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 18 Jan, 2007 |
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| Last Updated On : | 05 Feb, 2009 |
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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 SERV |
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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 Cmc-northeast, Inc. are as mentioned. Primary taxonomy code for Cmc-northeast, Inc. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0205X | Pediatrics Pediatric Endocrinology | No | | |
| 2080P0008X | Pediatrics Neurodevelopmental Disabilities | No | | |
| 208000000X | Pediatrics | Yes | | |
Legacy Identifiers:
Other legacy medical identifiers of Cmc-northeast, Inc. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 5906850 | MEDICAID | NC | |
| 5904836 | MEDICAID | NC | |
| 355573 | Other | NC | MAMSI |
| 566000156020 | Other | NC | TRICARE STANDARD, NON NWK |
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 : | 16623 Birkdale Cmns Pkwy, Suite 110 Pediatric Pavilion At Huntersville
Huntersville, NC, 28078-5621
United States |
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| Phone Number : | 704-987-4277 |
|---|
| Fax Number : | 704-987-5096 |
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Business Location:
Patients can refer following map for directions to
Cmc-northeast, Inc. practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.