CMC-NORTHEAST, INC.

Pediatric Critical Care Medicine

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

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Contact Information

CMC-NORTHEAST, INC.

920 CHURCH ST N
NORTHEAST PEDIATRIC INTENSIVISTS
CONCORD, NC 28025-2927

Phone: 704-403-3040
Fax: 704-403-3043
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Pediatric Critical Care Medicine	2080P0203X	37	Physician/Pediatric Medicine

Indicates primary specialty

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NPI Profile & details for CMC-NORTHEAST, INC.

NPI Number 1447299524

LBN Legal business name CMC-NORTHEAST, INC.

Authorized official FRIEDA LOWDER - (VP PHYSICIAN SERVICES)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 06/05/2006

Last updated 06/01/2010 - About 16 years ago

Identifiers

NC	Medicaid	5906951
NC	Medicaid	89014XC
NC	Other	019FR	BCBS EFF 7-1-07
NC	Other	014XC	BCBS GROUP ID
NC	Other	355573	MAMSI
NC	Other	CC2854	RAILROAD MEDICARE
NC	Other	DF8926	RAILROAD MEDICARE PTAN
NC	Other	566000156002	TRICARE STANDARD, NON NWK
NC	Other	125262	WELLPATH GROUP ID

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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CMC-NORTHEAST, INC.

Contact Information

Specialty

Pediatric Critical Care Medicine

NPI Profile & details for CMC-NORTHEAST, INC.

Reviews for CMC-NORTHEAST, INC.