National Provider Identifier Database

CMC NORTHEAST INC
Pediatric Endocrinology

A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.


Contact Information

CMC-NORTHEAST, INC
16623 BIRKDALE CMNS PKWY
SUITE 110, NE PEDIATRIC ENDO
HUNTERSVILLE, NC28078-5621
Phone: 704-987-4277
Fax: 704-987-5096
Website:
Specialty Taxonomy Code
* Pediatric Endocrinology 2080P0205X

* Indicates primary specialty

NPI Profile & details for CMC-NORTHEAST, INC

NPI Number 1376696062
Legal business name
LBN
CMC-NORTHEAST, INC
Authorized official FRIEDA LOWDER - (VP PHYSICIAN SERVICES COORD)
Entity Organization
Organization subpart Yes
Enumeration date 01/18/2007
Last updated 08/22/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • NC Medicaid: 5903854
  • NC Other: 4462028 AETNA
  • NC Other: 015Y2 BCBS GROUP ID
  • NC Other: 355573 MAMSI
  • NC Other: I902 PARTNERS MEDICARE CHOICE
  • NC Other: 566000156074 TRICARE STANDARD, NON NWK

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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