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NORTHEAST PLASTIC & RECONSTRUCTIVE SURGERY
NPI 1619119906
Surgery - Plastic and Reconstructive Surgery in Concord, NC

Active since April 01, 2009
200 MEDICAL PARK DR, SUITE 520, CONCORD, NC 28025(704) 403-2760(704) 403-2779 Get Directions Write a Review

NPPES record last updated: June 1, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Northeast Plastic & Reconstructive Surgery NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHEAST PLASTIC & RECONSTRUCTIVE SURGERY (NPI 1619119906) is a healthcare organization registered as a plastic and reconstructive surgery in Concord, North Carolina and active in the NPI registry since April 2009. The organization lists Frieda M Lowder, Vp Physician Services, as its authorized official.

NPPES Registry Identity

NPI1619119906
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NameCMC-NORTHEAST, INC.
Location Address200 MEDICAL PARK DR, SUITE 520Concord, NC 28025-2982
Mailing Address200 Medical Park Dr, Suite 520Concord, NC 28025-2982 · (704) 403-2760 · Fax (704) 403-2779
Phone(704) 403-2760
Fax(704) 403-2779
Organization SubpartYesParent: Cmc - Northeast, Inc.
Authorized OfficialFrieda M LowderVp Physician Services · (704) 403-4146
Enumeration DateApril 1, 2009
Last NPPES UpdateJune 1, 2010
✔ NPI 1619119906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
Definition
A surgeon who specializes in plastic and reconstructive surgery.
200 MEDICAL PARK DR, Concord, NC 28025
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Other Names 1

Doing Business AsNortheast Plastic & Reconstructive Surgery

Other Identifiers 3

Medicare PIN232009NC
OtherDF8926NC · Railroad Medicare Ptan
Medicaid5911740NC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACQUELINE TRACEY
Surgery
200 MEDICAL PARK DR, SUITE 430
CONCORD, NC 28025
Cabarrus County (704) 403-7070
CMC-NORTHEAST, INC.
Internal Medicine (Infectious Disease)
200 MEDICAL PARK DR, STE 208, NORTHEAST INFECTIOUS DISEASES
CONCORD, NC 28025
Cabarrus County (704) 403-1766
ASHLEY NOISETTE GREEN MD
Internal Medicine (Rheumatology)
200 MEDICAL PARK DR, STE 330
CONCORD, NC 28025
Cabarrus County (704) 403-1308
SARAH WOYTEK
Physician Assistant
200 MEDICAL PARK DR
CONCORD, NC 28025
Cabarrus County (704) 304-3000
BETTY ODELL NP
Nurse Practitioner
200 MEDICAL PARK DR, SUITE 145 NE ONCOLOGY
CONCORD, NC 28025
Cabarrus County (704) 783-1370
MARYAM HAMID MD
Internal Medicine
200 MEDICAL PARK DR, STE 300
CONCORD, NC 28025
Cabarrus County (704) 403-3676
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
Internal Medicine (Rheumatology)
200 MEDICAL PARK DR, STE 330
CONCORD, NC 28025
Cabarrus County (704) 403-1308
ALYSSA HUGGINS KUPRENAS MD
Internal Medicine
200 MEDICAL PARK DR, STE 550
CONCORD, NC 28025
Cabarrus County (704) 403-1307

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cmc-Northeast, Inc.'s NPI number?

The NPI number for Cmc-Northeast, Inc. is 1619119906. It was assigned to this organization in the NPPES registry on April 1, 2009. The provider is doing business as Northeast Plastic & Reconstructive Surgery.

Where is Cmc-Northeast, Inc. located?

Cmc-Northeast, Inc. is located at 200 Medical Park Dr Suite 520, Concord, NC 28025. The listed phone number is (704) 403-2760.

What is Cmc-Northeast, Inc.'s specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

When was this NPI record last updated?

The NPPES record for Cmc-Northeast, Inc. was last updated on June 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.