CAROLINA PEDIATRIC SURGERY
NPI 1679512677
Surgery - Pediatric Surgery in Concord, NC

Active since June 05, 2006
100 MEDICAL PARK DR, SUITE 310 -CAROLINA PEDIATRIC SURGERY, CONCORD, NC 28025(704) 403-2660(704) 403-2670 Get Directions Write a Review

NPPES record last updated: November 15, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carolina Pediatric Surgery NPPES

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

CAROLINA PEDIATRIC SURGERY (NPI 1679512677) is a healthcare organization registered as a pediatric surgery in Concord, North Carolina and active in the NPI registry since June 2006. The organization lists Frieda M Lowder, Vp Physician Services, as its authorized official.

NPPES Registry Identity

NPI1679512677
Entity TypeOrganization
Primary Taxonomy2086S0120X
Legal Business NameCMC-NORTHEAST, INC.
Location Address100 MEDICAL PARK DR, SUITE 310 -CAROLINA PEDIATRIC SURGERYConcord, NC 28025-2966
Mailing Address100 Medical Park Dr, Suite 310 -carolina Pediatric SurgeryConcord, NC 28025-2966 · (704) 403-2660 · Fax (704) 403-2670
Fax(704) 403-2670
Organization SubpartYes
Authorized OfficialFrieda M LowderVp Physician Services · (704) 403-4146
Enumeration DateJune 5, 2006
Last NPPES UpdateNovember 15, 2011
NPI 1679512677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
100 MEDICAL PARK DR, Concord, NC 28025

Other Names 1

Doing Business AsCarolina Pediatric Surgery

Other Identifiers 10

OtherDF8926NC · Railroad Medicare Ptan
Other355573NC · Mamsi
MedicaidQPB706SC
Other241255803NC · Tricare
Medicaid5901473NC
Other017CPNC · Bcbs Eff Prior To 7-1-07
Other7878267NC · Aetna
Medicaid5906961NC
Other=========024NC · Tricare Effective 7/1/07
Other019FNNC · Bcbs Eff 7-1-07

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.

Internal Medicine (Cardiovascular Disease)
100 MEDICAL PARK DR, STE 210
CONCORD, NC 28025
Internal Medicine (Hematology & Oncology)
100 MEDICAL PARK DR, STE 110, NORTHEAST ONCOLOGY ASSOCIATES
CONCORD, NC 28025
Internal Medicine
100 MEDICAL PARK DR, STE 110
CONCORD, NC 28025
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
100 MEDICAL PARK DR, STE 210
CONCORD, NC 28025
Nurse Practitioner
100 MEDICAL PARK DR, STE 110
CONCORD, NC 28025
Pediatrics (Pediatric Cardiology)
100 MEDICAL PARK DR, STE 310
CONCORD, NC 28025
Physician Assistant
100 MEDICAL PARK DR, STE 210
CONCORD, NC 28025
Pediatrics
100 MEDICAL PARK DR, STE 310
CONCORD, NC 28025

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 1679512677. It was assigned to this organization in the NPPES registry on June 5, 2006. The provider is doing business as Carolina Pediatric Surgery.

Where is Cmc-Northeast, Inc. located?

Cmc-Northeast, Inc. is located at 100 Medical Park Dr Suite 310 -Carolina Pediatric Surgery, Concord, NC 28025. The listed phone number is (704) 403-2660.

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

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

When was this NPI record last updated?

The NPPES record for Cmc-Northeast, Inc. was last updated on November 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.