CAROLINA PEDIATRIC SURGERY - HUNTERSVILLE – NPI #1386840627
Pediatrics

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.

CAROLINA PEDIATRIC SURGERY - HUNTERSVILLE is a provider located in HUNTERSVILLE, NC. NPPES has assigned the NPI number 1386840627 to CAROLINA PEDIATRIC SURGERY - HUNTERSVILLE on June 25, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CAROLINA PEDIATRIC SURGERY - HUNTERSVILLE” is a dba name, the actual legal business name for this organization is CMC-NORTHEAST, INC.. The primary taxonomy selected by this provider is 2080P0203X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Critical Care Medicine

The NPI profile was previously updated about 14 years ago on Aug 21, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CAROLINA PEDIATRIC SURGERY - HUNTERSVILLE below.

NPI Profile for
CMC-NORTHEAST, INC.

NPI Number
1386840627
Enumeration Date

(about 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CMC-NORTHEAST, INC.
Doing Business As (dba): CAROLINA PEDIATRIC SURGERY - HUNTERSVILLE
Primary location
9625 NORTHCROSS CENTER CT
SUITE 102-A
HUNTERSVILLE, NC 28078-7348
Phone: (704) 801-1240 Fax: (704) 801-1241
Mailing address
Same as primary location
Organization Subpart
Yes - CAROLINA PEDIATRIC SURGERY - HUNTERSVILLE is subpart of another organization.
Authorized Official
FRIEDA LOWDER
VP PHYSICIAN SERVICES
Phone: (704) 403-4146
Updated
Identifiers

Identifiers for CAROLINA PEDIATRIC SURGERY - HUNTERSVILLE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERBCBS EFF 7-1-07NC019FN
OTHERBCBS EFF PRIOR TO 7-1-07NC017CP
OTHERMAMSINC355573
OTHERMEDICAID, GROUP, EFF 5/1/09NC5914359
MEDICAIDNC5906850
MEDICAIDSCQPB706
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080P0203X
- Pediatrics / Pediatric Critical Care Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.