OrganizationActive
Cmc-Northeast, Inc.
NPI 1619119906 · Plastic and Reconstructive Surgery Physician · Concord, NC
Provider details
- NPI number
- 1619119906
- Entity type
- Organization
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Cmc - Northeast, Inc.
- Organization subpart
- Yes
- Authorized official
- Frieda Lowder, Vp Physician Services(704) 403-4146
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
200 Medical Park Dr
Suite 520
Concord, NC 28025-2982
Phone: (704) 403-2760
Fax: (704) 403-2779
Street-level locationGet directions
Mailing address
200 Medical Park Dr
Concord, NC 28025-2982
Other names (DBA / former)
- Doing business as
- Northeast Plastic & Reconstructive Surgery
Registry dates
- Enumerated
- 2009-04-01
- Last updated
- 2010-06-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.