OrganizationActive
Carolinas Medical Center-Northeast
NPI 1912286410 · Pediatric Gastroenterology Physician · Charlotte, NC
Provider details
- NPI number
- 1912286410
- Entity type
- Organization
- Primary specialty
- Pediatric Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Carolinas Medical Center-Northeast
- Organization subpart
- Yes
- Authorized official
- Frieda Lowder, Sr Vp(704) 403-4146
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
101 East W T Harris Blvd
Bldg 3000, Suite 3301e
Charlotte, NC 28262-7000
Phone: (704) 403-2660
Fax: (704) 403-2670
Street-level locationGet directions
Mailing address
101 East W T Harris Blvd
Charlotte, NC 28262-7000
Other names (DBA / former)
- Doing business as
- Carolina Pediatric Gastroenterology-University
Registry dates
- Enumerated
- 2011-08-15
- Last updated
- 2012-03-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.