EAST CAROLINA GASTROENTEROLOGY PA


Address: 4 Office Park Dr, Jacksonville, NC 28546-7257
Phone: 9103536158

EAST CAROLINA GASTROENTEROLOGY PA (NPI# 1023053493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023053493
Entity Type Organization
Organization Name EAST CAROLINA GASTROENTEROLOGY PA
Practice Address 4 Office Park Dr
Jacksonville
NC 28546-7257
Mailing Address Po Box 12114
Jacksonville
NC 28546-2114
Practice Telephone 9103536158
Practice Fax Number 9103537257
Mailing Telephone 9103536158
Mailing Fax Number 9103537257
Enumeration Date 2006-06-18
Last Update Date 2020-08-22
Authorized Official Name PETER A EWEJE (OWNER PRESIDENT)
Authorized Official Telephone 9103536158
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0100X Internal Medicine
Specialization: Gastroenterology
00941 NC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NC 8910612 05
NC BCBS 0200E 01

Office Location

Street Address 4 OFFICE PARK DR
City JACKSONVILLE
State NC
Zip Code 28546-7257

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871538363 Peter A Eweje Internal Medicine 4 Office Park Dr, Jacksonville, NC 28546-7325 2006-06-18
1215098223 Katrina S Swartz Physician Assistant 4 Office Park Dr, Jacksonville, NC 28546-7325 2006-12-13
1063520070 East Carolina Gastroenterology Endoscopy Center Inc Clinic/Center 4 Office Park Dr, Jacksonville, NC 28546-7325 2006-08-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316578388 Judylyn Hobson Registered Nurse Pride In North Carolina, LLC, 3886 Henderson Dr, Jacksonville, NC 28546 2020-01-29
1427694637 Aaron Patrick Bettcher Military Health Care Provider 3rd Mrb Loop Rd, Camp Lejeune, NC 28546 2019-11-22
1962044289 Levi Scott Marshall Military Health Care Provider Everett Creek Road, Building 612, Camp Lejeune, NC 28546 2019-10-09
1649826652 Nicholas Otazo Military Health Care Provider 3rd Mrb 20073, Camp Lejeune, NC 28546 2019-08-15
1417519570 Publix North Carolina, Lp Durable Medical Equipment & Medical Supplies 2001 Marlin Drive Unit 100, Jacksonville, NC 28546 2019-06-28
1023500212 Josip Ninrodriguez Military Health Care Provider 3d Marine Raider Battaliom, Camp Lejeune, NC 28546 2018-06-04
1639661192 Kenneth Lee Russell Military Health Care Provider 3d Marine Raider Battalion, Camp Lejeune, NC 28546 2018-05-31
1346730173 Coastal Foot Center, LLC Clinic/Center 29 Office Park Dr Ste B, Jacksonville, NC 28546 2018-05-17
1578080271 Walgreen Co Durable Medical Equipment & Medical Supplies 380 Western Blvd, Jacksonville, NC 28546 2017-08-24
1144757493 Darin Lee Peterson Specialist/Technologist G644 Camp Geiger, School of Infantry-east, Jacksonville, NC 28546 2017-05-17
Find all providers in zip 28546

Taxonomy Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629404181 Maged Adel Ghali Internal Medicine 4555 Emerson St Ste 300, Jacksonville, FL 32207-4958 2013-09-16
1477801884 Richard Duncan Hardin Internal Medicine 2822 Cherokee Ave, Jacksonville, FL 32210-4356 2012-08-16
1598045106 Brent Stottman Internal Medicine 13500 Sutton Park Dr S # 404-3, Jacksonville, FL 32224-5251 2011-08-26
1871815290 Alejandro A Radi Md Pa Internal Medicine 3599 University Blvd S Ste 8, Jacksonville, FL 32216-4211 2010-02-26
1467687160 Oxana Norkina Internal Medicine 1375 Roberts Dr Ste 204, Jacksonville, FL 32250-3209 2009-05-26
1164621447 Emily A Poland Internal Medicine 14540 Old Saint Augustine Rd Ste 2207, Jacksonville, FL 32258-7419 2007-07-16
1073719688 Nassim Youssef El Hajj Internal Medicine 3627 University Blvd. South, Suite 705, Jacksonville, FL 32216 2007-06-21
1831210889 Gastroenterology Associates of Northeast Florida P.l. Internal Medicine 4123 University Blvd S Ste A, Jacksonville, FL 32216-4320 2007-04-03
1215079256 Ali Moghani Lankarani Internal Medicine 3 Shircliff Way Ste 400, Jacksonville, FL 32204-4780 2007-02-13
1790846988 Xiaoyu Li Internal Medicine 6817 Southpoint Pkwy Ste 102, Jacksonville, FL 32216-6285 2006-12-12
Find all providers in JACKSONVILLE

Competitor

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City JACKSONVILLE
Zip Code 28546

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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