CAROLINAEAST PHYSICIANS (NPI# 1104066794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104066794 |
| Entity Type | Organization |
| Organization Name | CAROLINAEAST PHYSICIANS |
| Practice Address |
1001 Newman Rd New Bern NC 28562-5253 |
| Mailing Address |
Po Box 896206 Charlotte NC 28289-6206 |
| Practice Telephone | 2526356777 |
| Practice Fax Number | 2526343183 |
| Mailing Telephone | 2526727738 |
| Mailing Fax Number | 2526356951 |
| Enumeration Date | 2009-02-23 |
| Last Update Date | 2017-03-17 |
| Authorized Official Name | TAMMY M SHERRON (VP FINANCE/CFO) |
| Authorized Official Telephone | 2526338880 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians | ||
| N | 208800000X | Urology | Allopathic & Osteopathic Physicians | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5911371 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649696691 | Carolinaeast Physicians | Internal Medicine | 4725 Western Blvd, Jacksonville, NC 28546-6852 | 2014-03-14 |
| 1952658569 | Carolinaeast Physicians | Family Medicine | 2000 C Neuse Blvd., New Bern, NC 28560-3449 | 2012-08-14 |
| 1538785100 | Carolinaeast Physicians | Family Medicine | 4218 Arendell St, Morehead City, NC 28557-2866 | 2020-06-19 |
| 1518447705 | Carolinaeast Physicians | Surgery | 701 Newman Rd, New Bern, NC 28562 | 2018-08-16 |
| 1841726064 | Carolinaeast Physicians | Internal Medicine | 2000 Neuse Blvd, New Bern, NC 28560-3449 | 2017-05-08 |
| 1689105603 | Carolinaeast Physicians | Family Medicine | 241 Freedom Way, Jacksonville, NC 28544-1418 | 2017-03-22 |
| 1013329614 | Carolinaeast Physicians | Family Medicine | 3500 Arendell St, Morehead City, NC 28557-2901 | 2014-05-30 |
| 1447596614 | Carolinaeast Physicians | Family Medicine | 4725 Country Club Rd, Morehead City, NC 28557-6218 | 2012-12-17 |
| 1275879439 | Carolinaeast Physicians | Family Medicine | 3110 Wellons Blvd, New Bern, NC 28562-5247 | 2012-12-17 |
| 1649528662 | Carolinaeast Physicians | Internal Medicine | 2503 N Queen St, Kinston, NC 28501-1632 | 2012-08-23 |
| Street Address |
1001 NEWMAN RD |
| City | NEW BERN |
| State | NC |
| Zip Code | 28562-5253 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720042013 | Angela M Park | Internal Medicine | 1001 Newman Rd, New Bern, NC 28562-5253 | 2006-04-13 |
| 1336766369 | Dustin Ross Grimes | Nurse Practitioner | 1001 Newman Rd, New Bern, NC 28562-5253 | 2020-06-25 |
| 1821613381 | Dawnelle Pierce Holadia | Nurse Practitioner | 1001 Newman Rd, New Bern, NC 28562-5253 | 2020-06-10 |
| 1164073607 | Diana Carolina Pulido | Nurse Practitioner | 1001 Newman Rd, New Bern, NC 28562-5253 | 2019-09-26 |
| 1568870905 | Mallory G Salter | Nurse Practitioner | 1001 Newman Rd, New Bern, NC 28562-5253 | 2014-07-29 |
| 1265507370 | Christopher John Hudson | Internal Medicine | 1001 Newman Rd, New Bern, NC 28562 | 2006-11-22 |
| 1558444216 | Scott A. Sample | Internal Medicine | 1001 Newman Rd, New Bern, NC 28562-5253 | 2006-10-23 |
| 1245327170 | Matthew Adam Levine | Internal Medicine | 1001 Newman Rd, New Bern, NC 28562-5253 | 2006-10-10 |
| 1043306012 | Dusty L Scott | Physician Assistant | 1001 Newman Rd, New Bern, NC 28562-5253 | 2006-10-05 |
| 1144323957 | Billy L Glass | Internal Medicine | 1001 Newman Rd, New Bern, NC 28562-5253 | 2006-09-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235741943 | Benchmark Physical Therapy of Nc, LLC | Occupational Therapist | 2026 Waterscape Way Ste 13, New Bern, NC 28562 | 2020-08-24 |
| 1023677234 | Katie Rebecca Masters Dmd Pllc | Dentist | 2900 Doctor M L K Jr. Blvd, New Bern, NC 28562 | 2019-06-11 |
| 1093281750 | Try-care LLC | Mechanotherapist | 37 Shoreline Dr, New Bern, NC 28562 | 2018-10-22 |
| 1376021949 | Maykin Kimberly Boyd | Social Worker | 1405 A South Glenburnie Rd, New Bern, NC 28562 | 2018-08-05 |
| 1770069288 | Rebecca Ann Anderson Bright | Counselor | 3435 Belmont Blvd, New Bern, NC 28562 | 2018-07-17 |
| 1841799814 | Dallin Page | Physical Therapist | 2111 Neuse Blvd Suite K, New Bern, NC 28562 | 2018-02-06 |
| 1467960476 | Randolph Ntoko Esabe | Pharmacist | 258 Station House Rd, New Bern, NC 28562 | 2018-01-12 |
| 1881100568 | Reid Family Eye Care, Od, Pllc | Optometrist | 3105 Doctor M.l.k. Jr. Blvd, New Bern, NC 28562 | 2017-12-18 |
| 1851742050 | Harris Teeter, LLC | Durable Medical Equipment & Medical Supplies | 2032 Waterscape Way, New Bern, NC 28562 | 2016-06-29 |
| 1609241868 | Victor Montoyaamaya | Military Health Care Provider | 3331 Hardee Farms Dr, New Bern, NC 28562 | 2015-12-14 |
| Find all providers in zip 28562 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609893593 | The Heart Center of Eastern Carolina | Internal Medicine | 1001 Newman Road, New Bern, NC 28562 | 2006-07-16 |
| 1639166960 | Michael Carlyle Casciello | Internal Medicine | 941 Newman Rd, New Bern, NC 28562-5252 | 2005-10-03 |
| 1477992501 | Coastal Carolina Health Care Pa | Internal Medicine | 941 Newman Rd, New Bern, NC 28562-5252 | 2013-06-21 |
| 1790991628 | Laurance David Farmer | Internal Medicine | 1001 Newman Road, New Bern, NC 28562-5253 | 2007-05-15 |
| 1841322260 | Matthew M Grove | Internal Medicine | 1001 Newman Road, New Bern, NC 28562-5253 | 2007-03-12 |
| 1265507370 | Christopher John Hudson | Internal Medicine | 1001 Newman Rd, New Bern, NC 28562 | 2006-11-22 |
| 1245327170 | Matthew Adam Levine | Internal Medicine | 1001 Newman Rd, New Bern, NC 28562-5253 | 2006-10-10 |
| 1144323957 | Billy L Glass | Internal Medicine | 1001 Newman Rd, New Bern, NC 28562-5253 | 2006-09-07 |
| 1891741013 | David Clark Oliver | Internal Medicine | 941 Newman Rd, New Bern, NC 28562-5252 | 2006-05-26 |
| 1174579395 | George Hughes Beckwith | Internal Medicine | 702 Newman Rd, New Bern, NC 28562-5238 | 2006-05-26 |
| Find all providers in NEW BERN | ||||
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| 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.