EAST CAROLINA HEALTH - HERITAGE INC (NPI# 1194703884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194703884 |
| Entity Type | Organization |
| Organization Name | EAST CAROLINA HEALTH - HERITAGE INC |
| Other Organization Name | HERITAGE HOSPITAL |
| Practice Address |
111 Hospital Dr Tarboro NC 27886-2011 |
| Practice Telephone | 2526417700 |
| Mailing Telephone | 2526417700 |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2009-07-07 |
| Authorized Official Name | MR. CHARLES ALFORD (C.F.O.) |
| Authorized Official Telephone | 2526417131 |
| Is Organization Subpart | Y |
| Parent Organization Name | EAST CAROLINA HEALTH - HERITAGE INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 367500000X | Nurse Anesthetist, Certified Registered | H0258 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 207L00000X | Anesthesiology | H0258 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8000193 | 05 | |
| NC | BCBS ANESTHESIOLOGY | 021J5 | 01 |
| NC | BCBS CRNA GROUP # | 0003V | 01 |
| NC | 5911538 | 05 |
| Other Name | Type Code |
|---|---|
| Heritage Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821076589 | East Carolina Health - Heritage Inc | Clinic/Center | 1473 Nc 42-43 West, Pinetops, NC 27864-7188 | 2006-01-04 |
| 1619002011 | East Carolina Health - Heritage Inc | Emergency Medicine | 111 Hospital Dr, Tarboro, NC 27886-2011 | 2007-02-23 |
| 1528193927 | East Carolina Health - Heritage Inc | Psychiatry & Neurology | 111 Hospital Dr, Tarboro, NC 27886-2011 | 2007-02-23 |
| 1316925001 | East Carolina Health - Heritage Inc | Medicare Defined Swing Bed Unit | 111 Hospital Dr, Tarboro, NC 27886-2011 | 2006-01-04 |
| 1578546958 | East Carolina Health - Heritage Inc | Rehabilitation Unit | 111 Hospital Dr, Tarboro, NC 27886-2011 | 2005-11-21 |
| 1699757393 | East Carolina Health - Heritage Inc | General Acute Care Hospital | 111 Hospital Dr, Tarboro, NC 27886-2011 | 2005-11-17 |
| Street Address |
111 HOSPITAL DR |
| City | TARBORO |
| State | NC |
| Zip Code | 27886-2011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114920162 | Jon Dubose | Internal Medicine | 111 Hospital Dr, Tarboro, NC 27886-2011 | 2005-05-23 |
| 1346849668 | Rhonda Beal | Physical Therapist | 111 Hospital Dr, Tarboro, NC 27886-2011 | 2020-10-19 |
| 1184222580 | Courtney Willoughby | Physical Therapist | 111 Hospital Dr, Tarboro, NC 27886-2011 | 2020-10-16 |
| 1528682648 | Nikki Forbes | Registered Nurse | 111 Hospital Dr, Tarboro, NC 27886-2011 | 2020-06-04 |
| 1699334847 | Kev'ann Denise Jarman | Nurse Practitioner | 111 Hospital Dr, Tarboro, NC 27886-2011 | 2019-06-11 |
| 1932659281 | Vidant Edgecombe Hospital | General Acute Care Hospital | 111 Hospital Dr, Tarboro, NC 27886-2011 | 2016-10-11 |
| 1639627623 | Christine Coleman | Nurse Practitioner | 111 Hospital Dr, Tarboro, NC 27886-2011 | 2016-09-19 |
| 1598121311 | Zackry Briggs | Physician Assistant | 111 Hospital Dr, Tarboro, NC 27886-2011 | 2016-01-08 |
| 1669870309 | April Reichmeider | Dietitian, Registered | 111 Hospital Dr, Attn: Dietary, Tarboro, NC 27886-2011 | 2014-12-11 |
| 1073938577 | Clayton Moore | Pharmacist | 111 Hospital Dr, Tarboro, NC 27886-2011 | 2014-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336781566 | Fountain Transportation | Non-emergency Medical Transport (VAN) | 350 William Walston Lane, Tarboro, NC 27886 | 2019-10-09 |
| 1942737481 | Jude Ude | Pharmacist | 1519 Man Street, Tarboro, NC 27886 | 2017-05-15 |
| 1487197406 | Fms Ena Home, LLC | Clinic/Center | 122 Hospital Drive, Tarboro, NC 27886 | 2016-11-22 |
| 1295191450 | Fountain Adult Home Care, LLC | Custodial Care Facility | 303 William Walston Lane, Tarboro, NC 27886 | 2016-01-04 |
| 1033464805 | Tiffany Chapman Barber | Pharmacist | 1519 N Main Street, Tarboro, NC 27886 | 2012-07-18 |
| 1891085247 | Illumi-nation Care Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7806 Hwy 42 East, Tarboro, NC 27886 | 2011-04-19 |
| 1376842187 | Hiren C Patel | Pharmacist | 1600 North Main St., Tarboro, NC 27886 | 2011-03-18 |
| 1407976590 | Edgecombe Chiropractic Inc | Chiropractor | 1801 Main Street, Tarboro, NC 27886 | 2007-03-30 |
| 1265567762 | Rinson A Weathers | Personal Emergency Response Attendant | 111 Hospital Drive, Tarboro, NC 27886 | 2007-02-23 |
| 1780758961 | George Thomas Ward | Dentist | 112 W St John Street, Tarboro, NC 27886 | 2006-11-20 |
| Find all providers in zip 27886 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083214365 | Advanced Facial Surgery and Anesthesia Pllc | Anesthesiology | 301 Indian Trail Rd S, Indian Trail, NC 28079-9101 | 2020-10-27 |
| 1629635685 | Lauren Robinson Byrd | Anesthesiology | 1200 North Church St, Greensboro, NC 27401 | 2019-05-24 |
| 1578021432 | Awakenings Infusion Center of North Carolina, Pllc | Anesthesiology | 500 Holly Springs Rd Ste 106, Holly Springs, NC 27540-6204 | 2019-03-08 |
| 1811461544 | Benjamin Philip Powell | Anesthesiology | 1220 Hendersonville Rd, Asheville, NC 28803-1903 | 2019-01-16 |
| 1548731292 | Vera Shanley | Anesthesiology | 308 Southwind Ln, Hillsborough, NC 27278-7908 | 2018-12-06 |
| 1073082822 | Endoscopy Anesthesia Services, Pa | Anesthesiology | 320 Lillington Ave Ste 101, Charlotte, NC 28204-3189 | 2018-11-21 |
| 1386148500 | Charles Worthington Macintyre | Anesthesiology | 72 Pelican Dr, Wrightsville Beach, NC 28480-2738 | 2018-03-21 |
| 1952805236 | Yuxiao Qian | Anesthesiology | N2128, Unc Hospitals, Chapel Hill, NC 27599-0001 | 2018-03-21 |
| 1083132609 | Xenon Anesthesia of North Carolina Pllc | Anesthesiology | 7006 Shannon Willow Road, Charlotte, NC 28226 | 2017-09-04 |
| 1417472994 | Blue Ridge Sedation Associates LLC | Anesthesiology | 2417 Atrium Dr Ste 101, Raleigh, NC 27607-6673 | 2017-08-07 |
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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.