PITT COUNTY MEMORIAL HOSPITAL INC (NPI# 1497045652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497045652 |
| Entity Type | Organization |
| Organization Name | PITT COUNTY MEMORIAL HOSPITAL INC |
| Other Organization Name | VIDANT RADIOSURGERY |
| Practice Address |
600 Moye Blvd Greenville NC 27834-4300 |
| Mailing Address |
Po Box 6028 Greenville NC 27835-6028 |
| Practice Telephone | 2528474700 |
| Practice Fax Number | 2528474725 |
| Mailing Telephone | 2528474700 |
| Mailing Fax Number | 2528474725 |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2012-02-13 |
| Authorized Official Name | MR. DAVID S HUGHES (CFO) |
| Authorized Official Telephone | 2528474582 |
| Is Organization Subpart | Y |
| Parent Organization Name | PITT COUNTY MEMORIAL HOSPITAL INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2471R0002X |
Radiologic Technologist Specialization: Radiation Therapy |
Technologists, Technicians & Other Technical Service Providers | ||
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5918805 | 05 | |
| NC | BCBS | 0037F | 01 |
| Other Name | Type Code |
|---|---|
| Vidant Radiosurgery | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285198283 | Pitt County Memorial Hospital Inc | Pharmacy | 2100 Stantonsburg Rd Rm 1ph-160, Greenville, NC 27834-2818 | 2019-01-24 |
| 1447430111 | Pitt County Memorial Hospital Inc | Home Health | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2007-11-09 |
| 1992922090 | Pitt County Memorial Hospital Inc | Pharmacy | 2000 Venture Tower Dr, Greenville, NC 27834-2871 | 2007-04-19 |
| 1942236641 | Pitt County Memorial Hospital Inc | Pharmacy | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2006-06-24 |
| 1275595639 | Pitt County Memorial Hospital Inc | Durable Medical Equipment & Medical Supplies | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2006-04-03 |
| 1669434023 | Pitt County Memorial Hospital Inc | Ambulance | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2006-04-03 |
| 1831177211 | Pitt County Memorial Hospital Inc | Internal Medicine | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2006-01-05 |
| 1649252933 | Pitt County Memorial Hospital Inc | Psychiatric Unit | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2005-11-14 |
| 1558343848 | Pitt County Memorial Hospital Inc | Rehabilitation Unit | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2005-11-14 |
| Street Address |
600 MOYE BLVD |
| City | GREENVILLE |
| State | NC |
| Zip Code | 27834-4300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467455600 | Fiona Cook | Internal Medicine | 600 Moye Blvd, Ecu Physicians Endocrinology, Greenville, NC 27834-4300 | 2005-05-23 |
| 1851904999 | Tyler Nigele Edgerton | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd, Greenville, NC 27834-4300 | 2020-08-28 |
| 1366054272 | Mallory Claire Savidge | Social Worker | 600 Moye Blvd, Greenville, NC 27834-4300 | 2020-08-21 |
| 1336759109 | Jessica Veale | Physician Assistant | 600 Moye Blvd, Greenville, NC 27834-4300 | 2020-08-05 |
| 1942819990 | Ryan Grabiec | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd, Greenville, NC 27834-4300 | 2020-07-27 |
| 1215545157 | Rewati Bhattarai | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd, Greenville, NC 27834-4300 | 2020-07-16 |
| 1629686860 | Amanda Foy | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd, Greenville, NC 27834-4300 | 2020-07-14 |
| 1477179927 | Rebecca Ann Baietto | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd, Greenville, NC 27834 | 2020-06-21 |
| 1720604416 | Dylan Joseph Defauw | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd, Greenville, NC 27834-4300 | 2020-06-18 |
| 1003432790 | Joshua L Mcdaniel | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd, Greenville, NC 27834-4300 | 2020-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841801255 | Nicholas Mcarthur Bennett | Day Training, Developmentally Disabled Services | 302 C, Greenville, NC 27834 | 2020-08-11 |
| 1275150245 | Shelby Renee Jones | Student in an Organized Health Care Education/Training Program | East Carolina University College of Nursing, 600 Moye Blvd, Greenville, NC 27834 | 2020-06-25 |
| 1194347138 | Soban Ahmad | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd., Vmc Ma Room 350. Internal Medicine Resi, Mailstop #734, Greenville, NC 27834 | 2020-05-13 |
| 1427687789 | Brandon Allen Yates | Student in an Organized Health Care Education/Training Program | 435 Clinic Drive, Greenville, NC 27834 | 2020-04-07 |
| 1144854407 | Kristen Springer Dreyfus | Marriage & Family Therapist | 2609 West Arlington Blvd Suite 106, Greenville, NC 27834 | 2020-02-26 |
| 1861038606 | Southern Surgical Outpatient Surgery Center, Pa | Clinic/Center | 2457 Emerald Place, Greenville, NC 27834 | 2019-11-26 |
| 1003460569 | Shaun Fitzpatrick | Nurse Practitioner | Physicians East, Pa 1850 W. Arlington Blvd., Greenville, NC 27834 | 2019-08-01 |
| 1649831496 | Katherine Salome Ross | Genetic Counselor, MS | 524 Moye Blvd, Greenville, NC 27834 | 2019-06-24 |
| 1477011880 | Lauren Bethune Scroggs | Counselor | 2150 West 5th Street, Health Sciences Building Mailstop 688, Greenville, NC 27834 | 2019-03-05 |
| 1669998001 | Idella's Care Home | Community/Behavioral Health | 2912 Lee Ct # 9a, Greenville, NC 27834 | 2017-08-17 |
| Find all providers in zip 27834 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821093006 | Andrej V Hnatov | Radiology | 801 Wh Smith Blvd, Carolina Radiation Medicine, Pa, Greenville, NC 27834 | 2005-06-15 |
| 1679578009 | Dale Lemoin Duncan | Radiology | 900 W Faris Rd, Greenville, SC 29605-4255 | 2005-06-14 |
| 1508860545 | Gordon Gary Koltis | Radiology | 801 W H Smith Blvd, Greenville, NC 27834-3764 | 2005-06-08 |
| 1821465642 | Vidant Radiation Oncology LLC | Radiology | 524 Moye Boulevard, Greenville, NC 27834-2818 | 2015-08-27 |
| 1104212026 | Aidan Michael Burke | Radiology | 600 Moye Blvd, Greenville, NC 27834-4300 | 2015-04-07 |
| 1740686591 | St. Francis Hospital Inc | Radiology | 104 Innovation Dr, Greenville, SC 29607-5253 | 2014-11-06 |
| 1750693453 | Matthew Adrian Spear | Radiology | 600 Moye Blvd, Leo Jenkins Cancer Services, Greenville, NC 27834-4300 | 2010-07-09 |
| 1972831071 | Emory Richard Mctyre | Radiology | 900 W Faris Rd, Greenville, SC 29605-4255 | 2009-12-01 |
| 1164675559 | Michael Philip Greenbaum | Radiology | 900 W Faris Rd, Greenville, SC 29605-4255 | 2008-10-29 |
| 1235394081 | Andrew W Ju | Radiology | 600 Moye Blvd, Leo Jenkins Cancer Center, Greenville, NC 27834-4300 | 2008-07-22 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 27834 |
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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.