EASTERN CAROLINA INTERNAL MEDICINE PA (NPI# 1598759896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598759896 |
| Entity Type | Organization |
| Organization Name | EASTERN CAROLINA INTERNAL MEDICINE PA |
| Practice Address |
137 Medical Lane Pollocksville NC 28573-0068 |
| Mailing Address |
Po Box 68 Pollocksville NC 28573-0068 |
| Practice Telephone | 2526331010 |
| Practice Fax Number | 2522240378 |
| Mailing Telephone | 2526331010 |
| Mailing Fax Number | 2522240378 |
| Enumeration Date | 2005-09-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CRAIG A HOLTON (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 2526331010 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
39206 | NC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BLUE CROSS | 01907 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093875239 | Eastern Carolina Internal Medicine Pa | Clinic/Center | 2117 South Glenburnie Road, Ste 9 & 10, New Bern, NC 28562-2239 | 2006-12-11 |
| 1215001458 | Eastern Carolina Internal Medicine Pa | Clinic/Center | 906 W B Mclean Drive, Cape Carteret, NC 28584-9211 | 2006-11-20 |
| 1689746984 | Eastern Carolina Internal Medicine Pa | Clinic/Center | 2604 Dr Martin Luther King Jr Blvd, New Bern, NC 28562 | 2006-11-14 |
| 1497827794 | Eastern Carolina Internal Medicine Pa | Clinic/Center | 2604 Dr Martin Luther King Jr Blvd, New Bern, NC 28562 | 2006-11-14 |
| 1346329117 | Eastern Carolina Internal Medicine Pa | Clinic/Center | 532 Webb Blvd, Havelock, NC 28532-2042 | 2006-11-03 |
| 1992884761 | Eastern Carolina Internal Medicine Pa | Clinic/Center | 2604 Dr Martin Luther King Jr Blvd, New Bern, NC 28562 | 2006-11-03 |
| Street Address |
137 MEDICAL LANE |
| City | POLLOCKSVILLE |
| State | NC |
| Zip Code | 28573-0068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245223379 | Jerry Donald Day Jr. | Physician Assistant | 137 Medical Lane, Pollocksville, NC 28573 | 2005-08-24 |
| 1750507786 | Shannon Chambers Semple | Physician Assistant | 137 Medical Lane, Pollocksville, NC 28573 | 2007-04-18 |
| 1487765632 | Gerard M Mcphee | Radiology | 137 Medical Lane, Pollocksville, NC 28573 | 2006-08-31 |
| 1700836681 | Daniel R Champey | Psychiatry & Neurology | 137 Medical Lane, Pollocksville, NC 28573-0068 | 2006-05-11 |
| 1356336895 | Michael E Davis | Internal Medicine | 137 Medical Lane, Pollocksville, NC 28573 | 2005-09-12 |
| 1821082975 | Christopher R Atkinson | Internal Medicine | 137 Medical Lane, Pollocksville, NC 28573-8200 | 2005-09-06 |
| 1013901164 | Nicholas Farina | Internal Medicine | 137 Medical Lane, Pollocksville, NC 28573 | 2005-09-06 |
| 1316931611 | Neil C Bender | Internal Medicine | 137 Medical Lane, Pollocksville, NC 28573 | 2005-09-01 |
| 1831182336 | Russell E Burgess | Internal Medicine | 137 Medical Lane, Pollocksville, NC 28573 | 2005-08-30 |
| 1922091875 | Bonnie J Goodwin | Internal Medicine | 137 Medical Lane, Pollocksville, NC 28573 | 2005-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548489917 | Benjamin Donald Gilmore | Physical Therapist | 215 Foy St, Pollocksville, NC 28573 | 2007-04-24 |
| 1679623607 | Allen Drugs Inc | Pharmacy | 9026 Highway 17, Pollocksville, NC 28573 | 2007-01-11 |
| 1285722777 | Sherry Mattocks Jarman | Counselor | 10774 Highway 17 South, Pollocksville, NC 28573 | 2006-10-10 |
| 1043243835 | Tar Heel Health Care Services, LLC | Home Health | 121 Techcon Way, Pollocksville, NC 28573 | 2006-07-08 |
| 1851385025 | Tammy Waits Stimson | Nurse Practitioner | 137 Medical Ln, Pollocksville, NC 28573 | 2005-09-02 |
| 1891742763 | Brian Averell | Psychiatry & Neurology | 137 Medical Ln, Pollocksville, NC 28573 | 2006-05-27 |
| 1093005217 | Realo Discount Drug of Pollocksville | Pharmacy | 9041 Hwy 17, Pollocksville, NC 28573-0027 | 2011-04-08 |
| 1285094730 | Rommel Soriano | Physical Therapist | 214 Main St, Pollocksville, NC 28573-5002 | 2016-02-26 |
| 1023577384 | Kacia Kristin Mccaghren Bray | Speech-Language Pathologist | 301 Magg Smith Rd, Pollocksville, NC 28573-5904 | 2019-03-17 |
| 1245659226 | Colleen Marie Stack | Psychiatry & Neurology | 137 Medical Ln, Pollocksville, NC 28573-8200 | 2014-04-07 |
| Find all providers in zip 28573 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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|---|---|---|---|---|
| 1447851340 | Be Inc | Clinic/Center | 13 N Kaufman Stone Way, Candler, NC 28715-7721 | 2020-11-06 |
| 1801424171 | Recover Together, Inc. | Clinic/Center | 59 Haywood Office Park Ste 2, Waynesville, NC 28785-6998 | 2020-03-31 |
| 1891330056 | Veritas Collaborative Charlotte, LLC | Clinic/Center | 1900 Scott Ave Ste 101, Charlotte, NC 28203-6046 | 2019-11-12 |
| 1770135808 | American Family Care Fuquay Pllc | Clinic/Center | 1298 N Main St, Fuquay Varina, NC 27526-2615 | 2019-07-09 |
| 1508424029 | Shelly Renea Obasoluyi | Clinic/Center | 403 Atwell Dr, Fayetteville, NC 28314-0122 | 2019-05-30 |
| 1215593819 | Wilmington Health Pllc | Clinic/Center | 1811 Tiburon Dr, Wilmington, NC 28403-6254 | 2019-05-20 |
| 1003472804 | Loginclinics, Pllc | Clinic/Center | 1324 Reservoir View Ln, Wake Forest, NC 27587-1836 | 2019-05-16 |
| 1124586060 | Bethany Christian Services of Nc | Clinic/Center | 1110 Navaho Dr Ste 109, Raleigh, NC 27609-7352 | 2019-03-11 |
| 1548740038 | Hillsborough Community Urgent Care | Clinic/Center | 110 Boone Square St Ste 29a, Hillsborough, NC 27278-2665 | 2018-08-15 |
| 1679079537 | Carter Clinic, Pa | Clinic/Center | 260 1st Ave Nw Ste 215, Hickory, NC 28601-6161 | 2018-03-31 |
| Find all providers with the same taxonomy | ||||
| City | POLLOCKSVILLE |
| Zip Code | 28573 |
Please comment or provide details below to improve the information on EASTERN CAROLINA INTERNAL MEDICINE PA.
| 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.