SANJAY MEHRA (NPI# 1629136205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629136205 |
Entity Type | Individual |
Full Name | SANJAY MEHRA |
Credential | MD |
Practice Address |
115 Heart Dr East Carolina Heart Institute At Ecu Greenville NC 27834-8944 |
Mailing Address |
Po Box 75169 Ecu Physicians Charlotte NC 28275-0169 |
Practice Telephone | 2527444400 |
Practice Fax Number | 2527443987 |
Enumeration Date | 2006-12-05 |
Last Update Date | 2012-02-02 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | 2010-00211 | NC | Allopathic & Osteopathic Physicians |
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
2010-00211 | NC | Allopathic & Osteopathic Physicians |
N | 208M00000X | Hospitalist | 2010-00211 | NC | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | BC/BS | 35056 | 01 |
BC/BS | 99267 | 01 | |
NC | 5916169 | 05 | |
NC | BCBSNC | 15691 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720010127 | Sanjay Mehra | Pediatrics | 1144 Cypress Glen Cir, Kissimmee, FL 34741-7559 | 2006-07-07 |
Street Address |
115 HEART DR EAST CAROLINA HEART INSTITUTE AT ECU |
City | GREENVILLE |
State | NC |
Zip Code | 27834-8944 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316944705 | William M Bogey Jr. | Surgery | 115 Heart Dr, East Carolina Heart Institute @ Ecu Dept. of Cvs, Greenville, NC 27834-8944 | 2005-06-30 |
1386255883 | Kari Lynn Lewicki | Nurse Practitioner | 115 Heart Dr, Greenville, NC 27834-8982 | 2020-08-10 |
1144864885 | Ryan Christopher Mitchell | Nurse Practitioner | 115 Heart Dr, Greenville, NC 27834-8982 | 2019-11-06 |
1922575091 | Katisha Elzatie Mitchell | Nurse Practitioner | 115 Heart Dr, Greenville, NC 27834-8982 | 2018-10-26 |
1356852933 | Joanna Barlow Bowman | Nurse Practitioner | 115 Heart Dr, Greenville, NC 27834-8982 | 2017-10-23 |
1366858086 | Leslie Wiley Nifong | Specialist | 115 Heart Dr, East Carolina Heart Institute, Greenville, NC 27834-8982 | 2014-07-02 |
1679998785 | Lacey Freeman | Nurse Practitioner | 115 Heart Dr, Greenville, NC 27834 | 2014-02-26 |
1740603018 | Koh Takeuchi | Specialist | 115 Heart Dr, East Carolina Heart Institute At Ecu, Greenville, NC 27834-8944 | 2014-01-22 |
1306271739 | Amanda Lee Whited | Psychologist | 115 Heart Dr, Ecu Physicians Cardiothoracic Surgery, Greenville, NC 27834-8944 | 2013-09-04 |
1699112771 | Cassandra Marie Garland | Perfusionist | 115 Heart Dr, East Carolina Heart Institute At Ecu, Greenville, NC 27834-8944 | 2013-05-29 |
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 | 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 |
---|---|---|---|---|
1124657663 | Cardiosleep Diagnostics | Internal Medicine | 1862 Old Fort Rd, Greenville, NC 27834-9373 | 2020-04-06 |
1760770333 | Gregory Harris | Internal Medicine | 2340 Hemby Ln Ste 100, Greenville, NC 27834-3792 | 2011-07-18 |
1457641466 | Christopher French | Internal Medicine | 4211 Joe Ramsey Blvd E Ste 108, Greenville, TX 75401-7858 | 2011-04-11 |
1528225356 | Matthew B Sellers | Internal Medicine | 2 Innovation Dr., Ste. 400, Greenville, SC 29607-5270 | 2008-05-20 |
1093822421 | Lee A. Surkin | Internal Medicine | 2459 Emerald Pl Ste 102, Greenville, NC 27834-5739 | 2006-08-23 |
1992716732 | Kenneth A Hahn | Internal Medicine | 1306 Hospital St, Greenville, MS 38703-3215 | 2006-08-10 |
1578582441 | Cynthia Lynn Kues | Internal Medicine | 404 Durley St, Greenville, IL 62246-1504 | 2006-07-19 |
1326077058 | Michael Mansour | Internal Medicine | 1315 E Union St, Greenville, MS 38703-3245 | 2006-07-03 |
1427094432 | Kathleen Anne Mansour | Internal Medicine | 1513 E Union St, Greenville, MS 38703-3249 | 2006-06-20 |
1952364200 | James L Young Jr. | Internal Medicine | 14 Edgewood Drive, Greenville, SC 29605 | 2006-04-08 |
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.