CAROLINAEAST PHYSICIANS (NPI# 1689105603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689105603 |
| Entity Type | Organization |
| Organization Name | CAROLINAEAST PHYSICIANS |
| Practice Address |
241 Freedom Way Jacksonville NC 28544-1418 |
| Mailing Address |
Po Box 896206 Charlotte NC 28289-6206 |
| Practice Telephone | 9109383099 |
| Practice Fax Number | 9109383243 |
| Mailing Telephone | 9109383099 |
| Mailing Fax Number | 9109383243 |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2017-03-22 |
| Authorized Official Name | TAMMY 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 | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
Allopathic & Osteopathic Physicians | ||
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
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 | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians | ||
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| 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 |
| 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 |
| 1811269954 | Carolinaeast Physicians | Hospitalist | 2000 Neuse Blvd, New Bern, NC 28560-3449 | 2012-02-06 |
| Street Address |
241 FREEDOM WAY |
| City | JACKSONVILLE |
| State | NC |
| Zip Code | 28544-1418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336193499 | Independent Nephrology Services, Inc. | Clinic/Center | 241 Freedom Way, Jacksonville, NC 28544-1418 | 2006-05-20 |
| 1023569514 | Sadie Coleman Hardison | Audiologist | 241 Freedom Way, Jacksonville, NC 28544-1418 | 2016-10-19 |
| 1154523363 | Christopher Colonel Huffstetler | Orthotist | 241 Freedom Way, Suite 2, Jacksonville, NC 28544-1418 | 2007-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952848020 | Elizabeth Morales | Behavior Technician | 1001 Churchill Way Apt 2e, Midway Park, NC 28544 | 2017-01-26 |
| 1609245307 | Kristin Aumann | Pharmacist | 1003 Churchill Way Apt 3c, Midway Park, NC 28544 | 2015-09-23 |
| 1205121381 | Nathaniel David Brooks | Pharmacist | 175 Freedom Way, K-mart #3815, Midway Park, NC 28544 | 2011-06-16 |
| 1306048269 | Paul Preston | Military Health Care Provider | 2d Recon Bn 2d Mardiv, Clnc, NC 28544 | 2007-06-04 |
| 1770133712 | Lucille Gillard | Health Educator | 464 White Oak Ln, Midway Park, NC 28544-1239 | 2019-09-11 |
| 1457344376 | Jennifer Coleman Logan | Family Medicine | 241b Freedom Way, Jacksonville Va Cboc, Jacksonville, NC 28544-1418 | 2005-08-25 |
| 1437454485 | Kathleen Lusk Woodul | Social Worker | 241b Freedom Way, Midway Park, NC 28544-1418 | 2011-01-24 |
| 1477780989 | Daniel Joseph Doban | Pharmacist | 175 Freedom Way Ste 24, Midway Park, NC 28544-1428 | 2009-06-11 |
| 1982635041 | K Mart Corp | Durable Medical Equipment & Medical Supplies | 175 Freedom Way Ste 24, Midway Park, NC 28544-1428 | 2006-07-06 |
| 1093106304 | Renju Abraham | Pharmacist | 175 Freedom Way, Suite 24, Midway Park, NC 28544-1444 | 2015-02-09 |
| Find all providers in zip 28544 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053859041 | Soroush Bazargani | Urology | 653 W 8th St Lrc Bldg Fl 2, Jacksonville, FL 32216-6511 | 2017-02-09 |
| 1538534409 | Clinical Urology Associates, P.C. | Urology | 820 Pelham Rd S, Jacksonville, AL 36265-2736 | 2015-12-03 |
| 1356692065 | Onslow Ambulatory Services, Inc. | Urology | 52 Office Park Dr, Suite B, Jacksonville, NC 28546-3217 | 2012-09-21 |
| 1841586120 | Travis Christopher Allemang | Urology | 2080 Child St Dept 5000, Jacksonville, FL 32214 | 2011-06-24 |
| 1275597817 | Thomas L Wilson M D Ltd | Urology | 814 W State, Jacksonville, IL 62650 | 2006-04-12 |
| 1164484267 | Charles Stott Wilson | Urology | 814 West State, Jacksonville, IL 62650 | 2006-04-04 |
| 1912967860 | Fawaz M Ashouri | Urology | 2301 University Blvd W, Jacksonville, FL 32217 | 2006-03-24 |
| 1972578136 | Christopher Ramon Williams | Urology | 8708 Perimeter Park Blvd Ste 4, Jacksonville, FL 32216 | 2006-02-21 |
| 1659374320 | Ahmad Kasraeian | Urology | 6269 Beach Blvd, Ste 2, Jacksonville, FL 32216-2705 | 2005-05-24 |
| 1013542919 | Ackerman Cancer Center, Pa | Urology | 10232 San Jose Blvd, Jacksonville, FL 32257 | 2020-03-11 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 28544 |
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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.