EAST CAROLINA UNIVERSITY (NPI# 1720039241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720039241 |
| Entity Type | Organization |
| Organization Name | EAST CAROLINA UNIVERSITY |
| Other Organization Name | ECU PHYSICIANS |
| Practice Address |
Viquest 2610 Stantonsburg Road Greenville NC 27835 |
| Mailing Address |
Po Box 751069 Charlotte NC 28275-1069 |
| Practice Telephone | 2527443977 |
| Practice Fax Number | 2527446503 |
| Mailing Telephone | 2527443253 |
| Mailing Fax Number | 2527443194 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2008-07-10 |
| Authorized Official Name | DR. NICHOLAS H. BENSON (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2527447400 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS NC GROUP PROVIDER # | 0315 | 01 |
| NC | GROUP PROVIDER NUMBER | 014A9 | 01 |
| NC | 89014A9 | 05 |
| Other Name | Type Code |
|---|---|
| ECU Physicians | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396989133 | East Carolina University | Community/Behavioral Health | College of Allied Health Sciences-ecu, Dars - Navigate Counseling Clinic, Greenville, NC 27858-4353 | 2009-04-23 |
| 1760507990 | East Carolina University | Social Worker | Irons Building-oglesby Dr., Greenville, NC 27858 | 2007-03-20 |
| 1770622797 | East Carolina University | Pharmacy | 270 Easy St, Greenville, NC 27834-9012 | 2007-02-06 |
| 1760559926 | East Carolina University | Clinic/Center | 1001 East Fifth Street, Greenville, NC 27858-4353 | 2006-11-30 |
| 1033161575 | East Carolina University | Family Medicine | Family Medicine Center, Moye Blvd., Greenville, NC 27858 | 2006-05-16 |
| 1558312934 | East Carolina University | Audiologist | Ecu, Belk Annex 5, Dept. of Communication Sciences & Disorders, Greenville, NC 27858 | 2006-05-12 |
| 1114978517 | East Carolina University | Family Medicine | Human Performance Lab, 363 Ward Sports Medicine Building, Greenville, NC 27858 | 2006-05-12 |
| 1649229667 | East Carolina University | Family Medicine | 110 Railroad Street, Bethel Family Medicine Center, Bethel, NC 27812 | 2006-05-08 |
| 1851853592 | East Carolina University | Family Medicine | 101 Heart Dr, Greenville, NC 27834-8982 | 2019-04-02 |
| 1982028759 | East Carolina University | Dentist | 316 County Services Park, Ecu School of Dental Medicine, Sylva, NC 28779 | 2014-02-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | EAST CAROLINA UNIVERSITY | 1000 E 5th St, Greenville, NC 27858-2502 |
| Oklahoma Business Registrations | EAST CAROLINA UNIVERSITY | 105 Spilman Bldg, Greenville, NC 27858 |
| Oklahoma Business Registrations | EAST CAROLINA UNIVERSITY ALUMNI ASSOCIATION, INC. | 901 East 5th St, Greenville, NC 27858 |
| Oklahoma Business Registrations | EAST CAROLINA UNIVERSITY EDUCATIONAL FOUNDATION, INC. | 304 Ward Sports Medicine Bldg, Greenville, NC 27858 |
| Oklahoma Business Registrations | EAST CAROLINA UNIVERSITY FOUNDATION, INC. | 2200 South Charles Blvd Mail Stop 301, Greenville, NC 27858 |
| Oklahoma Business Registrations | EAST CAROLINA UNIVERSITY MEDICAL & HEALTH SCIENCES FOUNDATION, INC. | 525 Moye Blvd, Greenville, NC 27834 |
| Street Address |
VIQUEST 2610 STANTONSBURG ROAD |
| City | GREENVILLE |
| State | NC |
| Zip Code | 27835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659647485 | Lisa Dawn Collins | Speech-Language Pathologist | 850 Johns Hopkins Drive, Greenville, NC 27835 | 2012-03-27 |
| 1093998056 | Patrice Elaine Alexander | Counselor | 801 Mumford Road, Greenville, NC 27835 | 2007-12-13 |
| 1104946433 | Rosa Bradley Home for Adults | Assisted Living Facility | 2215 North Memorial Drive, Greenville, NC 27835 | 2007-03-30 |
| 1740237965 | Timothy Bart Guin | Nurse Practitioner | 2100 Stantonsburg Rd., Greenville, NC 27835 | 2006-05-31 |
| 1730628629 | Elizabeth Mclawhorn | Physician Assistant | 850 Johns Hopkins Drive, Greenville, NC 27835 | 2017-02-13 |
| 1841571049 | Destini Hardy-stover | Occupational Therapist | 2100 Stantonsburg Rd, Greenville, NC 27835 | 2011-08-31 |
| 1255566154 | Teddie Wayne Gore | Nurse Practitioner | 2100 Stantonsburg Road, Echi At PCmh, Greenville, NC 27835 | 2009-05-20 |
| 1902931231 | Ashley G. Mccabe | Nurse Practitioner | 2100 Stantonsburg Road, East Carolina Heart Institute, Greenville, NC 27835 | 2007-02-23 |
| 1154472553 | Pamela Meadors Fox | Nurse Practitioner | 2100 Stantonsburg Road, Greenville, NC 27835 | 2007-01-15 |
| 1720157118 | Sydney Chhabra | Psychologist | 2100 Stantonsburg Road, Greenville, NC 27835 | 2006-11-07 |
| Find all providers in zip 27835 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| 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 Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700933884 | John Edward Siegel | Family Medicine | 1001 E. Fifth St., East Carolina Univ., Greenville, NC 27858 | 2007-01-04 |
| 1932298825 | Joseph Armen | Family Medicine | 1001 East 5th St., Greenville, NC 27858-4353 | 2006-10-11 |
| 1114978517 | East Carolina University | Family Medicine | Human Performance Lab, 363 Ward Sports Medicine Building, Greenville, NC 27858 | 2006-05-12 |
| 1750608980 | St. Francis Physician Services Inc | Family Medicine | 2 Innovation Dr, Suite 250, Greenville, SC 29607-5261 | 2010-04-28 |
| 1669517967 | Wesley G Merriwether | Family Medicine | 131 Commonwealth Dr, Suite 200, Greenville, SC 29615-4883 | 2007-02-21 |
| 1699864488 | Kirtida Patel | Family Medicine | 1913 E Fire Tower Rd, Greenville, NC 27858-4126 | 2006-10-12 |
| 1598718934 | Kyle James Cassas | Family Medicine | 200 Patewood Dr, Suite C 100, Greenville, SC 29615-3593 | 2006-05-18 |
| 1659366102 | Tracy L Hall | Family Medicine | 201 Health Care Dr, Greenville, IL 62246-1155 | 2005-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255825410 | Novant Medical Group Inc. | Family Medicine | 15033 Balloncroft Parkway, Suite 200, Charlotte, NC 28277 | 2018-06-20 |
| 1760831028 | William M Sykes | Family Medicine | 129 T.t. Lanier St., Buies Creek, NC 27506 | 2016-06-08 |
| 1730561655 | Brendan Jay Michel | Family Medicine | 437 Little Fisher Trl, Mount Airy, NC 27030-6900 | 2015-06-27 |
| 1699179804 | Carolinas Physicians Network Inc | Family Medicine | 48380 Us Highway 52 N, Misenheimer, NC 28109 | 2014-10-17 |
| 1548509805 | Carolinas Physician Network, Inc. | Family Medicine | 332 North Trade Street, Suite 1200, Matthews, NC 28105-6566 | 2013-02-06 |
| 1699903211 | Robert Alcott | Family Medicine | 6050 W Highway 74, Ste D, Indian Trail, NC 28079-3591 | 2009-06-23 |
| 1962637926 | Thomas Joseph Thekkekandam | Family Medicine | 1635 Nc Highway 66 S, Suite 210, Kernersville, NC 27284-3854 | 2009-05-20 |
| 1477738714 | Forsyth Medical Group, LLC. | Family Medicine | 1900 S Hawthorne Rd Ste 480, Dba Sports Medicine Associates, Winston Salem, NC 27103-3913 | 2008-01-07 |
| 1396938171 | Lawrence M Linett, Md, Pllc | Family Medicine | 431 Western Blvd Ste E, Jacksonville, NC 28546-6823 | 2007-08-24 |
| 1962536516 | Richard T. Ferro | Family Medicine | 6832 Market St, Suite A, Wilmington, NC 28405-9723 | 2007-03-15 |
| Find all providers with the same taxonomy | ||||
| City | GREENVILLE |
| Zip Code | 27835 |
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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.