CAROLINA DIGESTIVE DISEASES PA NPI 1023257300

NPI Information

NPI: 1023257300
Provider Name: CAROLINA DIGESTIVE DISEASES, PA
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
704 W H SMITH BLVD
GREENVILLE, NC
ZIP 27834
Phone: (252) 758-8181
Get Directions

CAROLINA DIGESTIVE DISEASES, PA is an ambulatory surgical clinic center in Greenville, NC. CAROLINA DIGESTIVE DISEASES, PA NPI is 1023257300. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

704 W H SMITH BLVD
GREENVILLE, NC
ZIP 27834-761
Phone: (252) 758-8181
Fax: (252) 758-8182

The provider's authorized official is Phillip Goldstein .
The authorized official title is President, Owner and has the following contact phone number (252) 758-8181.

The enumeration date for this NPI number is 2/11/2009 and was last updated on 8/5/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RG0100X	Internal Medicine	Gastroenterology	AS0118	NORTH CAROLINA	No
2	261QE0800X	Clinic/Center	Endoscopy	AS0118	NORTH CAROLINA	No
3	291U00000X	Clinical Medical Laboratory		34D2055053	NORTH CAROLINA	No
4	261QA1903X	Clinic/Center	Ambulatory Surgical	AS0118	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5906998	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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