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CAROLINAEAST PHYSICIANS NPI 1326353210


NPI Information

NPI: 1326353210
Provider Name: CAROLINAEAST PHYSICIANS
Classification: Urology - 208800000X
Entity Type: Organization
Address:
445 WESTERN BLVD
SUITE L
JACKSONVILLE, NC
ZIP 28546
Phone: (910) 938-3099
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CAROLINAEAST PHYSICIANS is an urology in Jacksonville, NC. The provider is 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. CAROLINAEAST PHYSICIANS NPI is 1326353210. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

445 WESTERN BLVD
SUITE L
JACKSONVILLE, NC
ZIP 28546-845
Phone: (910) 938-3099
Fax: (910) 938-3243

The provider's authorized official is Tammy M Sherron .
The authorized official title is Vp Finance Cfo and has the following contact phone number (252) 633-8880.

The enumeration date for this NPI number is 8/16/2010 and was last updated on 5/16/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineNo
2208M00000XHospitalistNo
3207R00000XInternal MedicineNo
4207RC0000XInternal MedicineCardiovascular DiseaseNo
5207Y00000XOtolaryngologyNo
6208000000XPediatricsNo
7208100000XPhysical Medicine & RehabilitationNo
82084N0400XPsychiatry & NeurologyNeurologyNo
9208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)No
10208800000XUrologyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12347316CMEDICARE PINNORTH 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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.