NPIMap

Organization Active NPI

Lenoir Memorial Hospital, Incorporated

Doing business as Ekg Eeg

  • Cardiology Technician
  • Kinston, NC
National Provider Identifier
1013957414
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiology TechnicianTaxonomy code 246W00000X
License
H0043 Issued in NC
Legal business name
LENOIR MEMORIAL HOSPITAL, INCORPORATED
Doing business as
Ekg Eeg
UNC Lenoir Health Care
Practice address
100 Airport Rd
Kinston, NC 28503-1678
Phone
(252) 522-7000
Fax
(252) 522-7007
NPI assigned
Jun 7, 2006
Last updated
Feb 4, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
LENOIR MEMORIAL HOSPITAL, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jeffrey Wakefield
Title
Cfo
Phone
(252) 522-7903

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiology Technician 246W00000X H0043 NC Primary

Addresses

Primary practice location

100 Airport Rd
Kinston, NC 28503-1678

Mailing address

100 Airport Rd
Kinston, NC 28503-1678
Phone (252) 522-7000

Other identifiers 2

IdentifierTypeStateIssuer
890765KMedicaidNC
0765KOtherNCBCBS

Other names 2

  • EKG EEG Doing business as
  • UNC Lenoir Health Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040320000631 NC Part B Supplier - Clinic/Group Practice 0244121226 Receives reassigned benefits from 16 practitioners
1 other NPI on this enrollment
Practice locations: Kinston, NC
O20080303000662 NC Part A Provider - Hospital 0244121226 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Kinston, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013957414. Details of each certification follow.

Hospital certification: CCN 340027

Legal name
LENOIR MEMORIAL HOSPITAL, INCORPORATED
Doing business as
UNC HEALTH LENOIR
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Apr 4, 2008
Beds
235
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Dec 7, 1950 in NC
Enrollment address
100 Airport Rd
Kinston, NC 28501-1604
Main/Primary Hospital Location
Hospital subgroups
Acute care, Rehabilitation, Swing-bed approved

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Unc Lenoir Health CareCCN 340027 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Lenoir Memorial Hospita6 organizations share this tax ID, including this one
Part of
Lenoir Memorial Hospita

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

518 Plaza Blvd
Ste 2
Kinston, NC 28501
Phone (252) 522-4446

Ownership & related parties

All disclosed owners & managing parties 22

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Lenoir Memorial Hospital, Incorporated Organization, Kinston, NC Corporation Operational/Managerial Control May 17, 2016
Linwood Hugh Pollock Individual Corporate DirectorBoard Member Jan 16, 2020
Michael Whitfield Individual Corporate DirectorBoard Member Aug 24, 2015
Crystal M Hayden Individual Corporate OfficerCeo May 28, 2023
Robin Adams Roberson Individual Corporate DirectorBoard Member Jan 16, 2020
Michael Shea James Individual Corporate DirectorBoard Member Feb 19, 2024
Karl L Vanderstouw Individual Corporate OfficerVP/Chief Information Officer Jan 26, 2015
W-2 Managing Employee Jan 25, 2015
Tonya Sessoms Adams Individual Corporate DirectorBoard Member Jan 1, 2025
Bharadwaj Mantha Individual Corporate OfficerCfo Jun 10, 2024
Frances Herring Individual Corporate DirectorBoard Member Feb 19, 2018
Randy Michael Bledsoe Individual Corporate DirectorBoard Member Jan 31, 2023
Kimberly Rushing Best Individual W-2 Managing EmployeeCancer Center MGR Jan 3, 2022
Milton Dale Warner Individual Corporate DirectorBoard Member Jan 1, 2025
University of North Carolina Health Care System Organization, Morrisville, NC Operational/Managerial Control May 17, 2016
Russell Hunt Individual Corporate DirectorBoard Member Feb 19, 2018
Keri Noeski Individual Corporate DirectorBoard Member Jan 1, 2025
David Stuart Lindley Individual Corporate DirectorBoard Member Jan 18, 2018
Joan Templeton Perry Individual Corporate DirectorBoard Member Mar 3, 2023
Joel Simon Rose Individual Corporate DirectorBoard Member Jan 1, 2025
Preston Harris Individual Corporate DirectorBoard Member Jan 28, 2021
Felicia Solomon Individual Corporate DirectorBoard Member Aug 18, 2016
Carlton Younger Individual Corporate DirectorBoard Member Jan 24, 2011

Owners & managing parties with NPI records 8

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Unc Health LenoirKinston, NC, CCN 340027 Hospital Operational/Managerial Control May 17, 2016
Unc Lenoir Health CareKinston, NC, CCN 34T027 Hospital 5% Or Greater Direct Ownership Interest Jan 1, 1966

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 117

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 117

Affiliated clinicians 260

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 260

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643932800000",
    "number": "1013957414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 AIRPORT RD",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285031678",
            "telephone_number": "252-522-7000",
            "fax_number": "252-522-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 AIRPORT RD",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285031678",
            "telephone_number": "252-522-7000",
            "fax_number": "252-522-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LENOIR MEMORIAL HOSPITAL, INCORPORATED",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LENOIR MEMORIAL HOSPITAL, INC.",
        "enumeration_date": "2006-06-07",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A",
        "authorized_official_last_name": "WAKEFIELD",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "252-522-7903"
    },
    "taxonomies": [
        {
            "code": "246W00000X",
            "taxonomy_group": "",
            "desc": "Technician, Cardiology",
            "state": "NC",
            "license": "H0043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890765K",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0765K",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EKG EEG",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UNC Lenoir Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kinston, NC

Sources for this page

Verify at the official NPI Registry.