East Carolina Gastroenterology PA

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

00941 Issued in NC

Legal business name

EAST CAROLINA GASTROENTEROLOGY PA

Practice address

4 Office Park Dr
Jacksonville, NC 28546-7257

Phone

(910) 353-6158

Fax

(910) 353-7257

NPI assigned

Jun 18, 2006

Organization subpart

No

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

Authorized official

Name

Peter A Eweje, MDNPI 1871538363

Title

Owner President

Phone

(910) 353-6158

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CFEDAA

Practitioners 5

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.

• Peter A Eweje, MD

  • Gastroenterology Physician
  • Jacksonville, NC
  • NPI 1871538363
  Medicare reassignment Care Compare group NPD Authorized official
• Elena McNeill, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Jacksonville, NC
  • NPI 1538317227
  Medicare reassignment Care Compare group NPD
• Anuradha Arcot, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Jacksonville, NC
  • NPI 1033115761
  Medicare reassignment NPD
• Kimberly Stockstill Bukowski, FNP-BC

  • Family Nurse Practitioner
  • Chicago, IL
  • NPI 1346709839

  NC

  Medicare reassignment NPD
• Phornphan Moltane Homiak, PA-C

  • Physician Assistant
  • Burke, VA
  • NPI 1942488374

  NC

  Medicare reassignment

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023053493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12114",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285462114",
            "telephone_number": "910-353-6158",
            "fax_number": "910-353-7257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 OFFICE PARK DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285467257",
            "telephone_number": "910-353-6158",
            "fax_number": "910-353-7257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST CAROLINA GASTROENTEROLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EWEJE",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "910-353-6158",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NC",
            "license": "00941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8910612",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0200E",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nakia Dyer
• Catherine Lyndsay Dyson, DDS
• East Carolina Brace & Limb Co., Inc.
• East Carolina Gastroenterology Endoscopy Center
• East Carolina Gastroenterology Endoscopy Center Inc
• East Carolina Medical Associates P.C
• Easter Seals Ucp North Carolina & Virginia, Inc.
• Keira Eaton
• Jillian Eberhard
• Alexis Eccleston, DO

• Gastroenterology Physician in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Gastroenterology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.