East Carolina University
Organization Active NPI Internal Medicine Physician · Greenville, NC
NPI 1043260474 · NPPES record last updated Nov 3, 2020
Key facts
- NPI
- 1043260474
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- EAST CAROLINA UNIVERSITY
- Practice address
- Brody Outpatient Center
600 Moye Blvd
Greenville, NC 27858 - Phone
- (252) 744-2207
- Fax
- (252) 744-3224
- NPI assigned
- May 10, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Jason Foltz, DO
- Title
- Medical Director
- Phone
- (252) 744-1882
Other NPIs on the same Medicare enrollment 13
Other NPIs with the same Medicare PAC ID 2
Practitioners 976
-
Kimberly Ann Ewell Adams, FNP-C
-
Archana Rao Adikey, M.B.B.S
-
Shahab A Akhter, MD
-
Hassan Mahdi Al-Khalisy, M.D.
-
Afrah Abdul Wahid Ali, MBBS
-
Robert David Allman, M.D.
-
Albert Delton Anderson Jr., AGACNP
-
Chad Thomas Andicochea, D.O.
-
Rana Ahmad Asfour, PA-C
-
Abrar Khalid Bakhsh, BDS
-
Michael R Bard, M.D.
-
Cynthia D Barker, M.D.
-
Andrew Barrett, ANP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in NC, AZ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031106000400 | NC | Part B Supplier - Clinic/Group Practice | 0244143246 |
Receives reassigned benefits from 978 practitioners 13 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Greenville, NC; Lillington, NC; Lumberton, NC; Robersonville, NC; Spruce Pine, NC; Sylva, NC; Thomasville, NC; Washington, NC… |
| O20230206002198 | NC | MDPP Supplier - in-Person MDPP Supplier | 0244143246 | Practice locations: Greenville, NC |
| O20260317003413 | AZ | Part B Supplier - Clinic/Group Practice | 0244143246 |
Receives reassigned benefits from 1 practitioner Practice locations: Phoenix, AZ |
National Provider Directory
Locations
500 Academy St S
Ahoskie, NC 27910
Phone (252) 209-3000
100 Health Center Dr
Ahoskie, NC 27910
Phone (252) 332-1904
2280 US Highway 70 W
Goldsboro, NC 27530
Phone (919) 735-1400
625 Country Day Rd
Goldsboro, NC 27530
Phone (919) 731-4048
600 Medical Dr
Greenville, NC 27834
Phone (252) 847-2273
604 Medical Dr
Greenville, NC 27834
Phone (252) 744-6683
6 Doctors Park
#A
Greenville, NC 27834
Phone (252) 744-4500
2315 Executive Cir
Greenville, NC 27834
Phone (252) 744-1400
525 Moye Blvd
Greenville, NC 27834
Phone (252) 744-0454
101 Heart Dr
Greenville, NC 27834
Phone (252) 744-4611
1605 W Arlington Blvd
Greenville, NC 27834
120E Fire Tower Rd
Greenville, NC 27858
Phone (252) 744-1122
521 Moye Blvd
#A
Greenville, NC 27834
Phone (252) 744-1111
2010 W Arlington Blvd
Greenville, NC 27834
Phone (252) 847-0601
1 Doctors Park
Ste A
Greenville, NC 27834
Phone (252) 744-1406
517 Moye Blvd
Fl 2
Greenville, NC 27834
Phone (252) 744-0766
600 Country Club Rd
Lumberton, NC 28360
Phone (910) 737-6457
179 Hospital Dr
Spruce Pine, NC 28777
Phone (828) 765-0110
316 County Services Park
Sylva, NC 28779
Phone (828) 586-1200
1240 Cowell Farm Rd
Washington, NC 27889
Phone (252) 744-2096
3724 Raleigh Road Pkwy W
Wilson, NC 27896
Phone (252) 246-8840
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician |
207N00000X | |||
| Emergency Medicine Physician |
207P00000X | |||
| Internal Medicine Physician |
207R00000X | Yes | ||
| Hematology & Oncology Physician |
207RH0003X | |||
| Neurological Surgery Physician |
207T00000X | |||
| Obstetrics & Gynecology Physician |
207V00000X | |||
| Anatomic Pathology & Clinical Pathology Physician |
207ZP0102X | |||
| Pediatrics Physician |
208000000X | |||
| Physical Medicine & Rehabilitation Physician |
208100000X | |||
| Plastic Surgery Physician |
208200000X | |||
| Psychiatry Physician |
2084P0800X | |||
| Surgery Physician |
208600000X | |||
| Hospitalist Physician |
208M00000X | |||
| Pain Medicine Physician |
208VP0000X |
Addresses
Primary practice location
Brody Outpatient Center
600 Moye Blvd
Greenville, NC 27858
Mailing address
PO Box 751069
Charlotte, NC 28275-1069
Phone (252) 744-3520
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07027 | Other | NC | BCBS NC GROUP PROVIDER # |
| 8907027 | Medicaid | NC |
Other names
- ECU Physicians
Other providers in Greenville, NC
- East Carolina Transportation LLC
- East Carolina University
- East Carolina University
- East Carolina University
- East Carolina University
- East Carolina University
- East Carolina University
- East Carolina University
- East Carolina University
- East Carolina University
All providers in Greenville, NC · Internal Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.