East Carolina Gastroenterology Endoscopy Center Inc

Primary specialty

Endoscopy Clinic/CenterTaxonomy code 261QE0800X

Legal business name

EAST CAROLINA GASTROENTEROLOGY ENDOSCOPY CENTER INC

Practice address

4 Office Park Dr
Jacksonville, NC 28546-7325

Phone

(910) 353-6158

Fax

(910) 353-7257

NPI assigned

Aug 29, 2006

Last updated

Aug 22, 2020By the provider in NPPES

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

President

Phone

(910) 353-6158

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Listed as

East Carolina Gastroenterology Endoscopy Center IncCCN 34C0001124

Medicare certification status

ActiveFrom the Provider of Services file

Tax ID family

East Carolina Gastroenterology Endoscopy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• East Carolina Gastroenterology Endoscopy Center

  • Emergency Care Clinic/Center
  • Jacksonville, NC
  • NPI 1801989785
  NPD tax ID

Locations

Practitioners 1

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
  NPD Authorized official

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063520070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 OFFICE PARK DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285467325",
            "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": "285467325",
            "telephone_number": "910-353-6158",
            "fax_number": "910-353-7257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST CAROLINA GASTROENTEROLOGY ENDOSCOPY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "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": "PRESIDENT",
        "authorized_official_telephone_number": "910-353-6158",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katheryn Louise Dyer, PHARMD
• Nakia Dyer
• Catherine Lyndsay Dyson, DDS
• East Carolina Brace & Limb Co., Inc.
• East Carolina Gastroenterology Endoscopy Center
• East Carolina Gastroenterology PA
• East Carolina Medical Associates P.C
• East Coast Residential Innovations
• Easter Seals Ucp North Carolina & Virginia, Inc.
• Keira Eaton

• Endoscopy Clinic/Center in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Endoscopy Clinic/Center 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.