NPIMap

Organization Active NPI

Eldo, Inc.

  • Specialist
  • Wilmington, NC
National Provider Identifier
1073609954
Registry record updated Feb 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ELDO, INC.
Practice address
1805 Castle St
Wilmington, NC 28403-2103
Phone
(910) 762-3118
Fax
(910) 762-3115
NPI assigned
Oct 5, 2006
Last updated
Feb 12, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2010

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

Authorized official

Name
Mrs. Yolanda Parker Randolph, M.A.
Title
Director
Phone
(910) 762-3118

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

1805 Castle St
Wilmington, NC 28403-2103

Mailing address

1805 Castle St
Wilmington, NC 28403-2103
Phone (910) 762-3118

Other identifiers 1

IdentifierTypeStateIssuer
3409558MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Eldo Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265932800000",
    "number": "1073609954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 CASTLE ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284032103",
            "telephone_number": "910-762-3118",
            "fax_number": "910-762-3115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 CASTLE ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284032103",
            "telephone_number": "910-762-3118",
            "fax_number": "910-762-3115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2010-02-12",
        "status": "A",
        "authorized_official_last_name": "RANDOLPH",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_middle_name": "PARKER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "910-762-3118",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3409558",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.