NPIMap

Organization Active NPI

Carolina East Cardiology PC

  • Specialist
  • Greenville, NC
National Provider Identifier
1083818900
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CAROLINA EAST CARDIOLOGY PC
Practice address
2315-A Executive Park West
Greenville, NC 27834-3700
Phone
(252) 551-3444
NPI assigned
Jun 13, 2007
Last updated
Feb 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Authorized official

Name
Dr. Jose Jacob, MDNPI 1194771832
Title
Owner
Phone
(252) 551-3444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

2315-A Executive Park West
Greenville, NC 27834-3700

Mailing address

2315-A Executive Park West
Greenville, NC 27834-3700
Phone (252) 551-3444

National Provider Directory

National Provider Directory

Locations

2315 Executive Cir
Ste A
Greenville, NC 27834
Phone (252) 347-5640

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1083818900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315-A EXECUTIVE PARK WEST",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278343700",
            "telephone_number": "252-551-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315-A EXECUTIVE PARK WEST",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278343700",
            "telephone_number": "252-551-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA EAST CARDIOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "JACOB",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-551-3444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; 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.