NPIMap

Organization Active NPI

Physicians East, PA

  • Endocrinology, Diabetes & Metabolism Physician
  • Greenville, NC
National Provider Identifier
1114304037
Registry record updated Apr 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
PHYSICIANS EAST, PA
Practice address
1006 WH Smith Blvd
Greenville, NC 27834-5194
Phone
(252) 752-6101
Fax
(252) 752-6600
NPI assigned
Apr 29, 2015
Last updated
Apr 29, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
PHYSICIANS EAST, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 29, 2015

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

Authorized official

Name
Angela Parker
Title
Credentialing Specialist
Phone
(252) 413-6740

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X NU Primary
Infectious Disease Physician 207RI0200X NU

Addresses

Primary practice location

1006 WH Smith Blvd
Greenville, NC 27834-5194

Mailing address

1850 W Arlington Blvd
Greenville, NC 27834-5704
Phone (252) 752-6101

National Provider Directory

National Provider Directory
Tax ID family
Physicians East QMS13 organizations share this tax ID, including this one
Part of
Physicians East QMS

Other organizations with this tax ID 12

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

Locations

1006 Wh Smith Blvd
Greenville, NC 27834
Phone (252) 413-6683

Practitioners & affiliated clinicians

Practitioners 2

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": "1430265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430265600000",
    "number": "1114304037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 W ARLINGTON BLVD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278345704",
            "telephone_number": "252-752-6101",
            "fax_number": "252-752-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 WH SMITH BLVD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278345194",
            "telephone_number": "252-752-6101",
            "fax_number": "252-752-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS EAST, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHYSICIANS EAST, PA",
        "enumeration_date": "2015-04-29",
        "last_updated": "2015-04-29",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "252-413-6740"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 Apr 29, 2015; 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.