Surgicenter of Eastern Carolina LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SURGICENTER OF EASTERN CAROLINA LLC

Practice address

102 Bethesda Dr
Greenville, NC 27834-7201

Phone

(252) 847-7700

NPI assigned

May 22, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Stephen Tripp

Title

President

Phone

(252) 847-7723

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 2

• ECU Health SurgiCenter Doing business as
• Vidant SurgiCenter Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Listed as

Surgicenter of Eastern Carolina LLC Dba Vidant SurgicenterCCN 34C0001000

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Pitt County Memorial Hospital Inc.

  • Specialty Pharmacy
  • Greenville, NC
  • NPI 1598272379

  Member Of

  NPD member

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653868800000",
    "number": "1124285515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 STANTONSBURG RD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278342818",
            "telephone_number": "252-847-7700",
            "fax_number": "252-847-7784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 BETHESDA DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347201",
            "telephone_number": "252-847-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICENTER OF EASTERN CAROLINA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2022-05-30",
        "certification_date": "2022-05-30",
        "status": "A",
        "authorized_official_last_name": "TRIPP",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-847-7723",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0062W",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3419860",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ECU Health SurgiCenter",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vidant SurgiCenter",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sunshine Theraputic Services, LLC
• Kajuan Supel, M.A, BCBA, LBA
• Supports Plus LLC
• Tyler Surdi, PHARMD
• Sure Foundation Behavioral Health Services, LLC
• Surgicenter Services of Pitt Inc.
• Lee A. Surkin, M.D.
• Lara Kester Surles, MD
• Jennifer A. Sutter, MD
• Ann Thomas Sutton, M.D.

• Ambulatory Surgical Clinic/Center in Greenville, NC
• Providers in Greenville, NC by specialty
• Ambulatory Surgical Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2022; 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.