NPIMap

Organization Active NPI

Cardiosleep Diagnostics

  • Cardiovascular Disease Physician
  • Greenville, NC
National Provider Identifier
1124657663
Registry record updated Apr 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CARDIOSLEEP DIAGNOSTICS
Practice address
1862 Old Fort Rd
Greenville, NC 27834-9373
Phone
(252) 902-5678
Fax
(252) 329-2891
NPI assigned
Apr 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2020

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

Authorized official

Name
Dr. Lee A Surkin, MDNPI 1093822421
Title
President
Phone
(252) 902-5678

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
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

1862 Old Fort Rd
Greenville, NC 27834-9373

Mailing address

1862 Old Fort Rd
Greenville, NC 27834-9373
Phone (252) 902-5678

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586131200000",
    "number": "1124657663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1862 OLD FORT RD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278349373",
            "telephone_number": "252-902-5678",
            "fax_number": "252-329-2891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1862 OLD FORT RD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278349373",
            "telephone_number": "252-902-5678",
            "fax_number": "252-329-2891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOSLEEP DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-06",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A",
        "authorized_official_last_name": "SURKIN",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-902-5678",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "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 Apr 6, 2020; 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.