NPIMap

Organization Active NPI

East Carolina Health - Heritage Inc

Doing business as Heritage Hospital

  • Anesthesiology Physician
  • Tarboro, NC
National Provider Identifier
1194703884
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
H0258 Issued in NC
Legal business name
EAST CAROLINA HEALTH - HERITAGE INC
Doing business as
Heritage Hospital
Practice address
111 Hospital Dr
Tarboro, NC 27886-2011
Phone
(252) 641-7700
NPI assigned
Jan 4, 2006
Last updated
Mar 12, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
EAST CAROLINA HEALTH - HERITAGE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Authorized official

Name
Mr. Patrick M Heins
Title
President
Phone
(252) 641-7123

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X H0258 NC Primary
Certified Registered Nurse Anesthetist 367500000X H0258 NC

Addresses

Primary practice location

111 Hospital Dr
Tarboro, NC 27886-2011

Mailing address

111 Hospital Dr
Tarboro, NC 27886-2011
Phone (252) 641-7700

Other identifiers 4

IdentifierTypeStateIssuer
0003VOtherNCBCBS CRNA GROUP #
5911538MedicaidNC
021J5OtherNCBCBS ANESTHESIOLOGY
8000193MedicaidNC

Other names 1

  • Heritage Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040702000525 NC Part B Supplier - Clinic/Group Practice 4789582594 Receives reassigned benefits from 43 practitioners
Practice locations: Tarboro, NC

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
East Carolina HLTH Heritage5 organizations share this tax ID, including this one
Part of
East Carolina HLTH Heritage

Other organizations with this tax ID 4

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

Locations

3755 Admiral Dr
Ste 111
High Point, NC 27265

Practitioners & affiliated clinicians

Practitioners 44

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.

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1194703884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 HOSPITAL DR",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "278862011",
            "telephone_number": "252-641-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 HOSPITAL DR",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "278862011",
            "telephone_number": "252-641-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST CAROLINA HEALTH - HERITAGE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAST CAROLINA HEALTH - HERITAGE INC",
        "enumeration_date": "2006-01-04",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A",
        "authorized_official_last_name": "HEINS",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-641-7123",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": "H0258",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "H0258",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS CRNA GROUP #",
            "identifier": "0003V",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5911538",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ANESTHESIOLOGY",
            "identifier": "021J5",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8000193",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tarboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.