Active NPI
Goldsboro Endoscopy Center Inc
- Ambulatory Surgical Clinic/Center
- Goldsboro, NC
National Provider Identifier
1205804697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- AS0057
- Legal business name
- GOLDSBORO ENDOSCOPY CENTER INC
- Practice address
- 2705 Medical Office PL
Goldsboro, NC 27534-9458 - Phone
- (919) 580-9111
- Fax
- (919) 580-0988
- NPI assigned
- Mar 10, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. V C Motaparthy, MD
- Title
- Medical Director
- Phone
- (919) 580-9111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | AS0057 | NC | Primary |
Addresses
Primary practice location
2705 Medical Office PL
Goldsboro, NC 27534-9458
Mailing address
2705 Medical Office PL
Goldsboro, NC 27534-9458
Phone (919) 580-9111
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00678 | Other | NC | BCBSNC PROVIDER # |
| 3409905 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040319000534 | NC | Part B Supplier - Ambulatory Surgical Center | 5294625463 |
Receives reassigned benefits from 3 practitioners Practice locations: Goldsboro, NC |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Goldsboro Endoscopy Center
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Goldsboro, NC
- NPI 1619945953
-
- Anatomic Pathology & Clinical Pathology Physician
- North Charleston, SC
- NPI 1568678530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141948800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1205804697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2705 MEDICAL OFFICE PL",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275349458",
"telephone_number": "919-580-9111",
"fax_number": "919-580-0988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2705 MEDICAL OFFICE PL",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275349458",
"telephone_number": "919-580-9111",
"fax_number": "919-580-0988"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOLDSBORO ENDOSCOPY CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-10",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MOTAPARTHY",
"authorized_official_first_name": "V",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "919-580-9111",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "NC",
"license": "AS0057",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSNC PROVIDER #",
"identifier": "00678",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3409905",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Goldsboro, NC
- Goldsboro Counseling Center, P.a.
- Goldsboro CTC
- Goldsboro Drug Company Inc
- Goldsboro Drug Company Inc
- Goldsboro Emergency Medical Specialists, Inc.
- Goldsboro Eye Clinic PLLC
- Goldsboro Family Physicians, P.a.
- Goldsboro Family Young Men'S Christian Association
- Goldsboro House of Hope LLC
- Goldsboro Internal Medicine and Med-Spa PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.