Organization Active NPI

Calvary Internal Medicine PC

  • Internal Medicine Physician
  • Lumberton, NC
National Provider Identifier
1215130778
Registry record updated Dec 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2005-00522 Issued in NC
Legal business name
CALVARY INTERNAL MEDICINE PC
Practice address
102 W 27TH St
Lumberton, NC 28358-3015
Phone
(910) 671-1123
Fax
(910) 671-1126
NPI assigned
Jun 11, 2007
Last updated
Dec 27, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2011

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

Authorized official

Name
Dr. Collins O Oseki, M.D.
Title
Owner
Phone
(910) 671-1123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2005-00522 NC Primary

Addresses

Primary practice location

102 W 27TH St
Lumberton, NC 28358-3015

Mailing address

102 W 27TH St
Lumberton, NC 28358-3015
Phone (910) 671-1123

National Provider Directory

National Provider Directory

Locations

102 W 27th St
Lumberton, NC 28358
Phone (910) 671-1123

NPI Registry JSON

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324944000000",
    "number": "1215130778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 W 27TH ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283583015",
            "telephone_number": "910-671-1123",
            "fax_number": "910-671-1126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W 27TH ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283583015",
            "telephone_number": "910-671-1123",
            "fax_number": "910-671-1126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALVARY INTERNAL MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2011-12-27",
        "status": "A",
        "authorized_official_last_name": "OSEKI",
        "authorized_official_first_name": "COLLINS",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-671-1123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2005-00522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lumberton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2011; 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.