Khaled Jreisat

Primary specialty

SpecialistTaxonomy code 174400000X

License

27377 Issued in NC

Legal business name

KHALED JREISAT

Practice address

729 Professional Dr
New Bern, NC 28560-4547

Phone

(252) 634-2900

Fax

(252) 634-2920

NPI assigned

Jul 18, 2007

Last updated

Jul 18, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Khaled Jreisat, MD

Title

MD

Phone

(252) 634-2900

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184716800000",
    "number": "1225238363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12873",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285612873",
            "telephone_number": "252-634-2900",
            "fax_number": "252-634-2920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 PROFESSIONAL DR",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285604547",
            "telephone_number": "252-634-2900",
            "fax_number": "252-634-2920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHALED JREISAT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-18",
        "last_updated": "2007-07-18",
        "status": "A",
        "authorized_official_last_name": "JREISAT",
        "authorized_official_first_name": "KHALED",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "252-634-2900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "27377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth W. Gibbs, D.M.D., P.a.
• Carrie Sheek Kent, MD
• Debra Joyce Kenyear, LMFT
• Kevin J Guilfoyle Optician
• Mariah Keyes
• Jeffrey S Kiefer, MD
• Laney Lee Kiely, CHPT
• Caitlin McCabe Kile, DNP, FNP
• Deborah P. Kilgore, D.D.S.
• Sara E. Kilgore, AGPCNP-BC

• Specialist in New Bern, NC
• Providers in New Bern, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; 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.