Edward B Eadie Jr MD Womens Urology

Primary specialty

SpecialistTaxonomy code 174400000X

License

18943 Issued in NC

Legal business name

EDWARD B EADIE JR MD WOMENS UROLOGY

Practice address

1141 N Road St
Suite I
Elizabeth City, NC 27909-3354

Phone

(252) 338-0101

Fax

(252) 331-1598

NPI assigned

Feb 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Edward B Eadie Jr., MD

Title

President

Phone

(252) 338-0101

Specialties & licenses 1

Addresses

Other names 1

• Edward B Eadie, Jr., MD Former legal business name

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1245375443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 N ROAD ST",
            "address_2": "SUITE I",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279093354",
            "telephone_number": "252-338-0101",
            "fax_number": "252-331-1598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 N ROAD ST",
            "address_2": "SUITE I",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279093354",
            "telephone_number": "252-338-0101",
            "fax_number": "252-331-1598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD B EADIE JR MD WOMENS UROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "EADIE",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-338-0101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": "18943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edward B Eadie, Jr., MD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Elizabeth City Orthopedic Surgery Center
• Elizabeth City Pasquotank Public Schools

• Specialist in Elizabeth City, NC
• Providers in Elizabeth City, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.