NPIMap

Organization Active NPI

Ecu Physicians Washington Office

  • Dermatology Physician
  • Washington, NC
National Provider Identifier
1255668356
Registry record updated Nov 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
30079 Issued in NC
Legal business name
ECU PHYSICIANS WASHINGTON OFFICE
Practice address
1240 Cowell Farm Rd
Washington, NC 27889-3440
Phone
(252) 744-2096
NPI assigned
Nov 10, 2009
Last updated
Nov 10, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2009

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

Authorized official

Name
Dr. Nicholas Benson, M.D.
Title
Medical Director
Phone
(252) 744-7400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X 30079 NC Primary

Addresses

Primary practice location

1240 Cowell Farm Rd
Washington, NC 27889-3440

Mailing address

PO Box 751069
Charlotte, NC 28275-1069
Phone (252) 744-3194

National Provider Directory

National Provider Directory
Tax ID family
East Carolina University Student Health Service64 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1257811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257811200000",
    "number": "1255668356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751069",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751069",
            "telephone_number": "252-744-3194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 COWELL FARM RD",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278893440",
            "telephone_number": "252-744-2096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECU PHYSICIANS WASHINGTON OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-10",
        "last_updated": "2009-11-10",
        "status": "A",
        "authorized_official_last_name": "BENSON",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "252-744-7400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "NC",
            "license": "30079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2009; 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.