Individual provider Active NPI

Paul Edward Viser, MD PA

  • Internal Medicine Physician
  • Clinton, NC
National Provider Identifier
1265617088
Registry record updated May 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
29203 Issued in NC
Practice address
603 Beaman St Ste 401
Clinton, NC 28328-2689
Phone
(910) 592-2285
Fax
(910) 592-3548
NPI assigned
Dec 31, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 29203 NC Primary

Addresses

Primary practice location

603 Beaman St Ste 401
Clinton, NC 28328-2689

Mailing address

603 Beaman St Ste 401
Clinton, NC 28328-2689
Phone (910) 592-2285

Other identifiers 2

IdentifierTypeStateIssuer
7985098MedicaidNC
85098OtherNCBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100601000382 NC Practitioner - Internal Medicine 2163551136 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of North Carolina at Chapel Hill School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sampson Regional Medical CenterGroup PAC ID 9537070230, 2 clinicians

Practice addresses (Care Compare)

607 Beaman St
Clinton, NC 28328-2603
Phone (910) 596-8511

Hospital & facility affiliations

  • Sampson Regional Medical Center Hospital, Clinton, NC, CCN 340024
  • Rex Hospital Hospital, Raleigh, NC, CCN 340114

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Physician Assistant

State licenses

LicenseStateTypeSpecialty
29203NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sampson Regional Medical Center CurrentSince Aug 3, 2013 Accepting new patients
Sampson Regional Medical Center, Inc. CurrentSince Aug 3, 2013 Accepting new patients
Paul Edward Viser MD PA Internal Medicine CurrentSince Jul 9, 1990 Accepting new patients

Locations

607 Beaman St
Clinton, NC 28328
Phone (910) 590-8729

603 Beaman St
Ste 401
Clinton, NC 28328
Phone (910) 592-2285

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274054400000",
    "number": "1265617088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 BEAMAN ST STE 401",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283282689",
            "telephone_number": "910-592-2285",
            "fax_number": "910-592-3548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 BEAMAN ST STE 401",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283282689",
            "telephone_number": "910-592-2285",
            "fax_number": "910-592-3548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISER",
        "first_name": "PAUL",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "MD PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-31",
        "last_updated": "2010-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "29203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7985098",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "85098",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, NC

Sources for this page

Verify at the official NPI Registry.