Kinston Regional Pain Center LLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

KINSTON REGIONAL PAIN CENTER LLC

Practice address

2100 Presbyterian LN
Kinston, NC 28501-2266

Phone

(814) 720-6877

NPI assigned

Oct 31, 2018

Last updated

Nov 23, 2020By 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

Heath A Fallin, MDNPI 1710137815

Title

Physician

Phone

(252) 208-7784

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Heath A Fallin, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Erie, PA
  • NPI 1710137815

  NC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606089600000",
    "number": "1265909980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 PRESBYTERIAN LN",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285012266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 PRESBYTERIAN LN",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285012266",
            "telephone_number": "814-720-6877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINSTON REGIONAL PAIN CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-31",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A",
        "authorized_official_last_name": "FALLIN",
        "authorized_official_first_name": "HEATH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "252-208-7784",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kinston Physical Therapy & Spine, LLC
• Kinston Physicians Group, PLLC
• Kinston Podiatry Center
• Kinston Pulmonary Associates PA
• Kinston Radiological Assoc., PA
• Kinston Surgical Associates PA
• Kinston Urological Associates, PA
• Alan Kirollos, MD
• Zachary Kornblum, PHARMD
• Amy Maples Kornegay, PA-C

• Pain Medicine (Anesthesiology) Physician in Kinston, NC
• Providers in Kinston, NC by specialty
• Pain Medicine (Anesthesiology) Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.