Organization Active NPI

Easterm Dermatology, PA

  • Dermatology Physician
  • Newport, NC
National Provider Identifier
1316556871
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
EASTERM DERMATOLOGY, PA
Practice address
1840 NC Hwy 24
Newport, NC 28570
Phone
(252) 764-2986
NPI assigned
Jul 30, 2020
Last updated
Jul 30, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
EASTERM DERMATOLOGY, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 30, 2020

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

Authorized official

Name
Cameron Langley Smith, M.D.NPI 1770504060
Title
Partner/Owner
Phone
(252) 752-4124

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X Primary

Addresses

Primary practice location

1840 NC Hwy 24
Newport, NC 28570

Mailing address

420 Spring Forest Rd
Greenville, NC 27834-2892
Phone (252) 752-4124

National Provider Directory

National Provider Directory
Tax ID family
Eastern Dermatology P6 organizations share this tax ID, including this one
Part of
Eastern Dermatology P

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1840 Highway 24
Newport, NC 28570
Phone (252) 223-0400

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1596067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596067200000",
    "number": "1316556871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 SPRING FOREST RD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278342892",
            "telephone_number": "252-752-4124",
            "fax_number": "252-752-0449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 NC HWY 24",
            "city": "NEWPORT",
            "state": "NC",
            "postal_code": "28570",
            "telephone_number": "252-764-2986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERM DERMATOLOGY, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EASTERM DERMATOLOGY, PA",
        "enumeration_date": "2020-07-30",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CAMERON",
        "authorized_official_middle_name": "LANGLEY",
        "authorized_official_title_or_position": "PARTNER/OWNER",
        "authorized_official_telephone_number": "252-752-4124",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; 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.