CCHC Endoscopy Center Inc

Primary specialty

Endoscopy Clinic/CenterTaxonomy code 261QE0800X

Legal business name

CCHC ENDOSCOPY CENTER INC

Practice address

975 Newman Rd
New Bern, NC 28562-5252

Phone

(252) 514-6644

Fax

(252) 638-2626

NPI assigned

Jul 13, 2006

Last updated

Mar 21, 2022By 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

Stephen W Nuckolls

Title

Administrator

Phone

(252) 514-6685

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Listed as

CCHC Endoscopy Center IncCCN 34C0001122

Medicare certification status

ActiveFrom the Provider of Services file

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Coastal Carolina Health Care PA

  dba CCHC Sleep Lab

  • Sleep Medicine (Internal Medicine) Physician
  • New Bern, NC
  • NPI 1376582965

  Member Of

  NPD member

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.

• David Evan Byrd, MD

  • Gastroenterology Physician
  • New Bern, NC
  • NPI 1831145044
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647820800000",
    "number": "1346265287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 NEWMAN RD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625252",
            "telephone_number": "252-514-6644",
            "fax_number": "252-638-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 NEWMAN RD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625252",
            "telephone_number": "252-514-6644",
            "fax_number": "252-638-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCHC ENDOSCOPY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A",
        "authorized_official_last_name": "NUCKOLLS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "252-514-6685"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0061Y",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3409944",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catholic Charities of the Diocese of Raleigh, Inc
• Michael M Catz, M.D.
• Esther Cazares-Ixtepan
• CCDP Inc (Coastal Children's Developmental Program)
• CCDP Inc (Coastal Children's Developmental Program)
• Century Care of New Bern, Inc.
• Moreblessings Ruvimbo Chakanyuka, M.D.
• Kamesha Chalmers
• James Kenneth Chance, MD
• Georgina Chandler

• Endoscopy Clinic/Center in New Bern, NC
• Providers in New Bern, NC by specialty
• Endoscopy Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.