Gary Lee Wojeski, D.C.
Individual provider Active NPI Chiropractor · Kinston, NC
NPI 1366427361 · NPPES record last updated Oct 2, 2012
Key facts
- NPI
- 1366427361
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 1861 (NC)
- Practice address
- 1100 Hardee Rd
Ste 114
Kinston, NC 28504-2529 - Phone
- (252) 527-7704
- Fax
- (252) 523-9919
- NPI assigned
- Dec 13, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1100 Hardee Rd
Suite 114
Kinston, NC 28504-2500
Phone (252) 523-2225
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100825000270 | NC | Practitioner - Chiropractic | 9739203951 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1861 | NC | MD | Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1861 | NC | Yes |
Addresses
Primary practice location
1100 Hardee Rd
Ste 114
Kinston, NC 28504-2529
Mailing address
1100 Hardee Rd
Ste 114
Kinston, NC 28504-2529
Phone (252) 527-7704
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8908937 | Medicaid | NC | |
| 08937 | Other | NC | BLUE CROSS/BLUE SHIELD |
Other providers in Kinston, NC
- Wirth Chiropractic Kinston, P.a
- Jacob Alfred Wisniewski
- With a Purpose Family Care, Inc
- With a Purpose Family Care, Inc.# 2
- WNB Enterprise LLC
- Joanna Wolicki-Shannon
- Womens Healthcare of Eastern Carolina PLLC
- Dominique Tishombra Wood
- Sammi Wood
- Linda Diane Woods
All providers in Kinston, NC · Chiropractor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.