East Carolina University
Organization Active NPI Internal Medicine Physician · Greenville, NC
NPI 1366491185 · NPPES record last updated Nov 4, 2020
Key facts
- NPI
- 1366491185
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- EAST CAROLINA UNIVERSITY
- Practice address
- Brody Outpatient Center
600 Moye Blvd
Greenville, NC 27858 - Phone
- (252) 744-2207
- Fax
- (252) 744-3224
- NPI assigned
- May 9, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Jason A Foltz, D.O.
- Title
- Medical Director
- Phone
- (252) 744-1882
Corporate family (same tax ID) 24
Practitioners 57
-
Wendy W Bland, FNP-C
-
Amy Chang, MD
-
Jessica Lynn Danison, D.O.
-
Neal Delvadia, MD
-
Rida Fatima, MD
-
Senad Fazlioglu, MD
-
Andre' Dean Frederick, M.D.
-
Carl E Haisch, MD
-
Shailee Jain, MD
-
Sriraksha Jayananda, M.D.
National Provider Directory
- Tax ID family
- East Carolina University Student Health Service
Locations
3793 Lee St
Ayden, NC 28513
Phone (252) 746-9622
110 Medical Dr
Ste 10
Elizabeth City, NC 27909
Phone (252) 335-1131
1015 Wh Smith Blvd
Greenville, NC 27834
Phone (252) 816-5150
811 Howell St
Greenville, NC 27834
Phone (252) 737-5600
521 Moye Blvd
Fl 2
Greenville, NC 27834
Phone (252) 744-3229
521 Moye Blvd
Greenville, NC 27834
Phone (252) 744-1600
517 Moye Blvd
Fl 1
Greenville, NC 27834
Phone (252) 744-2393
2303 Executive Cir
Greenville, NC 27834
Phone (252) 744-8334
2145 Country Club Rd
Fl 2
Jacksonville, NC 28546
2145 Country Club Rd
#2
Jacksonville, NC 28546
545 Michael Martin Rd
Mount Olive, NC 28365
Phone (252) 737-3330
4800 S Croatan Hwy
Nags Head, NC 27959
Phone (252) 449-4500
108 W Fire Tower Rd
Winterville, NC 28590
Phone (252) 328-3221
108 W Fire Tower Rd
Ste B
Winterville, NC 28590
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
Brody Outpatient Center
600 Moye Blvd
Greenville, NC 27858
Mailing address
PO Box 751069
Charlotte, NC 28275-1069
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0132A | Other | NC | GROUP PROVIDER NUMBER |
| 8907012 | Medicaid | NC |
Other names
- ECU Physicians
Other providers in Greenville, NC
- East Carolina University
- East Carolina University
- East Carolina University
- East Carolina University
- East Carolina University
- East Carolina University
- East Carolina University
- East Carolina University
- East Carolina University
- East Carolina University
All providers in Greenville, NC · Internal Medicine Physician 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 Nov 4, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.