NPIMap

Individual provider Active NPI

Loretta Vanhaasteren, MD

  • Internal Medicine Physician
  • Goldsboro, NC
National Provider Identifier
1366575128
Registry record updated Mar 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
9800409 Issued in NC
Practice address
532 W New Hope Rd
Apt C6
Goldsboro, NC 27534-7567
Phone
(828) 442-4520
NPI assigned
Mar 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 9800409 NC Primary

Addresses

Primary practice location

532 W New Hope Rd
Apt C6
Goldsboro, NC 27534-7567

Mailing address

532 W New Hope Rd
Apt C6
Goldsboro, NC 27534-7567
Phone (828) 442-4520

Other identifiers 3

IdentifierTypeStateIssuer
891113HMedicaidNC
7300933OtherNCAETNA
1193618OtherNCCIGNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Healthcare Resources Past Accepting new patients
Inphynet Contracting Services LLC Past Accepting new patients
United Emergency Services, Inc. Past Accepting new patients
Eagle Physicians and Associates PA Past Accepting new patients
McDowell Internal Medicine, PA Internal Medicine Past Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363651200000",
    "number": "1366575128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 W NEW HOPE RD",
            "address_2": "APT C6",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275347567",
            "telephone_number": "828-442-4520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 W NEW HOPE RD",
            "address_2": "APT C6",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275347567",
            "telephone_number": "828-442-4520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANHAASTEREN",
        "first_name": "LORETTA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2013-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "9800409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891113H",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7300933",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1193618",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; 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.