Active NPI
Thaddeus D English, MPAC
- Physician Assistant
- Elizabeth City, NC
National Provider Identifier
1376537969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 103217
- Practice address
- 206 Hastings LN
Elizabeth City, NC 27909-3324 - Phone
- (252) 335-1083
- Fax
- (252) 335-4030
- NPI assigned
- Sep 9, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 103217 | NC | |
| Physician Assistant | 363A00000X | 103217 | NC | Primary |
Addresses
Primary practice location
206 Hastings LN
Elizabeth City, NC 27909-3324
Mailing address
206 Hastings LN
Elizabeth City, NC 27909-3324
Phone (252) 335-1083
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00418893 | Other | NC | RAIL ROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
104 Mill End CT
Elizabeth City, NC 27909-8986
Phone (252) 338-5183
Hospital & facility affiliations
- Albemarle Home Care and Hospice
- Sentara Albemarle Medical Center
- Chesapeake General Hospital
- The Outer Banks Hospital, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103217 | NC | MD | Physician Assistant |
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Elizabeth City, NC
- NPI 1235333584
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Elizabeth City, NC
- NPI 1588037980
-
- General Acute Care Hospital
- Elizabeth City, NC
- NPI 1245211168
-
- Critical Access Hospital
- Nags Head, NC
- NPI 1053375253
-
- General Acute Care Hospital
- Virginia Beach, VA
- NPI 1003265075
-
- General Acute Care Hospital
- Chesapeake, VA
- NPI 1700896354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576022400000",
"number": "1376537969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 HASTINGS LN",
"city": "ELIZABETH CITY",
"state": "NC",
"postal_code": "279093324",
"telephone_number": "252-335-1083",
"fax_number": "252-335-4030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 HASTINGS LN",
"city": "ELIZABETH CITY",
"state": "NC",
"postal_code": "279093324",
"telephone_number": "252-335-1083",
"fax_number": "252-335-4030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENGLISH",
"first_name": "THADDEUS",
"middle_name": "D",
"credential": "MPAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-09",
"last_updated": "2019-12-11",
"certification_date": "2019-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NC",
"license": "103217",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "103217",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "P00418893",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elizabeth City, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.