NPIMap

Organization Active NPI

Medical Care Sleep Lab

Doing business as Medical care

  • Family Medicine Physician
  • Goldsboro, NC
National Provider Identifier
1396186508
Registry record updated Jul 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
200101288 Issued in NC
Legal business name
MEDICAL CARE SLEEP LAB
Doing business as
Medical care
Practice address
1402 Wayne Memorial Dr
Goldsboro, NC 27534-2235
Phone
(919) 725-3311
Fax
(919) 735-2999
NPI assigned
Jul 16, 2013
Last updated
Jul 16, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
MEDICAL CARE,INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 16, 2013

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

Authorized official

Name
Dr. Wilson Egbe Tabe, MDNPI 1679551949
Title
Owner
Phone
(919) 725-3311

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 200101288 NC Primary

Addresses

Primary practice location

1402 Wayne Memorial Dr
Goldsboro, NC 27534-2235

Mailing address

1402 Wayne Memorial Dr
Goldsboro, NC 27534-2235
Phone (919) 725-3311

Other names 1

  • Medical care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Medical Care Inc3 organizations share this tax ID, including this one
Part of
Medical Care Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373932800000",
    "number": "1396186508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 WAYNE MEMORIAL DR",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275342235",
            "telephone_number": "919-725-3311",
            "fax_number": "919-735-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 WAYNE MEMORIAL DR",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275342235",
            "telephone_number": "919-725-3311",
            "fax_number": "919-735-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CARE SLEEP LAB",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDICAL CARE,INC",
        "enumeration_date": "2013-07-16",
        "last_updated": "2013-07-16",
        "status": "A",
        "authorized_official_last_name": "TABE",
        "authorized_official_first_name": "WILSON",
        "authorized_official_middle_name": "EGBE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-725-3311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200101288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 16, 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.