Tarboro Internal Medicine PA

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

200100655 Issued in NC

Legal business name

TARBORO INTERNAL MEDICINE PA

Practice address

2704 N Main Street
Suite a
Tarboro, NC 27886-1918

Phone

(252) 823-0808

Fax

(252) 823-6010

NPI assigned

Nov 17, 2006

Last updated

May 28, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Emma Castillo, MD

Title

Medical Director

Phone

(252) 823-0808

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Emma Everlyn Tunac Castillo Bercasio, MD

  • Infectious Disease Physician
  • Williamsburg, VA
  • NPI 1083706568
  NPD (past)

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211932800000",
    "number": "1447323191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2704 N MAIN STREET",
            "address_2": "SUITE A",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "278861918",
            "telephone_number": "252-823-0808",
            "fax_number": "252-823-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2704 N MAIN STREET",
            "address_2": "SUITE A",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "278861918",
            "telephone_number": "252-823-0808",
            "fax_number": "252-823-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARBORO INTERNAL MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2008-05-28",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "EMMA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "252-823-0808",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NC",
            "license": "200100655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5900019",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tarboro Endoscopy Center, LLC
• Tarboro Eye Associates OD PLLC
• Tarboro Eye Associates Optometry PLLC
• Tarboro Health and Rehabilitation, LLC
• Tarboro Internal Medicine of North Carolina, PA
• Tarboro Opco LLC (Tarboro Senior Living)
• Tarboro Opco LLC (The Bridges of Hendricks Creek)
• Tarboro Operating Company LLC (Edgecombe Health and Rehabilitation Center)
• Tarboro Pediatric Psychology PLLC
• Tarboro Psychosocial Rehabilitation

• Infectious Disease Physician in Tarboro, NC
• Providers in Tarboro, NC by specialty
• Infectious Disease Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; 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.