Lenoir Memorial Hospital Incorporated

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

H0043 Issued in NC

Legal business name

LENOIR MEMORIAL HOSPITAL INCORPORATED

Doing business as

Lenoir Orthopedics

Practice address

518 Plaza Blvd
Suite 2
Kinston, NC 28501-1604

Phone

(252) 522-7000

NPI assigned

Jun 12, 2007

Last updated

Jan 26, 2015By 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

Mr. Gary Elbridge Black

Title

President

Phone

(252) 522-7798

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Lenoir Orthopedics Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Lenoir Memorial Hospital, Incorporated

  dba Ekg Eeg

  • Cardiology Technician
  • Kinston, NC
  • NPI 1013957414

  O20040320000631

  Same enrollment

Locations

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422230400000",
    "number": "1467656710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 AIRPORT RD",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285011604",
            "telephone_number": "252-522-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 PLAZA BLVD",
            "address_2": "SUITE 2",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285011604",
            "telephone_number": "252-522-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LENOIR MEMORIAL HOSPITAL INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2015-01-26",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "ELBRIDGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-522-7798",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "H0043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5606988",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "387500380",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "1461U",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lenoir Orthopedics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lenoir County Public Schools
• Lenoir Family Medicine PA (Lenoir Family Medicine)
• Lenoir Family Medicine, PA
• Lenoir HM Services LLC
• Lenoir Memorial Hospital Inc. (Lenoir Surgical)
• Lenoir Memorial Hospital, Inc. (Skilled Nursing Facility)
• Lenoir Memorial Hospital, Inc. (Community Alternative Program Disabled Adults CAPDA)
• Lenoir Memorial Hospital, Incorporated (Ekg Eeg)
• Lenoir Memorial Hospital, Incorporated (Down East Medical Supply)
• Lenoir Memorial Hospital, Incorporated (Certified Registered Nurse Anesthetist)

• Orthopaedic Surgery Physician in Kinston, NC
• Providers in Kinston, NC by specialty
• Orthopaedic Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.