Eastern Cardiology PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

27136 Issued in NC

Legal business name

EASTERN CARDIOLOGY PA

Practice address

2090 W Arlington Blvd
Ste a
Greenville, NC 27834-5727

Phone

(252) 757-3333

Fax

(252) 752-1786

NPI assigned

Jun 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Eric Barnett Carlson, M.D.

Title

President

Phone

(252) 757-3333

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Umberto Gaetano Fontana, MD

  • Interventional Cardiology Physician
  • Hendersonville, NC
  • NPI 1033111315

  NC

  Medicare reassignment Care Compare group NPD
• Noel Peterson, MD

  • Cardiovascular Disease Physician
  • Greenville, NC
  • NPI 1891780763

  NC

  Medicare reassignment Care Compare group NPD
• Amy Stalcup

  • Nurse Practitioner
  • Greenville, NC
  • NPI 1306644364

  NC

  Medicare reassignment Care Compare group NPD
• Sarah Roeser

  • Physician Assistant
  • Greenville, NC
  • NPI 1134588478

  NC

  Medicare reassignment Care Compare group
• Brittany L Aycoth, NP

  • Family Nurse Practitioner
  • Rock Hill, SC
  • NPI 1205642568

  NC

  Medicare reassignment

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195603200000",
    "number": "1477595841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2090 W ARLINGTON BLVD STE A",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278345727",
            "telephone_number": "252-757-3333",
            "fax_number": "252-752-1786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2090 W ARLINGTON BLVD",
            "address_2": "STE A",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278345727",
            "telephone_number": "252-757-3333",
            "fax_number": "252-752-1786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN CARDIOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2007-11-21",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "BARNETT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-757-3333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": "27136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GROUP NUMBER",
            "identifier": "012GM",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER ERIC B CARLSON",
            "identifier": "1316941206",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89012GM",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Easter Seals Ucp North Carolina & Virginia, Inc.
• Easter Seals, Ucp
• Kenzee Grace Easter
• James Stillwell Easterbrook, M.D.
• Easterm Dermatology, PA
• Eastern Carolina Ear, Nose & Throat-Head & Neck Surgery, Inc
• Eastern Carolina Eye Center PA
• Eastern Carolina Home Health Agency, LLC
• Eastern Carolina Vocational Center, Inc.
• Eastern Dermatology, P.a.

• All providers in Greenville, NC
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; 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.