Duplin Surgical, PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

DUPLIN SURGICAL, PA

Practice address

417 N Main Street
Suite B
Kenansville, NC 28349

Phone

(910) 275-0027

NPI assigned

Feb 7, 2008

Organization subpart

No

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

Authorized official

Name

Dyrek Miller, M.D.

Title

Owner

Phone

(910) 275-0027

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202342400000",
    "number": "1508044918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 490",
            "city": "KENANSVILLE",
            "state": "NC",
            "postal_code": "283490490",
            "telephone_number": "910-275-0027",
            "fax_number": "910-296-0214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 N MAIN STREET",
            "address_2": "SUITE B",
            "city": "KENANSVILLE",
            "state": "NC",
            "postal_code": "28349",
            "telephone_number": "910-275-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUPLIN SURGICAL, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-07",
        "last_updated": "2008-02-07",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "DYREK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-275-0027",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5900856",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NORTH CAROLINA",
            "identifier": "1334X",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Duplin General Hospital Incorporated
• Duplin General Hospital, Inc
• Duplin General Hospital, Incorporated
• Duplin General Hospital, Incorporated
• Duplin OB GYN PA
• Essential, Inc
• Ashley Barnes Ezzell
• Susan Elizabeth Fawcett, DNP, APRN, CPNP-PC
• Kelly Linette Ferguson, M.D.
• Frank a. Saas DDS PA

• Surgery Physician in Kenansville, NC
• Providers in Kenansville, NC by specialty
• Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.