Active NPI
Sean Pacholec, DO
- Internal Medicine Physician
- Lenoir, NC
National Provider Identifier
1558859629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2021-01312
- Practice address
- 321 Mulberry St SW
Lenoir, NC 28645-5720 - Phone
- (828) 757-5504
- Fax
- (828) 757-5501
- NPI assigned
- Apr 24, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 2021-01312 | NC | Primary |
Addresses
Primary practice location
321 Mulberry St SW
Lenoir, NC 28645-5720
Mailing address
321 Mulberry St SW
Lenoir, NC 28645-5720
Phone (828) 757-5504
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | spacholec717035@direct.UNC.nchie.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210817001715 | NC | Practitioner - Internal Medicine | 1355771908 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Lake Erie College of Osteopathic Medicine, Bradenton, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
810 Fairgrove Church Rd
Hickory, NC 28602-9617
Phone (828) 326-3000
Hospital & facility affiliations
- Carolina Caring
- Catawba Valley Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caldwell Memorial Hospital, Inc | Internal Medicine | Current | Accepting new patients |
| Catawba Valley Medical Center | Current | Accepting new patients | |
| Catawba Valley Medical Center | Current | Accepting new patients | |
| Caldwell Memorial Hospital Inc | Internal Medicine | Current | Accepting new patients |
| Caldwell Memorial Hospital Inc. | Current | Accepting new patients | |
| Catawba Valley Medical Center | Current | Accepting new patients |
Locations
810 Fairgrove Church Rd
Hickory, NC 28602
Phone (704) 326-3000
321 Mulberry St SW
Lenoir, NC 28645
Phone (828) 757-5100
Interoperability endpoints
- spacholec717035@direct.unc.nchie.net
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Lenoir, NC
- NPI 1477839108
Internal Medicine, NC
-
- Diagnostic Radiology Physician
- Lenoir, NC
- NPI 1255221180
-
- Health Educator
- Hickory, NC
- NPI 1518524818
-
- Hospitalist Physician
- Hickory, NC
- NPI 1639123979
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630540800000",
"number": "1558859629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 MULBERRY ST SW",
"city": "LENOIR",
"state": "NC",
"postal_code": "286455720",
"telephone_number": "828-757-5504",
"fax_number": "828-757-5501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 MULBERRY ST SW",
"city": "LENOIR",
"state": "NC",
"postal_code": "286455720",
"telephone_number": "828-757-5504",
"fax_number": "828-757-5501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACHOLEC",
"first_name": "SEAN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-24",
"last_updated": "2021-09-02",
"certification_date": "2021-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "2021-01312",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "spacholec717035@direct.UNC.nchie.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "321 Mulberry St SW",
"city": "Lenoir",
"state": "NC",
"country_code": "US",
"postal_code": "286455720",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Lenoir, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.