Organization Active NPI

Lenoir Physicians Network, LLC

Doing business as Lenoir Surgical

  • Surgery Physician
  • Kinston, NC
National Provider Identifier
1588914527
Registry record updated Jun 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
LENOIR PHYSICIANS NETWORK, LLC
Doing business as
Lenoir Surgical
Practice address
701 Doctors Dr
Suite a
Kinston, NC 28501-1589
Phone
(252) 775-5999
NPI assigned
Sep 18, 2012
Organization subpart
Yes
Parent organization
LENOIR PHYSICIANS NETWORK, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 17, 2016

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

Authorized official

Name
Gary E. Black
Title
President
Phone
(252) 522-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

701 Doctors Dr
Suite a
Kinston, NC 28501-1589

Mailing address

701 Doctors Dr
Suite G
Kinston, NC 28501-1589

Other identifiers 1

IdentifierTypeStateIssuer
1588914527MedicaidNC

Other names 1

  • Lenoir Surgical Doing business as

National Provider Directory

National Provider Directory
Part of
Lenoir Physicians Network LLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466121600000",
    "number": "1588914527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 DOCTORS DR",
            "address_2": "SUITE G",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285011589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 DOCTORS DR",
            "address_2": "SUITE A",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285011589",
            "telephone_number": "252-775-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LENOIR PHYSICIANS NETWORK, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LENOIR PHYSICIANS NETWORK, LLC",
        "enumeration_date": "2012-09-18",
        "last_updated": "2016-06-17",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-522-7000"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1588914527",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lenoir Surgical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kinston, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2016; 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.