Eastern Carolina Medical Center, PC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

41017 Issued in NC

Legal business name

EASTERN CAROLINA MEDICAL CENTER, PC

Practice address

1 Medical Dr
Benson, NC 27504-1177

Phone

(919) 894-5787

Fax

(919) 207-2039

NPI assigned

May 26, 2006

Last updated

Aug 22, 2020By 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

Dr. Pankaj Kirtikant Vyas, M.D.NPI 1376599647

Title

Owner & President

Phone

(919) 894-5787

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Pankaj Kirtikant Vyas, M.D.

  • Internal Medicine Physician
  • Benson, NC
  • NPI 1376599647
  Medicare reassignment Care Compare group NPD Authorized official
• Viswanatha Kurukundha Reddy, M.D.

  • Internal Medicine Physician
  • Benson, NC
  • NPI 1184663734
  Medicare reassignment Care Compare group NPD
• Raquel Hendershot

  • Physician Assistant
  • Raleigh, NC
  • NPI 1487181665
  Medicare reassignment Care Compare group
• Patrick Edward Malone, PA-C

  • Physician Assistant
  • Benson, NC
  • NPI 1750400339
  Medicare reassignment Care Compare group
• Jessica Vyas, PA-C

  • Physician Assistant
  • West Hollywood, CA
  • NPI 1588057145

  NC

  Medicare reassignment Care Compare group
• Kamal Kumar Padmanabhan Kolappa, MD

  • Cardiovascular Disease Physician
  • Cary, NC
  • NPI 1235366634
  Medicare reassignment NPD
• Ritesh Patel, PHARMD.

  • Pharmacist
  • Benson, NC
  • NPI 1760709729
  Medicare reassignment NPD

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609822287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL DR",
            "city": "BENSON",
            "state": "NC",
            "postal_code": "275041177",
            "telephone_number": "919-894-5787",
            "fax_number": "919-207-2039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL DR",
            "city": "BENSON",
            "state": "NC",
            "postal_code": "275041177",
            "telephone_number": "919-894-5787",
            "fax_number": "919-207-2039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN CAROLINA MEDICAL CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VYAS",
        "authorized_official_first_name": "PANKAJ",
        "authorized_official_middle_name": "KIRTIKANT",
        "authorized_official_title_or_position": "OWNER & PRESIDENT",
        "authorized_official_telephone_number": "919-894-5787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NC",
            "license": "41017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890164N",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sherri Donahue, LMFT, LPC
• Joanna Lynn Dougherty, PHARMD
• Eastern Carolina Medical Center (Eastern Carolina Medical Center Pharmacy)
• Eastern Carolina Medical Center PC (ECMC Diabetes Center of Excellence)
• Eastern Carolina Medical Center PC
• Austin Eberwein, PHARMD
• Susan G Edwards, PA C
• Kimberly Ann Everard, LCSW-CP
• First-Class Home Care, PC
• Kyle D Flowers, NP

• Multi-Specialty Clinic/Center in Benson, NC
• Providers in Benson, NC by specialty
• Multi-Specialty Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.