Chowan Medical Center, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CHOWAN MEDICAL CENTER, PA

Practice address

201 Virginia Rd
Edenton, NC 27932-9668

Phone

(252) 482-2116

Fax

(252) 482-4874

NPI assigned

Apr 19, 2006

Last updated

Nov 14, 2008By 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

Mr. Thomas C. Dimartino, M.D.NPI 1003809542

Title

President

Phone

(252) 482-2116

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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.

• Thomas Calvin Dimartino, MD

  • Family Medicine Physician
  • Edenton, NC
  • NPI 1003809542
  Authorized official Same address or phone

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226620800000",
    "number": "1609831015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 429",
            "city": "EDENTON",
            "state": "NC",
            "postal_code": "279320429",
            "telephone_number": "252-482-2116",
            "fax_number": "252-482-4874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 VIRGINIA RD",
            "city": "EDENTON",
            "state": "NC",
            "postal_code": "279329668",
            "telephone_number": "252-482-2116",
            "fax_number": "252-482-4874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOWAN MEDICAL CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2008-11-14",
        "status": "A",
        "authorized_official_last_name": "DIMARTINO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-482-2116",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "01310",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8901310",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Jones Chalot, NP-C
• Jasmine C. Chesson, LPC
• Chowan Chiropractic Clinic
• Chowan County Department of Social Services
• Chowan Family Medicine, PA
• Chowan Professional Services, LLC (University Health Systems - Edenton Surgical Practice)
• CNC/Access Inc.
• CNC/Access Inc.
• CNC/Access, Inc.
• CNC/Access, Inc.

• Family Medicine Physician in Edenton, NC
• Providers in Edenton, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.