Organization Active NPI

Preecha Bhotiwihok MD, PA

  • Anesthesiology Physician
  • Kinston, NC
National Provider Identifier
1609832369
Registry record updated Jul 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
PREECHA BHOTIWIHOK MD, PA
Practice address
100 Airport Rd
Kinston, NC 28501-1604
Phone
(800) 277-8151
Fax
(336) 841-6217
NPI assigned
Apr 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2007

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

Authorized official

Name
Preecha Bhotiwihok, MD
Title
President
Phone
(800) 277-8151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

100 Airport Rd
Kinston, NC 28501-1604

Mailing address

PO Box 16068
High Point, NC 27261-6068
Phone (888) 447-7220

Other identifiers 2

IdentifierTypeStateIssuer
890178EMedicaidNC
0178EOtherNCBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185235200000",
    "number": "1609832369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16068",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272616068",
            "telephone_number": "888-447-7220",
            "fax_number": "336-884-1643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 AIRPORT RD",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285011604",
            "telephone_number": "800-277-8151",
            "fax_number": "336-841-6217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREECHA BHOTIWIHOK MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-21",
        "last_updated": "2007-07-24",
        "status": "A",
        "authorized_official_last_name": "BHOTIWIHOK",
        "authorized_official_first_name": "PREECHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-277-8151",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890178E",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0178E",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jul 24, 2007; 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.