Active NPI
Preecha Bhotiwihok MD, PA
- Anesthesiology Physician
- Kinston, NC
National Provider Identifier
1609832369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890178E | Medicaid | NC | |
| 0178E | Other | NC | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryNPI 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.