Active NPI
Paul Andrew Kizen, MD
- Obstetrics & Gynecology Physician
- Elizabeth City, NC
National Provider Identifier
1649296401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 24675
- Practice address
- 112 Medical Dr
Elizabeth City, NC 27909-3361 - Phone
- (252) 338-2151
- Fax
- (252) 338-2505
- NPI assigned
- Jul 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 24675 | NC | Primary |
Addresses
Primary practice location
112 Medical Dr
Elizabeth City, NC 27909-3361
Mailing address
112 Medical Dr
Elizabeth City, NC 27909-3361
Phone (252) 338-2151
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 49645 | Other | NC | BCBS OF NC |
| 7949645 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Women'S Clinic, LTD. | Obstetrics & Gynecology | Current | Accepting new patients |
Locations
112 Medical Dr
Elizabeth Cty, NC 27909
Phone (252) 338-2151
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242000000000",
"number": "1649296401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 MEDICAL DR",
"city": "ELIZABETH CITY",
"state": "NC",
"postal_code": "279093361",
"telephone_number": "252-338-2151",
"fax_number": "252-338-2505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 MEDICAL DR",
"city": "ELIZABETH CITY",
"state": "NC",
"postal_code": "279093361",
"telephone_number": "252-338-2151",
"fax_number": "252-338-2505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIZEN",
"first_name": "PAUL",
"middle_name": "ANDREW",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2009-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NC",
"license": "24675",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NC",
"identifier": "49645",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7949645",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elizabeth City, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.