Organization Active NPI

Duplin General Hospital Incorporated

  • Anesthesiology Physician
  • Kenansville, NC
National Provider Identifier
1659564433
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
DUPLIN GENERAL HOSPITAL INCORPORATED
Practice address
401 North Main Street
Anesthesia Department
Kenansville, NC 28349-9989
Phone
(910) 296-2608
Fax
(910) 296-1174
NPI assigned
Aug 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
William Harvey Case
Title
Vice President of Financial Service
Phone
(910) 296-0941

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207L00000X NC Primary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207LP2900X NC

Addresses

Primary practice location

401 North Main Street
Anesthesia Department
Kenansville, NC 28349-9989

Mailing address

PO Box 278
Kenansville, NC 28349-0278
Phone (910) 296-2608

Other names 1

  • Duplin General Hospital Inc Anesthesia Deapartment Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040127000217 NC Part B Supplier - Clinic/Group Practice 4587575337 Receives reassigned benefits from 44 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Kenansville, NC

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1659564433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 278",
            "city": "KENANSVILLE",
            "state": "NC",
            "postal_code": "283490278",
            "telephone_number": "910-296-2608",
            "fax_number": "910-296-1174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 NORTH MAIN STREET",
            "address_2": "ANESTHESIA DEPARTMENT",
            "city": "KENANSVILLE",
            "state": "NC",
            "postal_code": "283499989",
            "telephone_number": "910-296-2608",
            "fax_number": "910-296-1174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUPLIN GENERAL HOSPITAL INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-24",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CASE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "HARVEY",
        "authorized_official_title_or_position": "VICE PRESIDENT OF FINANCIAL SERVICE",
        "authorized_official_telephone_number": "910-296-0941"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": null,
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Duplin General Hospital Inc Anesthesia Deapartment",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kenansville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.