NPIMap

Organization Active NPI

Lenoir Memorial Hospital, Incorporated

Doing business as Certified Registered Nurse Anesthetist

  • Certified Registered Nurse Anesthetist
  • Kinston, NC
National Provider Identifier
1679517296
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
H0043 Issued in NC
Legal business name
LENOIR MEMORIAL HOSPITAL, INCORPORATED
Doing business as
Certified Registered Nurse Anesthetist
UNC Lenoir Health Care
Practice address
100 Airport Rd
Kinston, NC 28503-1678
Phone
(252) 522-7000
NPI assigned
Jun 15, 2006
Last updated
Feb 4, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
LENOIR MEMORIAL HOSPITAL, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

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

Authorized official

Name
Jeffrey Wakefield
Title
Cfo
Phone
(252) 522-7903

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X H0043 NC Primary

Addresses

Primary practice location

100 Airport Rd
Kinston, NC 28503-1678

Mailing address

100 Airport Rd
Kinston, NC 28503-1678
Phone (252) 522-7000

Other names 2

  • Certified Registered Nurse Anesthetist Doing business as
  • UNC Lenoir Health Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040610000944 NC Part B Supplier - Clinic/Group Practice 0244121226 Receives reassigned benefits from 19 practitioners
Practice locations: Kinston, NC

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Down East Medical Suppl6 organizations share this tax ID, including this one
Part of
Down East Medical Suppl

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Unc Health LenoirKinston, NC, CCN 340027 Hospital Operational/Managerial Control May 17, 2016
Unc Lenoir Health CareKinston, NC, CCN 34T027 Hospital 5% Or Greater Direct Ownership Interest Jan 1, 1966

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 122

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.

View all 122

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643932800000",
    "number": "1679517296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 AIRPORT RD",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285031678",
            "telephone_number": "252-522-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 AIRPORT RD",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285031678",
            "telephone_number": "252-522-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LENOIR MEMORIAL HOSPITAL, INCORPORATED",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LENOIR MEMORIAL HOSPITAL, INC.",
        "enumeration_date": "2006-06-15",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A",
        "authorized_official_last_name": "WAKEFIELD",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "252-522-7903"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "H0043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Certified Registered Nurse Anesthetist",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Certified Registered Nurse Anesthetist",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UNC Lenoir Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kinston, NC

Sources for this page

Verify at the official NPI Registry.