Organization Active NPI

Ecu Medicine Neurology Services

  • Neuromusculoskeletal Medicine & OMM Physician
  • Greenville, NC
National Provider Identifier
1689019259
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
Legal business name
ECU MEDICINE NEUROLOGY SERVICES
Practice address
2280 Hemby LN
Greenville, NC 27834-3773
Phone
(252) 744-9400
Fax
(252) 744-9401
NPI assigned
May 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2020

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

Authorized official

Name
Dr. Jason A Foltz, D.O.
Title
Medical Director
Phone
(252) 744-1882

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 204D00000X Primary

Addresses

Primary practice location

2280 Hemby LN
Greenville, NC 27834-3773

Mailing address

PO Box 751069
Charlotte, NC 28275-1069

National Provider Directory

National Provider Directory
Tax ID family
East Carolina University Student Health Service65 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

600 Moye Blvd
Greenville, NC 27834
Phone (252) 744-1111

NPI Registry JSON

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

{
    "created_epoch": "1367971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604448000000",
    "number": "1689019259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751069",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2280 HEMBY LN",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278343773",
            "telephone_number": "252-744-9400",
            "fax_number": "252-744-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECU MEDICINE NEUROLOGY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-08",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A",
        "authorized_official_last_name": "FOLTZ",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "252-744-1882",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; 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.