NPIMap

Organization Active NPI

East Carolina Health - Chowan Inc

  • Certified Registered Nurse Anesthetist
  • Edenton, NC
National Provider Identifier
1700864980
Registry record updated May 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
H0063 Issued in NC
Legal business name
EAST CAROLINA HEALTH - CHOWAN INC
Practice address
211 Virginia Rd
Edenton, NC 27932-9668
Phone
(252) 482-8451
Fax
(252) 482-6274
NPI assigned
Jan 6, 2006
Organization subpart
Yes
Parent organization
EAST CAROLINA HEALTH - CHOWAN INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 30, 2022

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

Authorized official

Name
Mr. Todd J Warlitner
Title
Cfo
Phone
(252) 482-6175

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193200000X MULTI-SPECIALTY GROUP 367500000X H0063 NC Primary

Addresses

Primary practice location

211 Virginia Rd
Edenton, NC 27932-9668

Mailing address

PO Box 629
Edenton, NC 27932-0629
Phone (252) 482-8451

Other identifiers 1

IdentifierTypeStateIssuer
8000183MedicaidNC

Other names 2

  • ECU Health Chowan Hospital Doing business as
  • Vidant Chowan Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031106000205 NC Part B Supplier - Clinic/Group Practice 4880507938 Receives reassigned benefits from 36 practitioners
Practice locations: Edenton, NC

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory
Tax ID family
East Carolina Health - C8 organizations share this tax ID, including this one
Part of
East Carolina Health - C

Other organizations with this tax ID 7

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

Practitioners & affiliated clinicians

Practitioners 36

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653868800000",
    "number": "1700864980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 629",
            "city": "EDENTON",
            "state": "NC",
            "postal_code": "279320629",
            "telephone_number": "252-482-8451",
            "fax_number": "252-482-6274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 VIRGINIA RD",
            "city": "EDENTON",
            "state": "NC",
            "postal_code": "279329668",
            "telephone_number": "252-482-8451",
            "fax_number": "252-482-6274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST CAROLINA HEALTH - CHOWAN INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAST CAROLINA HEALTH - CHOWAN INC",
        "enumeration_date": "2006-01-06",
        "last_updated": "2022-05-30",
        "certification_date": "2022-05-30",
        "status": "A",
        "authorized_official_last_name": "WARLITNER",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "252-482-6175",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "H0063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8000183",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ECU Health Chowan Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vidant Chowan Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vidant Chowan Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edenton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.