NPIMap

Organization Active NPI

Wilson Digestive Diseases Center PA

  • Gastroenterology Physician
  • Wilson, NC
National Provider Identifier
1760413918
Registry record updated Jan 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
WILSON DIGESTIVE DISEASES CENTER PA
Practice address
2402 Camden St
Ste 300
Wilson, NC 27893
Phone
(252) 237-4100
Fax
(252) 237-8449
NPI assigned
Jul 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2014

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

Authorized official

Name
Dr. Duane Douglas Fitch
Title
President
Phone
(252) 237-4100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

2402 Camden St
Ste 300
Wilson, NC 27893

Mailing address

2402 Camden St
Ste 300
Wilson, NC 27893
Phone (252) 237-4100

Other identifiers 2

IdentifierTypeStateIssuer
0202FOtherNCBLUE CROSS BLUE SHIELD OF
890202FMedicaidNC

National Provider Directory

National Provider Directory

Locations

2402 Camden St SW
Ste 300
Wilson, NC 27893
Phone (252) 237-4100

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390176000000",
    "number": "1760413918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2402 CAMDEN ST",
            "address_2": "STE 300",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "27893",
            "telephone_number": "252-237-4100",
            "fax_number": "252-237-8449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2402 CAMDEN ST",
            "address_2": "STE 300",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "27893",
            "telephone_number": "252-237-4100",
            "fax_number": "252-237-8449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON DIGESTIVE DISEASES CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2014-01-20",
        "status": "A",
        "authorized_official_last_name": "FITCH",
        "authorized_official_first_name": "DUANE",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-237-4100",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF",
            "identifier": "0202F",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890202F",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2014; 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.