Organization Active NPI

East Carolina Surgical, P.a.

  • Surgery Physician
  • Whiteville, NC
National Provider Identifier
1790225936
Registry record updated Apr 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
33977 Issued in NC
Legal business name
EAST CAROLINA SURGICAL, P.A.
Practice address
508 Jefferson St
Whiteville, NC 28472-3634
Phone
(910) 640-2480
Fax
(910) 640-2487
NPI assigned
Mar 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2017

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

Authorized official

Name
Hugh Daniel, MDNPI 1821092636
Title
Physcian/Owner
Phone
(910) 640-7035

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 33977 NC Primary

Addresses

Primary practice location

508 Jefferson St
Whiteville, NC 28472-3634

Mailing address

1048 Terrace Dr
Marion, VA 24354-4138
Phone (276) 783-1827

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170425000342 NC Part B Supplier - Clinic/Group Practice 9234415498 Receives reassigned benefits from 2 practitioners
Practice locations: Whiteville, NC

National Provider Directory

National Provider Directory

Locations

508 Jefferson St
Whiteville, NC 28472
Phone (910) 640-2480

800 Jefferson St
Ste 101
Whiteville, NC 28472

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1488844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491523200000",
    "number": "1790225936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1048 TERRACE DR",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243544138",
            "telephone_number": "276-783-1827",
            "fax_number": "276-783-2879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 JEFFERSON ST",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284723634",
            "telephone_number": "910-640-2480",
            "fax_number": "910-640-2487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST CAROLINA SURGICAL, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-07",
        "last_updated": "2017-04-07",
        "status": "A",
        "authorized_official_last_name": "DANIEL",
        "authorized_official_first_name": "HUGH",
        "authorized_official_title_or_position": "PHYSCIAN/OWNER",
        "authorized_official_telephone_number": "910-640-7035",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NC",
            "license": "33977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whiteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; 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.