Organization Active NPI

Dr. Saracino Gastroenterolgy, P.C.

  • Specialist
  • Kinston, NC
National Provider Identifier
1790752897
Registry record updated Dec 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35193 Issued in NC
Legal business name
DR. SARACINO GASTROENTEROLGY, P.C.
Practice address
2602 N Herritage St
Kinston, NC 28501-1503
Phone
(252) 527-6565
Fax
(800) 899-1457
NPI assigned
Mar 7, 2006
Last updated
Dec 17, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2009

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

Authorized official

Name
Mrs. Jeana Carter
Title
Office Manager
Phone
(252) 527-6565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 35193 NC Primary

Addresses

Primary practice location

2602 N Herritage St
Kinston, NC 28501-1503

Mailing address

PO Box 1578
Kinston, NC 28503-1578
Phone (252) 527-6565

Other identifiers 5

IdentifierTypeStateIssuer
7974580MedicaidNC
74580OtherNCBCBS NC GROUP
2414642OtherNCUNITED HEALTHCARE GROUP
2337546OtherNCMEDICARE PTAN
7237606OtherNCAETNA/PRONET

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261008000000",
    "number": "1790752897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1578",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285031578",
            "telephone_number": "252-527-6565",
            "fax_number": "800-899-1457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2602 N HERRITAGE ST",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285011503",
            "telephone_number": "252-527-6565",
            "fax_number": "800-899-1457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SARACINO GASTROENTEROLGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-07",
        "last_updated": "2009-12-17",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "JEANA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "252-527-6565",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "35193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7974580",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC GROUP",
            "identifier": "74580",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE GROUP",
            "identifier": "2414642",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "2337546",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA/PRONET",
            "identifier": "7237606",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kinston, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; 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.