NPIMap

Organization Active NPI

Greenville Health Care Center,PA

  • Family Medicine Physician
  • Greenville, NC
National Provider Identifier
1851341408
Registry record updated Nov 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
31627 Issued in NC
Legal business name
GREENVILLE HEALTH CARE CENTER,PA
Practice address
3121 Moseley Dr
Greenville, NC 27858-4245
Phone
(252) 758-4455
Fax
(252) 758-6742
NPI assigned
May 12, 2006
Last updated
Nov 16, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2007

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

Authorized official

Name
Dr. Donald A Ribeiro, MD
Title
MD/Owner
Phone
(252) 758-4455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 31627 NC Primary

Addresses

Primary practice location

3121 Moseley Dr
Greenville, NC 27858-4245

Mailing address

3121 Moseley Dr
Greenville, NC 27858-4245
Phone (252) 758-4455

Other identifiers 2

IdentifierTypeStateIssuer
BCBS OF NCOtherNCBCBS GROUP NUMBER
890170AMedicaidNC

National Provider Directory

National Provider Directory

Locations

3121 Moseley Dr
Greenville, NC 27858
Phone (252) 758-4455

615 S Memorial Dr
Greenville, NC 27834
Phone (252) 413-0720

516 S William Hooker Dr
Hookerton, NC 28538
Phone (252) 747-2089

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1851341408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3121 MOSELEY DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278584245",
            "telephone_number": "252-758-4455",
            "fax_number": "252-758-6742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3121 MOSELEY DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278584245",
            "telephone_number": "252-758-4455",
            "fax_number": "252-758-6742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENVILLE HEALTH CARE CENTER,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "RIBEIRO",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "252-758-4455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "31627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "BCBS OF NC",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890170A",
            "state": "NC"
        }
    ],
    "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 16, 2007; 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.