Individual provider Active NPI

Elizabeth Kahn Meine, MD

  • Pediatrics Physician
  • Wilmington, NC
National Provider Identifier
1861570269
Registry record updated Sep 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
200101097 Issued in NC
Practice address
1606 Wellington Ave Ste E
Wilmington, NC 28401-7704
Phone
(910) 452-1999
Fax
(910) 452-1883
NPI assigned
Nov 2, 2006
Last updated
Sep 25, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 28870 SC
Pediatrics Physician 208000000X 200101097 NC Primary

Addresses

Primary practice location

1606 Wellington Ave Ste E
Wilmington, NC 28401-7704

Mailing address

1606 Wellington Ave Ste E
Wilmington, NC 28401-7704
Phone (910) 452-1999

Other identifiers 1

IdentifierTypeStateIssuer
FQC029MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
200101097NCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seaside Pediatrics Pediatrics Past Accepting new patients
New Horizon Family Health Services Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: emeine1249331@direct.novanthealth.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380067200000",
    "number": "1861570269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1606 WELLINGTON AVE STE E",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017704",
            "telephone_number": "910-452-1999",
            "fax_number": "910-452-1883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 WELLINGTON AVE STE E",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017704",
            "telephone_number": "910-452-1999",
            "fax_number": "910-452-1883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEINE",
        "first_name": "ELIZABETH",
        "middle_name": "KAHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2013-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "28870",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "200101097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FQC029",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; 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.