Active NPI
Joseph Edwards Agsten, M.D.
- Family Medicine Physician
- Kinston, NC
National Provider Identifier
1871693507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 18593
- Practice address
- 107 Airport Rd
Kinston, NC 28501-1603 - Phone
- (252) 527-4146
- Fax
- (252) 527-5697
- NPI assigned
- Sep 23, 2006
- Last updated
- Jun 21, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 18593 | NC | Primary |
Addresses
Primary practice location
107 Airport Rd
Kinston, NC 28501-1603
Mailing address
107 Airport Rd
Kinston, NC 28501-1603
Phone (252) 527-4146
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01-28747 | Other | NC | UNITED HEALTHCARE |
| 5607372 | Other | NC | AETNA INSURANCE |
| 20118 | Other | NC | MEDCOST |
| 8910442 | Medicaid | NC | |
| 10442 | Other | NC | BCBS/NC |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277078400000",
"number": "1871693507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 AIRPORT RD",
"city": "KINSTON",
"state": "NC",
"postal_code": "285011603",
"telephone_number": "252-527-4146",
"fax_number": "252-527-5697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 AIRPORT RD",
"city": "KINSTON",
"state": "NC",
"postal_code": "285011603",
"telephone_number": "252-527-4146",
"fax_number": "252-527-5697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGSTEN",
"first_name": "JOSEPH",
"middle_name": "EDWARDS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-23",
"last_updated": "2010-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "18593",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "01-28747",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA INSURANCE",
"identifier": "5607372",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "20118",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8910442",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS/NC",
"identifier": "10442",
"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 Jun 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.