Eastern Carolina Pathology Associates PA

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

EASTERN CAROLINA PATHOLOGY ASSOCIATES PA

Practice address

2693 Forest Hills Rd SW Ste B
Wilson, NC 27893-8611

Phone

(252) 234-2841

NPI assigned

Oct 10, 2005

Last updated

Jan 3, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Benjamin Coulter, MDNPI 1174782205

Title

President

Phone

(252) 234-2841

Specialties & licenses 1

Addresses

Other identifiers 5

Practitioners 4

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.

• Benjamin Lee Coulter, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Wilson, NC
  • NPI 1174782205
  Authorized official Same address or phone
• Carlton Reid Beaman Jr., PA-C

  • Physician Assistant
  • Roanoke Rapids, NC
  • NPI 1093713117
  NPD
• Hubert Benbury Haywood III, M.D.

  • Infectious Disease Physician
  • Raleigh, NC
  • NPI 1336108299
  NPD
• Kenneth Lee Johnson, M.D.

  • Otolaryngology Physician
  • Clayton, NC
  • NPI 1124061783
  NPD

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578009600000",
    "number": "1881682383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2693 FOREST HILLS RD SW STE B",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278938611",
            "telephone_number": "252-234-2841",
            "fax_number": "252-234-9270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2693 FOREST HILLS RD SW STE B",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278938611",
            "telephone_number": "252-234-2841"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1705 Tarboro St SW",
            "address_purpose": "LOCATION",
            "city": "Wilson",
            "state": "NC",
            "postal_code": "278933428",
            "country_code": "US",
            "telephone_number": "252-399-8156",
            "fax_number": "252-399-8735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EASTERN CAROLINA PATHOLOGY ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-10",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A",
        "authorized_official_last_name": "COULTER",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-234-2841",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "7046195",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890148J",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "0148J",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CL4298",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "22456",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Easter Seals Ucp North Carolina & Virginia, Inc.
• Easter Seals Ucp North Carolina & Virginia, Inc.
• Easter Seals Ucp North Carolina & Virginia, Inc.
• Easter Seals Ucp of North Carolina & Virginia, Inc.
• Easter Seals Ucp of North Carolina & Virginia, Inc.
• Eastern Carolina Pathology Inc
• Eastern Carolina Pediatrics PA
• Eastern Internal Medicine PA
• Eastern Monitoring Inc
• Eastern NC School for the Deaf

• Anatomic Pathology & Clinical Pathology Physician in Wilson, NC
• Providers in Wilson, NC by specialty
• Anatomic Pathology & Clinical Pathology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2020; 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.