Individual provider Active NPI

Zachary Joseph Kitchen, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • New Bern, NC
National Provider Identifier
1891867651
Registry record updated Mar 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
D0062157 Issued in MD
Practice address
2111 Neuse Blvd.
Suite J
New Bern, NC 28560-4317
Phone
(252) 636-0300
Fax
(252) 636-0335
NPI assigned
Nov 15, 2006
Last updated
Mar 28, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X D0062157 MD Primary

Addresses

Primary practice location

2111 Neuse Blvd.
Suite J
New Bern, NC 28560-4317

Mailing address

2111 Neuse Blvd.
Suite J
New Bern, NC 28560-4317
Phone (252) 636-0300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090720000611 NC Practitioner - Interventional Pain Management 5799837829 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain Management
Education
University of Michigan Medical School, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Carolina Anesthesia Associates PLLCGroup PAC ID 5092720813, 691 clinicians
Crystal Coast Pain Management Center, PLLCGroup PAC ID 7315921236, 5 clinicians

Practice addresses (Care Compare)

1001 W Williams St
Suite 103
Apex, NC 27502-3978
Phone (919) 439-7867

2111 Neuse Blvd
Suite J
New Bern, NC 28560-4318
Phone (252) 636-0300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0062157MDMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Crystal Coast Pain Management Center, PLLC Pain Medicine CurrentSince Sep 15, 2008 Accepting new patients
East Carolina Anesthesia Associates, PLLC CurrentSince Dec 15, 2024 Accepting new patients
Crystal Coast Pain Management Center, PLLC Pain Medicine CurrentSince Jun 15, 2009 Accepting new patients

Locations

1001 W Williams St
Ste 103
Apex, NC 27502
Phone (919) 363-2111

2430 Emerald Pl
Ste 103
Greenville, NC 27834
Phone (252) 752-2140

57 Office Park Dr
Jacksonville, NC 28546
Phone (910) 353-6008

2111 Neuse Blvd
Ste J
New Bern, NC 28560
Phone (252) 636-0300

Interoperability endpoints

  • Direct secure messaging: zkitchen21754@carolinaeastmc.direct-ci.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332892800000",
    "number": "1891867651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 NEUSE BLVD.",
            "address_2": "SUITE J",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285604317",
            "telephone_number": "252-636-0300",
            "fax_number": "252-636-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 NEUSE BLVD.",
            "address_2": "SUITE J",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285604317",
            "telephone_number": "252-636-0300",
            "fax_number": "252-636-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITCHEN",
        "first_name": "ZACHARY",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2012-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MD",
            "license": "D0062157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

Verify at the official NPI Registry.