Kinston Diagnostic Group PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

KINSTON DIAGNOSTIC GROUP PA

Practice address

109 Airport Road
Kinston, NC 28501-1693

Phone

(252) 522-3661

Fax

(252) 522-0117

NPI assigned

Nov 14, 2005

Organization subpart

No

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

Authorized official

Name

George Harper West, MD

Title

President

Phone

(252) 522-3661

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alleen D Richards, MD

  • Family Medicine Physician
  • Kinston, NC
  • NPI 1437786241
  NPD
• Brittany Viera, NP

  • Family Nurse Practitioner
  • Kinston, NC
  • NPI 1548966062
  NPD

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264636800000",
    "number": "1902887292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 AIRPORT ROAD",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285011693",
            "telephone_number": "252-522-3661",
            "fax_number": "252-522-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 AIRPORT ROAD",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285011693",
            "telephone_number": "252-522-3661",
            "fax_number": "252-522-0117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINSTON DIAGNOSTIC GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-14",
        "last_updated": "2010-01-28",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "HARPER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-522-3661",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "02965",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7902965",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kinston Community Health Center, Inc
• Kinston Community Health Center, Inc
• Kinston Community Health Center, Inc
• Kinston Community Health Center, Inc.
• Kinston Dermatology, PA
• Kinston Digestive Diseases PA
• Kinston Head and Neck Physicians and Surgeons, P.a.
• Kinston Internal Medicine & Geriatrics
• Kinston Medical Specialists PA
• Kinston Medical Specialists PA

• Internal Medicine Physician in Kinston, NC
• Providers in Kinston, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.

Verify at the official NPI Registry.