Kinston Surgical Associates PA
Organization Active NPI Surgery Physician · Kinston, NC
NPI 1912947185 · NPPES record last updated Jun 29, 2010
Key facts
- NPI
- 1912947185
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Surgery Physician 208600000X
- Legal business name
- KINSTON SURGICAL ASSOCIATES PA
- Practice address
- 701 Doctors Drive
Ste a
Kinston, NC 28501 - Phone
- (252) 522-1626
- Fax
- (252) 522-1486
- NPI assigned
- Jun 7, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. John Berry Jr., MD
- Title
- President
- Phone
- (252) 522-1626
Practitioners 2
-
John Berry Jr., MD
-
Robert M Deepe, MD
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician |
208600000X | Yes |
Addresses
Primary practice location
701 Doctors Drive
Ste a
Kinston, NC 28501
Mailing address
PO Box 1316
Kinston, NC 28503
Phone (252) 522-1626
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8901980 | Medicaid | NC |
Other providers in Kinston, NC
- Kinston Physicians Group, PLLC
- Kinston Podiatry Center
- Kinston Pulmonary Associates PA
- Kinston Radiological Assoc., PA
- Kinston Regional Pain Center LLC
- Kinston Urological Associates, PA
- Alan Kirollos
- Zachary Kornblum
- Amy Maples Kornegay
- Kenton Grey Kozel
All providers in Kinston, NC · Surgery Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.