NPIMap

Organization Active NPI

Eastern Carolina Ear, Nose & Throat-Head & Neck Surgery, Inc

  • Specialist
  • Greenville, NC
National Provider Identifier
1912957606
Registry record updated Oct 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
207400000X Issued in NC
Legal business name
EASTERN CAROLINA EAR, NOSE & THROAT-HEAD & NECK SURGERY, INC
Practice address
850 Johns Hopkins Dr
Pob 5007
Greenville, NC 27834-7222
Phone
(252) 752-5227
Fax
(252) 752-1191
NPI assigned
May 11, 2006
Last updated
Oct 21, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2014

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

Authorized official

Name
Dr. Paul S. Camnitz, M.D.NPI 1053364745
Title
President
Phone
(252) 752-5227

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 207400000X NC Primary

Addresses

Primary practice location

850 Johns Hopkins Dr
Pob 5007
Greenville, NC 27834-7222

Mailing address

850 Johns Hopkins Dr
Pob 5007
Greenville, NC 27834-7222
Phone (252) 752-5227

Other identifiers 7

IdentifierTypeStateIssuer
7951990MedicaidNC
7910476MedicaidNC
8920880MedicaidNC
02433OtherNCBCBS GROUP NUMBER
89126N7MedicaidNC
89131G9MedicaidNC
8911275MedicaidNC

Other names 1

  • Pitt Ear, Nose & Throat - Head & Neck, Surgery Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070919000226 NC Part B Supplier - Clinic/Group Practice 1850485020 Receives reassigned benefits from 38 practitioners
Practice locations: Greenville, NC; Wilson, NC

National Provider Directory

National Provider Directory

Locations

850 Johns Hopkins Dr
Greenville, NC 27834
Phone (252) 752-5227

1257 Highland Dr
Washington, NC 27889

2801 Wooten Blvd SW
Ste A
Wilson, NC 27893
Phone (252) 234-9469

Practitioners & affiliated clinicians

Practitioners 44

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.

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413849600000",
    "number": "1912957606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 JOHNS HOPKINS DR",
            "address_2": "POB 5007",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347222",
            "telephone_number": "252-752-5227",
            "fax_number": "252-752-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 JOHNS HOPKINS DR",
            "address_2": "POB 5007",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347222",
            "telephone_number": "252-752-5227",
            "fax_number": "252-752-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN CAROLINA EAR, NOSE & THROAT-HEAD & NECK SURGERY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2014-10-21",
        "status": "A",
        "authorized_official_last_name": "CAMNITZ",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-752-5227",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": "207400000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7951990",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7910476",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8920880",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "02433",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89126N7",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89131G9",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8911275",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pitt Ear, Nose & Throat - Head & Neck, Surgery",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.