NPIMap

Individual provider Active NPI

Jason J Van Eyk, MD

  • Internal Medicine Physician
  • Asheboro, NC
National Provider Identifier
1992719751
Registry record updated Mar 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
200501800 Issued in NC
Practice address
350 N Cox St Ste 6
Asheboro, NC 27203-5514
Phone
(336) 629-2201
Fax
(336) 629-2205
NPI assigned
Jul 28, 2006
Last updated
Mar 31, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 200501800 NC Primary

Addresses

Primary practice location

350 N Cox St Ste 6
Asheboro, NC 27203-5514

Mailing address

350 N Cox St Ste 6
Asheboro, NC 27203-5514
Phone (336) 629-2201

Other identifiers 2

IdentifierTypeStateIssuer
2075469OtherNCMEDICARE ID
5903765MedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080401000658 NC Practitioner - Internal Medicine 4284711201 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Brody School of Medicine at East Carolina University, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Randolph Primary Care, PAGroup PAC ID 8729129283, 6 clinicians

Practice addresses (Care Compare)

350 N Cox St
Suite 6
Asheboro, NC 27203-5514
Phone (336) 629-2201

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200501800NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Randolph Primary Care, PA Internal Medicine CurrentSince Dec 15, 2009 Accepting new patients
Kindred Hospitals East, LLC Past Accepting new patients

Locations

350 N Cox St
Ste 6
Asheboro, NC 27203
Phone (336) 629-2201

700 W Main St
Jamestown, NC 27282
Phone (336) 454-1166

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 7

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427760000000",
    "number": "1992719751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 N COX ST STE 6",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272035514",
            "telephone_number": "336-629-2201",
            "fax_number": "336-629-2205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 N COX ST STE 6",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272035514",
            "telephone_number": "336-629-2201",
            "fax_number": "336-629-2205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN EYK",
        "first_name": "JASON",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2015-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "200501800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "2075469",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5903765",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheboro, NC

Sources for this page

Verify at the official NPI Registry.