EAST CAROLINA GASTROENTEROLOGY PA (NPI# 1023053493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023053493 |
| Entity Type | Organization |
| Organization Name | EAST CAROLINA GASTROENTEROLOGY PA |
| Practice Address |
4 Office Park Dr Jacksonville NC 28546-7257 |
| Mailing Address |
Po Box 12114 Jacksonville NC 28546-2114 |
| Practice Telephone | 9103536158 |
| Practice Fax Number | 9103537257 |
| Mailing Telephone | 9103536158 |
| Mailing Fax Number | 9103537257 |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | PETER A EWEJE (OWNER PRESIDENT) |
| Authorized Official Telephone | 9103536158 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
00941 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8910612 | 05 | |
| NC | BCBS | 0200E | 01 |
| Street Address |
4 OFFICE PARK DR |
| City | JACKSONVILLE |
| State | NC |
| Zip Code | 28546-7257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871538363 | Peter A Eweje | Internal Medicine | 4 Office Park Dr, Jacksonville, NC 28546-7325 | 2006-06-18 |
| 1215098223 | Katrina S Swartz | Physician Assistant | 4 Office Park Dr, Jacksonville, NC 28546-7325 | 2006-12-13 |
| 1063520070 | East Carolina Gastroenterology Endoscopy Center Inc | Clinic/Center | 4 Office Park Dr, Jacksonville, NC 28546-7325 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316578388 | Judylyn Hobson | Registered Nurse | Pride In North Carolina, LLC, 3886 Henderson Dr, Jacksonville, NC 28546 | 2020-01-29 |
| 1427694637 | Aaron Patrick Bettcher | Military Health Care Provider | 3rd Mrb Loop Rd, Camp Lejeune, NC 28546 | 2019-11-22 |
| 1962044289 | Levi Scott Marshall | Military Health Care Provider | Everett Creek Road, Building 612, Camp Lejeune, NC 28546 | 2019-10-09 |
| 1649826652 | Nicholas Otazo | Military Health Care Provider | 3rd Mrb 20073, Camp Lejeune, NC 28546 | 2019-08-15 |
| 1417519570 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 2001 Marlin Drive Unit 100, Jacksonville, NC 28546 | 2019-06-28 |
| 1023500212 | Josip Ninrodriguez | Military Health Care Provider | 3d Marine Raider Battaliom, Camp Lejeune, NC 28546 | 2018-06-04 |
| 1639661192 | Kenneth Lee Russell | Military Health Care Provider | 3d Marine Raider Battalion, Camp Lejeune, NC 28546 | 2018-05-31 |
| 1346730173 | Coastal Foot Center, LLC | Clinic/Center | 29 Office Park Dr Ste B, Jacksonville, NC 28546 | 2018-05-17 |
| 1578080271 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 380 Western Blvd, Jacksonville, NC 28546 | 2017-08-24 |
| 1144757493 | Darin Lee Peterson | Specialist/Technologist | G644 Camp Geiger, School of Infantry-east, Jacksonville, NC 28546 | 2017-05-17 |
| Find all providers in zip 28546 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629404181 | Maged Adel Ghali | Internal Medicine | 4555 Emerson St Ste 300, Jacksonville, FL 32207-4958 | 2013-09-16 |
| 1477801884 | Richard Duncan Hardin | Internal Medicine | 2822 Cherokee Ave, Jacksonville, FL 32210-4356 | 2012-08-16 |
| 1598045106 | Brent Stottman | Internal Medicine | 13500 Sutton Park Dr S # 404-3, Jacksonville, FL 32224-5251 | 2011-08-26 |
| 1871815290 | Alejandro A Radi Md Pa | Internal Medicine | 3599 University Blvd S Ste 8, Jacksonville, FL 32216-4211 | 2010-02-26 |
| 1467687160 | Oxana Norkina | Internal Medicine | 1375 Roberts Dr Ste 204, Jacksonville, FL 32250-3209 | 2009-05-26 |
| 1164621447 | Emily A Poland | Internal Medicine | 14540 Old Saint Augustine Rd Ste 2207, Jacksonville, FL 32258-7419 | 2007-07-16 |
| 1073719688 | Nassim Youssef El Hajj | Internal Medicine | 3627 University Blvd. South, Suite 705, Jacksonville, FL 32216 | 2007-06-21 |
| 1831210889 | Gastroenterology Associates of Northeast Florida P.l. | Internal Medicine | 4123 University Blvd S Ste A, Jacksonville, FL 32216-4320 | 2007-04-03 |
| 1215079256 | Ali Moghani Lankarani | Internal Medicine | 3 Shircliff Way Ste 400, Jacksonville, FL 32204-4780 | 2007-02-13 |
| 1790846988 | Xiaoyu Li | Internal Medicine | 6817 Southpoint Pkwy Ste 102, Jacksonville, FL 32216-6285 | 2006-12-12 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 28546 |
Please comment or provide details below to improve the information on EAST CAROLINA GASTROENTEROLOGY PA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.