EAST CAROLINA UNIVERSITY (NPI# 1104864990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104864990 |
| Entity Type | Organization |
| Organization Name | EAST CAROLINA UNIVERSITY |
| Other Organization Name | ECU PHYSICIANS |
| Practice Address |
600 Moye Blvd Greenville NC 27834-4300 |
| Mailing Address |
Po Box 751069 Charlotte NC 28275-1069 |
| Practice Telephone | 2527443253 |
| Mailing Telephone | 2527443253 |
| Mailing Fax Number | 2527443194 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2010-08-09 |
| Authorized Official Name | DR. NICHOLAS H. BENSON (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2527443253 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians | ||
| N | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| N | 208200000X | Plastic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians | ||
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | RR MEDICARE GROUP # | CC5479 | 01 |
| Other Name | Type Code |
|---|---|
| ECU Physicians | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396989133 | East Carolina University | Community/Behavioral Health | College of Allied Health Sciences-ecu, Dars - Navigate Counseling Clinic, Greenville, NC 27858-4353 | 2009-04-23 |
| 1760507990 | East Carolina University | Social Worker | Irons Building-oglesby Dr., Greenville, NC 27858 | 2007-03-20 |
| 1770622797 | East Carolina University | Pharmacy | 270 Easy St, Greenville, NC 27834-9012 | 2007-02-06 |
| 1760559926 | East Carolina University | Clinic/Center | 1001 East Fifth Street, Greenville, NC 27858-4353 | 2006-11-30 |
| 1033161575 | East Carolina University | Family Medicine | Family Medicine Center, Moye Blvd., Greenville, NC 27858 | 2006-05-16 |
| 1720039241 | East Carolina University | Family Medicine | Viquest, 2610 Stantonsburg Road, Greenville, NC 27835 | 2006-05-12 |
| 1558312934 | East Carolina University | Audiologist | Ecu, Belk Annex 5, Dept. of Communication Sciences & Disorders, Greenville, NC 27858 | 2006-05-12 |
| 1114978517 | East Carolina University | Family Medicine | Human Performance Lab, 363 Ward Sports Medicine Building, Greenville, NC 27858 | 2006-05-12 |
| 1649229667 | East Carolina University | Family Medicine | 110 Railroad Street, Bethel Family Medicine Center, Bethel, NC 27812 | 2006-05-08 |
| 1851853592 | East Carolina University | Family Medicine | 101 Heart Dr, Greenville, NC 27834-8982 | 2019-04-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | EAST CAROLINA UNIVERSITY | 1000 E 5th St, Greenville, NC 27858-2502 |
| Oklahoma Business Registrations | EAST CAROLINA UNIVERSITY | 105 Spilman Bldg, Greenville, NC 27858 |
| Oklahoma Business Registrations | EAST CAROLINA UNIVERSITY ALUMNI ASSOCIATION, INC. | 901 East 5th St, Greenville, NC 27858 |
| Oklahoma Business Registrations | EAST CAROLINA UNIVERSITY EDUCATIONAL FOUNDATION, INC. | 304 Ward Sports Medicine Bldg, Greenville, NC 27858 |
| Oklahoma Business Registrations | EAST CAROLINA UNIVERSITY FOUNDATION, INC. | 2200 South Charles Blvd Mail Stop 301, Greenville, NC 27858 |
| Oklahoma Business Registrations | EAST CAROLINA UNIVERSITY MEDICAL & HEALTH SCIENCES FOUNDATION, INC. | 525 Moye Blvd, Greenville, NC 27834 |
| Street Address |
600 MOYE BLVD |
| City | GREENVILLE |
| State | NC |
| Zip Code | 27834-4300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467455600 | Fiona Cook | Internal Medicine | 600 Moye Blvd, Ecu Physicians Endocrinology, Greenville, NC 27834-4300 | 2005-05-23 |
| 1851904999 | Tyler Nigele Edgerton | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd, Greenville, NC 27834-4300 | 2020-08-28 |
| 1366054272 | Mallory Claire Savidge | Social Worker | 600 Moye Blvd, Greenville, NC 27834-4300 | 2020-08-21 |
| 1336759109 | Jessica Veale | Physician Assistant | 600 Moye Blvd, Greenville, NC 27834-4300 | 2020-08-05 |
| 1942819990 | Ryan Grabiec | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd, Greenville, NC 27834-4300 | 2020-07-27 |
| 1215545157 | Rewati Bhattarai | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd, Greenville, NC 27834-4300 | 2020-07-16 |
| 1629686860 | Amanda Foy | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd, Greenville, NC 27834-4300 | 2020-07-14 |
| 1477179927 | Rebecca Ann Baietto | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd, Greenville, NC 27834 | 2020-06-21 |
| 1720604416 | Dylan Joseph Defauw | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd, Greenville, NC 27834-4300 | 2020-06-18 |
| 1003432790 | Joshua L Mcdaniel | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd, Greenville, NC 27834-4300 | 2020-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841801255 | Nicholas Mcarthur Bennett | Day Training, Developmentally Disabled Services | 302 C, Greenville, NC 27834 | 2020-08-11 |
| 1275150245 | Shelby Renee Jones | Student in an Organized Health Care Education/Training Program | East Carolina University College of Nursing, 600 Moye Blvd, Greenville, NC 27834 | 2020-06-25 |
| 1194347138 | Soban Ahmad | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd., Vmc Ma Room 350. Internal Medicine Resi, Mailstop #734, Greenville, NC 27834 | 2020-05-13 |
| 1427687789 | Brandon Allen Yates | Student in an Organized Health Care Education/Training Program | 435 Clinic Drive, Greenville, NC 27834 | 2020-04-07 |
| 1144854407 | Kristen Springer Dreyfus | Marriage & Family Therapist | 2609 West Arlington Blvd Suite 106, Greenville, NC 27834 | 2020-02-26 |
| 1861038606 | Southern Surgical Outpatient Surgery Center, Pa | Clinic/Center | 2457 Emerald Place, Greenville, NC 27834 | 2019-11-26 |
| 1003460569 | Shaun Fitzpatrick | Nurse Practitioner | Physicians East, Pa 1850 W. Arlington Blvd., Greenville, NC 27834 | 2019-08-01 |
| 1649831496 | Katherine Salome Ross | Genetic Counselor, MS | 524 Moye Blvd, Greenville, NC 27834 | 2019-06-24 |
| 1477011880 | Lauren Bethune Scroggs | Counselor | 2150 West 5th Street, Health Sciences Building Mailstop 688, Greenville, NC 27834 | 2019-03-05 |
| 1669998001 | Idella's Care Home | Community/Behavioral Health | 2912 Lee Ct # 9a, Greenville, NC 27834 | 2017-08-17 |
| Find all providers in zip 27834 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive 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 |
|---|---|---|---|---|
| 1043868789 | Hopewell Medical Care LLC | Internal Medicine | 2090 Woodruff Rd, Greenville, SC 29607-5939 | 2019-08-27 |
| 1346726924 | St. Francis Physician Services, Inc | Internal Medicine | 5 Hoke Smith Blvd, Greenville, SC 29615 | 2018-07-17 |
| 1689193237 | Gim Barry Blackston, Md, Pa | Internal Medicine | 8 Memorial Medical Ct Ste 4, Greenville, SC 29605-4400 | 2017-09-14 |
| 1003357948 | Keith Freeman | Internal Medicine | 10 Enterprise Blvd Ste 110, Greenville, SC 29615-3534 | 2017-03-11 |
| 1871945204 | Annum Faisal | Internal Medicine | 2100 Stantonsburg Rd Ofc, Greenville, NC 27834-2818 | 2016-07-11 |
| 1508284324 | Lusana Ahsan | Internal Medicine | 2100 Stantonsburg Rd Ste 1ad200, Greenville, NC 27834-2818 | 2014-03-29 |
| 1548604341 | William M Wooten | Internal Medicine | 2400 Stantonsburg Rd, Greenville, NC 27834-7210 | 2013-04-23 |
| 1356699904 | Mohammad Raihan Azad | Internal Medicine | 1006 Wh Smith Blvd., Physicians East - Endocrinology, Greenville, NC 27834 | 2012-08-29 |
| 1104185420 | Geoffrey P Little | Internal Medicine | 20 Bryants Sq, Apt/suite, Greenville, NY 12083-3413 | 2012-05-07 |
| 1053679530 | Matthew Earles Dauterive | Internal Medicine | 600 Moye Blvd Ste 3e149, Greenville, NC 27834-4300 | 2012-05-02 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 27834 |
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| 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.