ECEP II PA (NPI# 1255407680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255407680 |
| Entity Type | Organization |
| Organization Name | ECEP II PA |
| Other Organization Name | EASTERN CAROLINA EMERGENCY PHYSICIANS II PA |
| Practice Address |
507 E Fremont St Burgaw NC 28425-5131 |
| Mailing Address |
4402 Shipyard Blvd Wilmington NC 28403-6161 |
| Practice Telephone | 8432373378 |
| Practice Fax Number | 8432375073 |
| Mailing Telephone | 9102023363 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-10-12 |
| Authorized Official Name | DALE KEY (ADMINISTRATOR) |
| Authorized Official Telephone | 9102023363 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5905762 | 05 | |
| NC | 7901456 | 05 | |
| NC | BLUE CROSS BLUE SHIELD | 01456 | 01 |
| NC | RAILROAD MEDICARE | CI9263 | 01 |
| SC | QPB855 | 05 |
| Other Name | Type Code |
|---|---|
| Eastern Carolina Emergency Physicians II PA | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558755165 | Ecep II Pa | Emergency Medicine | 151 Scotts Hill Medical Drive, Wilmington, NC 28411-9999 | 2015-03-20 |
| 1992871917 | Ecep II Pa | Emergency Medicine | 5301 Wrightsville Ave, Wilmington, NC 28403-6510 | 2006-11-28 |
| 1831265263 | Ecep II Pa | Emergency Medicine | 2131 S 17th St, Wilmington, NC 28401-7407 | 2006-11-28 |
| Street Address |
507 E FREMONT ST |
| City | BURGAW |
| State | NC |
| Zip Code | 28425-5131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346217676 | Pender Memorial Hospital, Inc | Home Health | 507 E Fremont St, Burgaw, NC 28425-5131 | 2006-03-06 |
| 1245886118 | Megan Lydon | Speech-Language Pathologist | 507 E Fremont St, Burgaw, NC 28425-5131 | 2019-08-15 |
| 1861839078 | Ann Elsasser | Physical Therapist | 507 E Fremont St, Burgaw, NC 28425-5131 | 2013-05-29 |
| 1184948648 | Heather L Downs D O PC | Family Medicine | 507 E Fremont St, Pender Memorial Hospital, Burgaw, NC 28425-5131 | 2010-03-26 |
| 1588986616 | R Henry Temple, Md., PC | Obstetrics & Gynecology | 507 E Fremont St, Burgaw, NC 28425-5131 | 2010-02-16 |
| 1467646471 | Benjamin Scott Wiles | Emergency Medicine | 507 E Fremont St, Burgaw, NC 28425-5131 | 2007-09-03 |
| 1033242987 | Pender Memorial Hospital Incorporated | General Acute Care Hospital | 507 E Fremont St, Burgaw, NC 28425-5131 | 2007-03-13 |
| 1053444901 | Pender Memorial Hospital Incorporated | General Acute Care Hospital | 507 E Fremont St, Burgaw, NC 28425-5131 | 2007-03-13 |
| 1801957675 | Pender Memorial Hospital Inc | Pharmacy | 507 E Fremont St, Burgaw, NC 28425-5131 | 2006-12-13 |
| 1023030756 | Pender Memorial Hospital Inc. | Medicare Defined Swing Bed Unit | 507 E Fremont St, Burgaw, NC 28425-5131 | 2006-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861091662 | Chiquitta Williams Lesene | Counselor | 407 E Fremont Street, Burgaw, NC 28425 | 2020-10-22 |
| 1255978912 | David L Populus Jr. | Preventive Medicine | 1638 Hwy 53, Burgaw, NC 28425 | 2019-12-02 |
| 1467948729 | Coastal Horizons Center Inc. | Community/Behavioral Health | 309 Progress Dr., Burgaw, NC 28425 | 2018-07-10 |
| 1629504824 | Kellie Savard | Speech-Language Pathologist | 213 South Wright Street, Unit B, Burgaw, NC 28425 | 2017-05-08 |
| 1578004800 | Alisa Fussell | Speech-Language Pathologist | 10131 Highway 53 W, Burgaw, NC 28425 | 2017-03-20 |
| 1881136851 | Pender Pediatric Therapy, PC | Speech-Language Pathologist | 126 W. Fremont St., Burgaw, NC 28425 | 2016-11-08 |
| 1821424771 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 206 Us Highway 117 S, Burgaw, NC 28425 | 2013-09-24 |
| 1679816193 | Kerry Dawn Daraskavich | Physical Therapist | 311 South Campell Street, Burgaw, NC 28425 | 2013-04-03 |
| 1184985178 | Kerr Drug | Point of Service | 206 Us Route 117 South, Burgaw, NC 28425 | 2012-06-06 |
| 1407117682 | Courtney L Gibbs | Speech-Language Pathologist | 126 W Fremont St, Burgaw, NC 28425 | 2012-06-04 |
| Find all providers in zip 28425 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467646471 | Benjamin Scott Wiles | Emergency Medicine | 507 E Fremont St, Burgaw, NC 28425-5131 | 2007-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437758430 | Express Test Nc Pllc | Emergency Medicine | 110 Swift Ave, Durham, NC 27705-4880 | 2020-10-21 |
| 1164021051 | Onespotmd Primary and Urgent Care Pllc | Emergency Medicine | 2017 Central Ave Ste 103, Charlotte, NC 28205-5388 | 2020-10-21 |
| 1750909032 | The Presbyterian Hospital | Emergency Medicine | 125 Queens Rd Ste 500, Charlotte, NC 28204-3215 | 2020-07-13 |
| 1982225983 | William Bedard Michel | Emergency Medicine | Carolina Medical Center, 1000 Blythe Blvd, Charlotte, NC 28203 | 2020-04-30 |
| 1457988586 | Morgan Mazakas Penzler | Emergency Medicine | 1000 Blythe Blvd Ste 600, Charlotte, NC 28203-5812 | 2020-03-26 |
| 1770114555 | Carolina Neuropathy Centers, Pllc | Emergency Medicine | 21000 Torrence Chapel Rd Ste 101, Cornelius, NC 28031-6874 | 2020-01-30 |
| 1386291185 | Maurice Andre Paquette II | Emergency Medicine | 2301 Erwin Rd # Dumc3096, Durham, NC 27705-4699 | 2019-08-26 |
| 1205489275 | Rex Hospital Inc | Emergency Medicine | 6715 Mccrimmon Pkwy Ste 201, Cary, NC 27519-1916 | 2019-07-18 |
| 1821551920 | Rex Hospital Inc | Emergency Medicine | 1165 Us Hwy 70 W, Garner, NC 27529 | 2019-04-08 |
| 1538620737 | Andrew Yde | Emergency Medicine | Cmc/department of Emergency Medicine, 1000 Blythe Blvd., Charlotte, NC 28203-5812 | 2019-03-29 |
| Find all providers with the same taxonomy | ||||
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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.