WILMINGTON GASTROENTEROLOGY ENDOSCOPY CENTER, INC (NPI# 1295948339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295948339 |
| Entity Type | Organization |
| Organization Name | WILMINGTON GASTROENTEROLOGY ENDOSCOPY CENTER, INC |
| Practice Address |
5115 Oleander Drive Wilmington NC 28403-7018 |
| Practice Telephone | 9103621011 |
| Practice Fax Number | 9103621012 |
| Mailing Telephone | 9103621011 |
| Mailing Fax Number | 9103621012 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2014-01-09 |
| Authorized Official Name | MR. STEVEN LEE PETERSON JR. (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 9103621011 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
AS0091 | NC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | ASC LICENSE NUMBER | AS0091 | 01 |
| Street Address |
5115 OLEANDER DRIVE |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28403-7018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588866362 | David Spencer Carney | Internal Medicine | 5115 Oleander Drive, Wilmington, NC 28403-7018 | 2007-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902413875 | Ymca of Southeastern Nc | Health Educator | 2710 Market Street, Wilmington, NC 28403 | 2020-09-25 |
| 1659917334 | Noa Alper | Occupational Therapist | 5412 Old Garden Road, Wilmington, NC 28403 | 2019-11-18 |
| 1992346340 | Nancy Rosita Carson | Technician | 5608 Locke Str. Apt 108, Wilmington, NC 28403 | 2019-10-07 |
| 1912484585 | Jennifer Nicole Perry | Behavior Technician | 349 Campus Cv, Wilmington, NC 28403 | 2018-07-25 |
| 1386159929 | Monumental Foundations LLC | Clinic/Center | Plum Tree Plaza 925 South Kerr Ave Suite F4, Wilmington, NC 28403 | 2017-12-05 |
| 1114445731 | Jacqulyn Craichy | Speech-Language Pathologist | 75 Cavalier Drive, Wilmington, NC 28403 | 2017-09-04 |
| 1730638545 | Ashley Mcneil | Durable Medical Equipment & Medical Supplies | 3435 Wilshire Blvd Apt 203, Wilmington, NC 28403 | 2016-09-22 |
| 1306204276 | Valerie Pringle Jones | Physical Therapist | 1717 Shipyard Blvd. Ste 350, Wilmington, NC 28403 | 2016-02-05 |
| 1689039992 | Lifeline Treatment Center | Clinic/Center | 5710 Oleander Dr Ste 100, Wilmington, NC 28403 | 2015-12-31 |
| 1750758264 | Melissa Beatson | Speech-Language Pathologist | 4014 Oleander Drive, Ste. 3b, Coastal Speech & Language Pllc, Wilmington, NC 28403 | 2015-09-01 |
| Find all providers in zip 28403 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003323353 | Clinton County Outpatient Surgery LLC | Clinic/Center | 1150 W Locust St Ste 200, Wilmington, OH 45177-2063 | 2018-01-09 |
| 1609014034 | Wilmington Surgery Center | Clinic/Center | 721 W Main St, Wilmington, OH 45177-2126 | 2009-01-22 |
| 1588847842 | Atlantic Womens Medical Srv | Clinic/Center | 2809 Baynard Blvd, Wilmington, DE 19802-2967 | 2007-12-10 |
| 1720182835 | Limestone Medical Center, Inc | Clinic/Center | 1941 Limestone Rd Ste 113, Wilmington, DE 19808-5413 | 2006-09-11 |
| 1063416998 | Wilmington Surgery Center, Lp | Clinic/Center | 1801 S 17th St, Wilmington, NC 28401-6443 | 2005-06-09 |
| 1588274963 | Wilmington Eye Surgery Center, LLC | Clinic/Center | 1919 S 16th St, Wilmington, NC 28401-6610 | 2020-07-31 |
| 1588071575 | Foulk Road Surgery Center | Clinic/Center | 900 Foulk Rd, Wilmington, DE 19803-3155 | 2014-07-22 |
| 1609124650 | Carolina Healthcare Associates Inc | Clinic/Center | 1415 Medical Center Dr, Wilmington, NC 28401-7504 | 2012-08-23 |
| 1053630137 | Wilmington Surgical Services LLC | Clinic/Center | 675 W Main St, Wilmington, OH 45177 | 2010-05-27 |
| 1124283510 | Wills Eye Surgery Center | Clinic/Center | 900 Foulk Rd, Wilmington, DE 19803-3155 | 2008-07-24 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28403 |
Please comment or provide details below to improve the information on WILMINGTON GASTROENTEROLOGY ENDOSCOPY CENTER, INC.
| 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.