KINSTON DIGESTIVE DISEASES PA (NPI# 1548308976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548308976 |
| Entity Type | Organization |
| Organization Name | KINSTON DIGESTIVE DISEASES PA |
| Practice Address |
1100 Hardee Rd Suite 103b Kinston NC 28504 |
| Practice Telephone | 2525220285 |
| Practice Fax Number | 2525234474 |
| Mailing Telephone | 2525220285 |
| Mailing Fax Number | 2525234474 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. RICHARD JAMES KROEGER (OWNER) |
| Authorized Official Telephone | 2525220285 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
27814 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8950334 | 05 | |
| NC | BCBS | 01983 | 01 |
| NC | BCBS | 50334 | 01 |
| Street Address |
1100 HARDEE RD SUITE 103B |
| City | KINSTON |
| State | NC |
| Zip Code | 28504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366427361 | Gary Lee Wojeski | Chiropractor | 1100 Hardee Rd, Ste 114, Kinston, NC 28504-2529 | 2005-12-13 |
| 1063767242 | Enriched Health Services Inc | Community/Behavioral Health | 1100 Hardee Rd, Suite 101, Kinston, NC 28504-2529 | 2012-07-13 |
| 1952604365 | Supreme Investments, LLC. | Case Management | 1100 Hardee Rd, Suite 103 C, Kinston, NC 28504-2529 | 2010-12-08 |
| 1316276975 | Supreme Investments, LLC. | Case Management | 1100 Hardee Rd, Suite 103-c, Kinston, NC 28504-2529 | 2009-12-10 |
| 1306079751 | Open Arms Residential and Community Support Inc. | Case Management | 1100 Hardee Rd, Suite 112 A, Kinston, NC 28504-2529 | 2009-09-02 |
| 1548312432 | Richard James Kroeger | Internal Medicine | 1100 Hardee Rd, Suite 103 B, Kinston, NC 28504 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437647385 | Kinston Clinic Pharmacy Inc | Pharmacy | 2717 Nc Hwy 11 South, Kinston, NC 28504 | 2018-04-26 |
| 1316336241 | Jo Jackson | Developmental Therapist | 137 Norma Drive, Kinston, NC 28504 | 2015-01-15 |
| 1700105160 | Stephanie Price Jones | Dietitian, Registered | 1457 Elijah Loftin Rd, Kinston, NC 28504 | 2010-05-25 |
| 1093045783 | Patricia Ann Dodd | Chiropractor | 4010 W. Vernon Ave., Kinston, NC 28504 | 2010-01-03 |
| 1861626723 | Eastpoint Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 310 Airport Rd, Kinston, NC 28504 | 2009-05-07 |
| 1174705081 | Vernon Sy Chiu | Internal Medicine | 608-a Airport Road, Kinston, NC 28504 | 2007-12-03 |
| 1235326943 | Jennifer M Shenk | Optometrist | 703 Rosanne Drive, Kinston, NC 28504 | 2007-09-26 |
| 1760678478 | Classic Country Care Inc | Assisted Living Facility | 288 Hwy 11 S, Kinston, NC 28504 | 2007-09-18 |
| 1528271632 | Andrew Jackson Harrell IIi | Dentist | 315 Airport Road, Kinston, NC 28504 | 2007-05-07 |
| 1316161045 | Joshua House | Pharmacy Technician | 2415 West Vernon Ave., Kinston, NC 28504 | 2007-04-12 |
| Find all providers in zip 28504 | ||||
| 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 |
|---|---|---|---|---|
| 1558630483 | Atlantic Medical Group | Internal Medicine | 2541 N.queen St, Kinston, NC 28501-3851 | 2011-12-21 |
| 1407852353 | Mark D Marilley | Internal Medicine | 701 Doctors Dr, Suite N, Kinston, NC 28501-1584 | 2005-06-24 |
| 1285637108 | Joseph Anthony Saracino | Internal Medicine | 2602 N Herritage St, Kinston, NC 28501-1503 | 2005-05-24 |
| 1548312432 | Richard James Kroeger | Internal Medicine | 1100 Hardee Rd, Suite 103 B, Kinston, NC 28504 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346889292 | Park Gastroenterology, Pllc | Internal Medicine | 7560 Carpenter Fire Station Rd Ste 303, Cary, NC 27519-9637 | 2019-12-24 |
| 1528625399 | Rowan Endoscopy Center, Pllc | Internal Medicine | 1809 Brenner Ave, Suite 102, Salisbury, NC 28144-2558 | 2019-05-28 |
| 1073091088 | Gastroenterology Associates of The Piedmont, P.a. | Internal Medicine | 445 Pineview Dr Ste 200b, Kernersville, NC 27284 | 2018-08-01 |
| 1710489273 | Appalachian Regional Medical Associates Inc | Internal Medicine | Appgastro - Asc, 870 State Farm Rd, Ste 102, Boone, NC 28607 | 2018-03-01 |
| 1669971826 | Appalachian Regional Medical Associates Inc | Internal Medicine | 870 State Farm Rd Ste 2, Boone, NC 28607-4861 | 2018-02-02 |
| 1437556594 | Novant Medical Group Inc | Internal Medicine | 13 Medical Campus, Suite 102, Supply, NC 28462-4093 | 2014-12-04 |
| 1275930968 | Digestive Health Specialists, Pa | Internal Medicine | 434 Kirby Rd, Lower Level Suite 6, King, NC 27021-9494 | 2014-11-25 |
| 1326454174 | Daniel Dillon | Internal Medicine | 1045 25th Avenue Dr Nw, Hickory, NC 28601-9077 | 2014-07-01 |
| 1841610300 | Shelly Gurwara | Internal Medicine | Medical Ctr Blvd, Winston Salem, NC 27157-2358 | 2014-04-23 |
| 1518386457 | Silpa Yalamanchili | Internal Medicine | 781 Avent Ferry Rd Ste 204, Holly Springs, NC 27540-7776 | 2014-04-08 |
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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.