LENOIR PHYSICIANS NETWORK, LLC (NPI# 1588914527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588914527 |
| Entity Type | Organization |
| Organization Name | LENOIR PHYSICIANS NETWORK, LLC |
| Other Organization Name | LENOIR SURGICAL |
| Practice Address |
701 Doctors Dr Suite A Kinston NC 28501-1589 |
| Mailing Address |
701 Doctors Dr Suite G Kinston NC 28501-1589 |
| Practice Telephone | 2527755999 |
| Enumeration Date | 2012-09-18 |
| Last Update Date | 2016-06-17 |
| Authorized Official Name | GARY E. BLACK (PRESIDENT) |
| Authorized Official Telephone | 2525227000 |
| Is Organization Subpart | Y |
| Parent Organization Name | LENOIR PHYSICIANS NETWORK, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1588914527 | 05 |
| Other Name | Type Code |
|---|---|
| Lenoir Surgical | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366895880 | Lenoir Physicians Network, LLC | Obstetrics & Gynecology | 701 Doctors Dr, Suite E1, Kinston, NC 28501-1589 | 2016-07-20 |
| 1841540887 | Lenoir Physicians Network, LLC | Orthopaedic Surgery | 701 Doctors Dr, Suite G, Kinston, NC 28501-1589 | 2012-09-18 |
| Street Address |
701 DOCTORS DR SUITE A |
| City | KINSTON |
| State | NC |
| Zip Code | 28501-1589 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407852353 | Mark D Marilley | Internal Medicine | 701 Doctors Dr, Suite N, Kinston, NC 28501-1584 | 2005-06-24 |
| 1740716059 | Carolina Orthopedic and Sports Medicine, Inc - Kinston | Orthopaedic Surgery | 701 Doctors Dr, Suite N, Kinston, NC 28501-1589 | 2017-05-05 |
| 1366895880 | Lenoir Physicians Network, LLC | Obstetrics & Gynecology | 701 Doctors Dr, Suite E1, Kinston, NC 28501-1589 | 2016-07-20 |
| 1720447386 | Owen Davis | Physician Assistant | 701 Doctors Dr, Suite G, Kinston, NC 28501-1589 | 2016-02-11 |
| 1104220300 | Lenoir Physicians Network LLC | Psychiatry & Neurology | 701 Doctors Dr, Suite E2, Kinston, NC 28501-1589 | 2014-10-16 |
| 1871993063 | Lenoir Physicians Network LLC | Urology | 701 Doctors Dr, Suite L, Kinston, NC 28501-1589 | 2014-08-26 |
| 1407269426 | Victoria Conway | Nurse Practitioner | 701 Doctors Dr, Suite N, Kinston, NC 28501-1589 | 2014-06-06 |
| 1962823039 | Dempsey's Long Term Care, LLC | Pharmacy | 701 Doctors Dr, Suite P-2, Kinston, NC 28501-1589 | 2013-12-17 |
| 1376980482 | Mallory Conway Tucker | Nurse Practitioner | 701 Doctors Dr, Suite N, Kinston, NC 28501-1589 | 2013-05-30 |
| 1639414915 | Kinston Clinic Pharmacy | Pharmacy | 701 Doctors Dr, Suite P, Kinston, NC 28501-1589 | 2012-11-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912428780 | Latasha Carr | Counselor | 120 Lenoir Str, B, Kinston, NC 28501 | 2017-07-03 |
| 1598295107 | Craig A Marva | Dentist | 1104 West Vernon Ave., Kinston, NC 28501 | 2017-06-15 |
| 1235535238 | Rachel Krueger | Pharmacist | 201 West Vernon Ave, Kinston, NC 28501 | 2014-11-18 |
| 1457773020 | Abigail L Hemmings | Physician Assistant | 2509 North Queen Street, Kinston, NC 28501 | 2014-01-15 |
| 1730521063 | Courtney Mitchell Iv | Dentist | 2500 N Herritage St., Suite A, Kinston, NC 28501 | 2013-07-29 |
| 1023459757 | Courtney Mitchell, IIi Dds Pa | Dentist | 2500 N. Herritage St., Suite A, Kinsten, NC 28501 | 2013-07-10 |
| 1558609602 | Jessica Meria Hendricks | Counselor | 400 Glenwood Ave Ste 2, Kinston, NC 28501 | 2013-01-24 |
| 1871853523 | Bethany Mckittrick Griffin | Pharmacist | 300 North Queen Street, Kinston, NC 28501 | 2012-05-29 |
| 1750647574 | Peter K Hobler | Counselor | 2902 N. Heritage Street, Kinston, NC 28501 | 2012-04-05 |
| 1568732154 | Michael Dion Smallwood | Counselor | 2902 A North Heritage St, Kinston, NC 28501 | 2012-01-12 |
| Find all providers in zip 28501 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235646670 | Jasper Louis Phillips Jr. | Surgery | 2522 Dogwood Ln, Kinston, NC 28504-7102 | 2018-01-08 |
| 1275791899 | Joel Simon Rose | Surgery | 701 Doctors Dr Ste A, Kinston, NC 28501-1584 | 2008-05-30 |
| 1952440539 | Asnokkumar Shivarudnappa Uppin | Surgery | 2415 West Vernon Ave, Caswell Center, Kinston, NC 28504-3321 | 2007-02-06 |
| 1194766865 | Robert M Deepe | Surgery | 204 Airport Rd, Kinston, NC 28504-8814 | 2006-06-10 |
| 1568743383 | Lenoir Memorial Hospital Inc. | Surgery | 701 Doctors Dr, Suite A, Kinston, NC 28501-1589 | 2011-09-07 |
| 1497074041 | Edgar Charles Moore Jr. | Surgery | 701 Doctors Dr, Suite A, Kinston, NC 28501-1589 | 2010-05-21 |
| 1003857772 | John Berry Jr. | Surgery | 701 Doctors Dr, Suite A, Kinston, NC 28501-1589 | 2006-06-10 |
| 1235179227 | Frank Sabiston Jr. | Surgery | 701 Doctors Drive, Ste A, Kinston, NC 28501 | 2006-06-07 |
| 1912947185 | Kinston Surgical Associates Pa | Surgery | 701 Doctors Drive, Ste A, Kinston, NC 28501 | 2006-06-07 |
| 1184687659 | Wayne Thomas Jarman | Surgery | 701 Doctors Dr, Suite A, Kinston, NC 28501-1589 | 2006-04-07 |
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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.