EAST CAROLINA HEALTH-BERTIE (NPI# 1619955705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619955705 |
| Entity Type | Organization |
| Organization Name | EAST CAROLINA HEALTH-BERTIE |
| Other Organization Name | PROFESSIONAL ED BILLING BERTIE MEMORIAL HOSPITAL |
| Practice Address |
1403 S King St Windsor NC 27983-9666 |
| Mailing Address |
Po Box 509 Windsor NC 27983-0509 |
| Practice Telephone | 2527946685 |
| Practice Fax Number | 2527946771 |
| Mailing Telephone | 2527946685 |
| Mailing Fax Number | 2527946771 |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2009-06-22 |
| Authorized Official Name | MR. JEFFREY N. SACKRISON (PRESIDENT) |
| Authorized Official Telephone | 2527946600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | H0268 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5950582 | 05 | |
| NC | BCBS | 020VP | 01 |
| Other Name | Type Code |
|---|---|
| Professional ED Billing Bertie Memorial Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013999705 | East Carolina Health-bertie | General Acute Care Hospital | 1403 S King St, Windsor, NC 27983-9666 | 2005-11-17 |
| 1578541660 | East Carolina Health-bertie | Emergency Medicine | 1403 S King St, Windsor, NC 27983-9666 | 2006-01-09 |
| 1568440865 | East Carolina Health-bertie | General Acute Care Hospital | 1403 S King St, Windsor, NC 27983-9666 | 2006-01-06 |
| 1003894304 | East Carolina Health-bertie | Nurse Anesthetist, Certified Registered | 1403 S King St, Windsor, NC 27983-9666 | 2006-01-06 |
| Street Address |
1403 S KING ST |
| City | WINDSOR |
| State | NC |
| Zip Code | 27983-9666 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013999705 | East Carolina Health-bertie | General Acute Care Hospital | 1403 S King St, Windsor, NC 27983-9666 | 2005-11-17 |
| 1245724905 | Christopher Michael Gregorski | Physical Therapist | 1403 S King St, Windsor, NC 27983-9666 | 2018-06-17 |
| 1487847273 | Amanze Olufemi Ofondu Ugoji | Family Medicine | 1403 S King St, Windsor, NC 27983-9666 | 2007-08-24 |
| 1457387383 | Louis Velazquez | Physician Assistant | 1403 S King St, Windsor, NC 27983-9666 | 2006-06-23 |
| 1326074410 | John Edward Killgore | Nurse Practitioner | 1403 S King St, Windsor, NC 27983-9666 | 2006-06-23 |
| 1649228750 | Phillip Gordon Harris | Family Medicine | 1403 S King St, Windsor, NC 27983-9666 | 2006-05-04 |
| 1437107547 | Edward Carl Warren | Physician Assistant | 1403 S King St, Windsor, NC 27983-9666 | 2006-05-04 |
| 1013965060 | Timothy Charles Madigan | Family Medicine | 1403 S King St, Windsor, NC 27983-9666 | 2006-05-04 |
| 1538127337 | Shawn Michael Wagner | Physician Assistant | 1403 S King St, Windsor, NC 27983-9666 | 2006-05-02 |
| 1427027010 | Jay R Oswald | Physician Assistant | 1403 S King St, Windsor, NC 27983-9666 | 2006-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528666187 | Daughters Like Me, LLC | Respite Care | 109 W Byrd Street, Windsor, NC 27983 | 2020-10-15 |
| 1982220018 | Marlee Sloan | Specialist/Technologist | 705 Us Hwy 13n, Windsor, NC 27983 | 2020-06-24 |
| 1295237774 | Myeyedr Optometry of North Carolina, Pllc | Optometrist | 105 E Granville Street, Windsor, NC 27983 | 2018-03-01 |
| 1013356138 | Rachel Dorothea Smith | Pharmacist | 119 U.S. Highway 13 Bypass, Windsor, NC 27983 | 2013-06-21 |
| 1689938219 | Rivers Edge Assisted Living | Assisted Living Facility | 205 W. Watson St., Windsor, NC 27983 | 2012-06-28 |
| 1336311034 | Health Care Options of The East | Home Health | 202 C Us 13 Bypass, Windsor, NC 27983 | 2008-04-02 |
| 1780740191 | Rachel's House | Residential Treatment Facility, Emotionally Disturbed Children | 336 Us 13-17 Hwy S, Windsor, NC 27983 | 2006-12-29 |
| 1730272436 | Uplift Comprehensive Services | Residential Treatment Facility, Emotionally Disturbed Children | 312 Sterlingworth Street, Windsor, NC 27983 | 2006-10-02 |
| 1568416055 | County of Bertie | Ambulance | 106 Dundee St, Windsor, NC 27983 | 2006-05-20 |
| 1376517185 | Mediport Inc | Non-emergency Medical Transport (VAN) | 344 School Road, Windsor, NC 27983 | 2006-02-16 |
| Find all providers in zip 27983 | ||||
| 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 |
|---|---|---|---|---|
| 1831284520 | Thomas Jeffrey Jude Therrien | Emergency Medicine | 413 Whitney Hbr, Windsor, CO 80550-6163 | 2006-10-04 |
| 1336103324 | Joshua Shepard Kucker | Emergency Medicine | 179 Bouquet Cir, Windsor, CA 95492-9607 | 2006-04-14 |
| 1578541660 | East Carolina Health-bertie | Emergency Medicine | 1403 S King St, Windsor, NC 27983-9666 | 2006-01-09 |
| 1558358747 | Windsor Hospital Corporation | Emergency Medicine | 289 County Rd, Windsor, VT 05089-9000 | 2005-10-03 |
| 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.