EAST CAROLINA UNIVERSITY (NPI# 1649229667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649229667 |
| Entity Type | Organization |
| Organization Name | EAST CAROLINA UNIVERSITY |
| Other Organization Name | ECU PHYSICIANS |
| Practice Address |
110 Railroad Street Bethel Family Medicine Center Bethel NC 27812 |
| Mailing Address |
Po Box 751069 Charlotte NC 28275-1069 |
| Practice Telephone | 2528250355 |
| Practice Fax Number | 2528250350 |
| Mailing Telephone | 2527443253 |
| Mailing Fax Number | 2527443194 |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2008-07-09 |
| Authorized Official Name | DR. NICHOLAS H. BENSON (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2527447400 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS NC GROUP PROVIDER # | 03015 | 01 |
| NC | 8903015 | 05 | |
| NC | 8907017 | 05 |
| Other Name | Type Code |
|---|---|
| ECU Physicians | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396989133 | East Carolina University | Community/Behavioral Health | College of Allied Health Sciences-ecu, Dars - Navigate Counseling Clinic, Greenville, NC 27858-4353 | 2009-04-23 |
| 1760507990 | East Carolina University | Social Worker | Irons Building-oglesby Dr., Greenville, NC 27858 | 2007-03-20 |
| 1770622797 | East Carolina University | Pharmacy | 270 Easy St, Greenville, NC 27834-9012 | 2007-02-06 |
| 1760559926 | East Carolina University | Clinic/Center | 1001 East Fifth Street, Greenville, NC 27858-4353 | 2006-11-30 |
| 1033161575 | East Carolina University | Family Medicine | Family Medicine Center, Moye Blvd., Greenville, NC 27858 | 2006-05-16 |
| 1720039241 | East Carolina University | Family Medicine | Viquest, 2610 Stantonsburg Road, Greenville, NC 27835 | 2006-05-12 |
| 1558312934 | East Carolina University | Audiologist | Ecu, Belk Annex 5, Dept. of Communication Sciences & Disorders, Greenville, NC 27858 | 2006-05-12 |
| 1114978517 | East Carolina University | Family Medicine | Human Performance Lab, 363 Ward Sports Medicine Building, Greenville, NC 27858 | 2006-05-12 |
| 1851853592 | East Carolina University | Family Medicine | 101 Heart Dr, Greenville, NC 27834-8982 | 2019-04-02 |
| 1982028759 | East Carolina University | Dentist | 316 County Services Park, Ecu School of Dental Medicine, Sylva, NC 28779 | 2014-02-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | EAST CAROLINA UNIVERSITY | 1000 E 5th St, Greenville, NC 27858-2502 |
| Oklahoma Business Registrations | EAST CAROLINA UNIVERSITY | 105 Spilman Bldg, Greenville, NC 27858 |
| Oklahoma Business Registrations | EAST CAROLINA UNIVERSITY ALUMNI ASSOCIATION, INC. | 901 East 5th St, Greenville, NC 27858 |
| Oklahoma Business Registrations | EAST CAROLINA UNIVERSITY EDUCATIONAL FOUNDATION, INC. | 304 Ward Sports Medicine Bldg, Greenville, NC 27858 |
| Oklahoma Business Registrations | EAST CAROLINA UNIVERSITY FOUNDATION, INC. | 2200 South Charles Blvd Mail Stop 301, Greenville, NC 27858 |
| Oklahoma Business Registrations | EAST CAROLINA UNIVERSITY MEDICAL & HEALTH SCIENCES FOUNDATION, INC. | 525 Moye Blvd, Greenville, NC 27834 |
| Street Address |
110 RAILROAD STREET BETHEL FAMILY MEDICINE CENTER |
| City | BETHEL |
| State | NC |
| Zip Code | 27812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164796991 | Diannah Carol Harris | Counselor | 3640 Barnhill St, Bethel, NC 27812 | 2012-02-24 |
| 1760646814 | Carolinas Home Care Inc | Home Health | 130 West Washington St, Bethel, NC 27812 | 2008-07-17 |
| 1174745426 | Ray of Hope Incorporated | Psychologist | 713 S. Main St., Bethel, NC 27812 | 2007-05-03 |
| 1437294329 | Pwp Medical Inc | Durable Medical Equipment & Medical Supplies | 7433 Main St, Bethel, NC 27812 | 2007-02-20 |
| 1912252982 | Dwayne Preast | Pharmacist | 7433 Main St, Bethel, NC 27812 | 2012-07-17 |
| 1912949066 | Joseph Roy Smith II | Dentist | 3877 James St, Bethel, NC 27812-0018 | 2006-06-12 |
| 1073785622 | Joseph R Smith,ii, Dds,pa | Exclusive Provider Organization | 3877 James Street, Bethel, NC 27812-0936 | 2008-03-24 |
| 1821270760 | Mitchell and Crandell Family Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 7238 Main Street, Bethel, NC 27812-0982 | 2007-12-03 |
| 1669605457 | Myrtle Lee Burden | Behavioral Analyst | 149 W Railroad Street, Bethel, NC 27812-1146 | 2009-08-27 |
| 1033342068 | L.e.e. Community Support and Wellness Center, Inc | Community/Behavioral Health | 149 W Railroad St, Bethel, NC 27812-1146 | 2009-08-25 |
| Find all providers in zip 27812 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376095646 | Bethel Primary Care Center LLC | Family Medicine | 6 Stony Hill Rd, Bethel, CT 06801-1053 | 2016-11-02 |
| 1275884652 | Greenville Health Care Center, P.a. | Family Medicine | 7439 Main St, Bethel, NC 27812-7201 | 2012-09-26 |
| 1558548826 | Calvin Vermeire | Family Medicine | Yukon Kuskokwim Health Corportation, Chief Eddy Hoffman Highway, Bethel, AK 99559 | 2008-01-29 |
| 1255448783 | Heather M. Owens | Family Medicine | 210 N. Union Street, Bethel, OH 45106-1313 | 2006-08-23 |
| 1487666335 | Gaurang Shah | Family Medicine | 3088 Angel Dr, Bethel, OH 45106-9533 | 2006-08-12 |
| 1841267507 | Edward Volpintesta | Family Medicine | 155 Greenwood Ave, Bethel, CT 06801-2527 | 2006-03-02 |
| 1760472203 | Scott A Walker | Family Medicine | 700 Chief Eddie Hoffman, Kusko Clinic, Bethel, AK 99559 | 2005-10-26 |
| 1962499541 | Richard P Rawl | Family Medicine | 110 Railroad St W, Ecu Physicians Family Medicine, Bethel, NC 27812-9303 | 2005-09-29 |
| 1205218864 | Rachel Coombs | Family Medicine | 1823 Vt Rte 107, Bethel, VT 05032 | 2015-06-19 |
| 1457648420 | Catherine R Chamberlin | Family Medicine | 32 Railroad St, Bethel, ME 04217 | 2011-06-29 |
| Find all providers in BETHEL | ||||
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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.