CAROLINAEAST PHYSICIANS NPI 1689105603

NPI Information

NPI: 1689105603
Provider Name: CAROLINAEAST PHYSICIANS
Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 34D2136291

Address:
241 FREEDOM WAY
JACKSONVILLE, NC
ZIP 28544
Phone: (910) 938-3099
Get Directions

CAROLINAEAST PHYSICIANS is an urology in Jacksonville, NC. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. CAROLINAEAST PHYSICIANS NPI is 1689105603. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

241 FREEDOM WAY
JACKSONVILLE, NC
ZIP 28544-418
Phone: (910) 938-3099
Fax: (910) 938-3243

The provider's authorized official is Tammy Sherron .
The authorized official title is Vp Finance/cfo and has the following contact phone number (252) 633-8880.

The CLIA number assigned to this NPI record is 34D2136291 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 3/22/2017 and was last updated on 3/22/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207Q00000X	Family Medicine		No
2	207R00000X	Internal Medicine		No
3	207RC0000X	Internal Medicine	Cardiovascular Disease	No
4	207RC0001X	Internal Medicine	Clinical Cardiac Electrophysiology	No
5	207RH0003X	Internal Medicine	Hematology & Oncology	No
6	207Y00000X	Otolaryngology		No
7	208000000X	Pediatrics		No
8	208100000X	Physical Medicine & Rehabilitation		No
9	2084N0400X	Psychiatry & Neurology	Neurology	No
10	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery)		No
11	208M00000X	Hospitalist		No
12	208800000X	Urology		Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2347316C	MEDICARE PIN	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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