| Gastroenterology East Pa | |
|
2210 Hemby Lane Greenville NC 27834-3777 | |
| (252) 551-3000 | |
| Not Available |
| Full Name | Gastroenterology East Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 2210 Hemby Lane, Greenville, North Carolina |
| Authorized Official Name and Position | Jack C Cole (DIRECTOR) |
| Authorized Official Contact | 2525513000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastroenterology East Pa 2210 Hemby Lane Greenville NC 27834-3777 Ph: (252) 551-3000 | Gastroenterology East Pa 2210 Hemby Lane Greenville NC 27834-3777 Ph: (252) 551-3000 |
| NPI Number | 1053406298 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 08/19/2022 |
| Medicare PECOS PAC ID | 4880799485 |
|---|---|
| Medicare Enrollment ID | O20070410000202 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053406298 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | (* (Not Available)) | Secondary |
| Provider Name | Linda B Sheldon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679687107 PECOS PAC ID: 8325002231 Enrollment ID: I20041118001125 |
| Provider Name | Jack C Cole |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477549376 PECOS PAC ID: 2264465707 Enrollment ID: I20050914001184 |
| Provider Name | Kurt Vernon |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871559930 PECOS PAC ID: 7012958135 Enrollment ID: I20071030000196 |
| Provider Name | Michael E Roth |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1689887739 PECOS PAC ID: 6103913363 Enrollment ID: I20071105000188 |
| Provider Name | Hong Catherine Li |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1114120938 PECOS PAC ID: 2769573054 Enrollment ID: I20080813000373 |
| Provider Name | Jessica L Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376781609 PECOS PAC ID: 3678622289 Enrollment ID: I20090601000043 |
| Provider Name | Peter J Kragel |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1588656821 PECOS PAC ID: 2264575505 Enrollment ID: I20100303000165 |
| Provider Name | Cyrus Koresh Manavi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1194905778 PECOS PAC ID: 1355472226 Enrollment ID: I20100622000524 |
| Provider Name | Romualdo Velez Talento |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1902099187 PECOS PAC ID: 2668504200 Enrollment ID: I20100719000223 |
| Provider Name | Christopher Page Jordan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1194791988 PECOS PAC ID: 7517979776 Enrollment ID: I20110120000226 |
| Provider Name | Benjamin Lee Coulter |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1174782205 PECOS PAC ID: 8527201011 Enrollment ID: I20130903000186 |
| Provider Name | Ugonna C Iroku |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467605980 PECOS PAC ID: 5092831230 Enrollment ID: I20150206002124 |
| Provider Name | George Drennan Smith |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1144457201 PECOS PAC ID: 5193040822 Enrollment ID: I20150720001799 |
| Provider Name | Heather A Larsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487021358 PECOS PAC ID: 1052621265 Enrollment ID: I20151029002963 |
| Provider Name | Anca Pop |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871515817 PECOS PAC ID: 8921047911 Enrollment ID: I20170201001896 |
| Provider Name | Shane E Hendon |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992757975 PECOS PAC ID: 9234140591 Enrollment ID: I20180918001756 |
| Provider Name | Geoffrey You |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508201609 PECOS PAC ID: 3476845603 Enrollment ID: I20190430003162 |
| Provider Name | Sonya Purushothaman |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1932528346 PECOS PAC ID: 0547519142 Enrollment ID: I20200727003114 |
| Provider Name | Donald N Tsynman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508028143 PECOS PAC ID: 2264659408 Enrollment ID: I20200811001580 |
| Provider Name | Alpesh Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003906751 PECOS PAC ID: 4587703921 Enrollment ID: I20220128002199 |
| Provider Name | Charlotte L Capizzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811604358 PECOS PAC ID: 2668845553 Enrollment ID: I20230223001169 |
| Provider Name | Jae H Kim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861578759 PECOS PAC ID: 8729119375 Enrollment ID: I20230720003010 |
Carolina Digestive Diseases, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 704 W H Smith Blvd, Greenville, NC 27834 Phone: 252-758-8181 Fax: 252-758-8182 | |
Ecu Physicians Med-peds Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 517 Moye Blvd, Greenville, NC 27834 Phone: 252-744-0766 Fax: 252-744-0392 | |
Hyster-yale - Admin Sullivan Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 Sullivan Dr, Greenville, NC 27834 Phone: 252-931-5686 | |
Ecu Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Family Medicine Center, Moye Blvd., Greenville, NC 27858 Phone: 252-744-4611 Fax: 252-744-2056 | |
Pitt County Health Department Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 201 Government Cir, Greenville, NC 27834 Phone: 252-902-2305 | |
Vecu Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2100 Stantonsburg Rd, Greenville, NC 27834 Phone: 252-847-8461 |