Provider Demographics
NPI:1346456209
Name:CAPITAL ENDOCRINE CONSULTANTS, PA
Entity Type:Organization
Organization Name:CAPITAL ENDOCRINE CONSULTANTS, PA
Other - Org Name:JAMES S COXE III MD PA
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:FOSTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-878-1819
Mailing Address - Street 1:3434 EDWARDS MILL RD STE 112-398
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27612-4275
Mailing Address - Country:US
Mailing Address - Phone:919-878-1819
Mailing Address - Fax:
Practice Address - Street 1:3434 EDWARDS MILL RD STE 112-398
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27612-4275
Practice Address - Country:US
Practice Address - Phone:919-878-1819
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-15
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC17330174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5950532Medicaid
NC89249Medicaid