Provider Demographics
NPI:1467405431
Name:EASTERN CAROLINA PHYSICIANS P.A.
Entity Type:Organization
Organization Name:EASTERN CAROLINA PHYSICIANS P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:HERSCHEL
Authorized Official - Last Name:HECK
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:252-523-0026
Mailing Address - Street 1:744 AIRPORT RD
Mailing Address - Street 2:
Mailing Address - City:KINSTON
Mailing Address - State:NC
Mailing Address - Zip Code:28504-8800
Mailing Address - Country:US
Mailing Address - Phone:252-523-0026
Mailing Address - Fax:252-523-1855
Practice Address - Street 1:744 AIRPORT RD
Practice Address - Street 2:
Practice Address - City:KINSTON
Practice Address - State:NC
Practice Address - Zip Code:28504-8800
Practice Address - Country:US
Practice Address - Phone:252-523-0026
Practice Address - Fax:252-523-1855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-18
Last Update Date:2012-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC40032207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8940896OtherMEDICAID PROVIDER NUMBER
NC1033105739OtherJOHN JOHN M.D. NPI #
NC1306832001OtherCHRISTIE WESTBROOK PA
NC1780670695OtherGARY HECK D.O. NPI #
NC03216OtherMEDICARE RAILROAD PTAN
NCG79098OtherDR. JOHN K JOHN MEDICARE UPIN
NC8901960OtherEASTERN CAROLINA PHYSICIANS GROUP MEDICAID FOR KINSTON
NC5905891OtherDR CABUNGCAL MEDICAID PROVIDER NUMBER
NCP45612OtherMEDICARE UPIN CHRISTIE WESTBROOK PAC
1841234523OtherNPI CABUNGCAL
NC2064572OtherDR CATHERINE CABUNGCAL MEDICARE PROVIDER NUMBER
NC5908296OtherEASTERN CAROLINA PHYSICIANS GROUP MEDICAID FOR BEULAVILLE
NC1043238587OtherS FREDERICK NPI#
NC1740361369OtherNPI HEATHER TYNDALL
NC0326Medicare ID - Type UnspecifiedGROUP NUMBER
NC8901960OtherEASTERN CAROLINA PHYSICIANS GROUP MEDICAID FOR KINSTON
NC5905891OtherDR CABUNGCAL MEDICAID PROVIDER NUMBER
1841234523OtherNPI CABUNGCAL
NC1306832001OtherCHRISTIE WESTBROOK PA
NCG79098OtherDR. JOHN K JOHN MEDICARE UPIN
NC2759273AMedicare PIN