Provider Demographics
NPI:1629208350
Name:CAROLINAEAST PHYSICIANS
Entity Type:Organization
Organization Name:CAROLINAEAST PHYSICIANS
Other - Org Name:CAROLINAEAST HOSPITALIST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP/CFO FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:CAUBLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-633-8880
Mailing Address - Street 1:PO BOX 602463
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-2463
Mailing Address - Country:US
Mailing Address - Phone:252-672-7738
Mailing Address - Fax:252-635-6951
Practice Address - Street 1:2000 NEUSE BLVD
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28560-3449
Practice Address - Country:US
Practice Address - Phone:252-672-7738
Practice Address - Fax:252-635-6951
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-15
Last Update Date:2010-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5912395Medicaid
NC021WHOtherBCBS
NC2347316AMedicare Oscar/Certification