NORTHSIDE PARK GASTROENTEROLOGY & ENDOSCOPY CENTER PLLC – NPI #1336422302
Internal Medicine

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Health Care Provider Taxonomy Code for Internal Medicine

NORTHSIDE PARK GASTROENTEROLOGY & ENDOSCOPY CENTER PLLC is a provider located in ELIZABETH CITY, NC. NPPES has assigned the NPI number 1336422302 to NORTHSIDE PARK GASTROENTEROLOGY & ENDOSCOPY CENTER PLLC on September 26, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RG0100X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Gastroenterology

The NPI profile was previously updated about 15 years ago on Oct 22, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NORTHSIDE PARK GASTROENTEROLOGY & ENDOSCOPY CENTER PLLC below.

NPI Profile for
NORTHSIDE PARK GASTROENTEROLOGY & ENDOSCOPY CENTER PLLC

NPI Number
1336422302
Enumeration Date

(more than 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NORTHSIDE PARK GASTROENTEROLOGY & ENDOSCOPY CENTER PLLC
Primary location
102 NORTHSIDE PARK DR
ELIZABETH CITY, NC 27909
Phone: (252) 335-4619 Fax: (252) 335-5744
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MICHAEL SUE
PHYSICIAN/OWNER
Phone: (252) 335-4619
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RG0100X
- Internal Medicine / Gastroenterology (Primary)		 NC 9600169
174400000X
- Specialist		 NC 151718

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.