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EDENTON INTERNAL MEDICINE PA
NPI 1104816396
Internal Medicine in Edenton, NC

Active since October 27, 2005
104 MARK DR, EDENTON, NC 27932(252) 482-5171(252) 482-5173 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Edenton Internal Medicine Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDENTON INTERNAL MEDICINE PA (NPI 1104816396) is a healthcare organization registered as an internal medicine in Edenton, North Carolina and active in the NPI registry since October 2005. The organization lists Joseph Ray Haskett, President, as its authorized official.

NPPES Registry Identity

NPI1104816396
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameEDENTON INTERNAL MEDICINE PA
Location Address104 MARK DREdenton, NC 27932-1756
Mailing AddressPo Box 1210Edenton, NC 27932-1210 · (252) 482-5171 · Fax (252) 482-5173
Phone(252) 482-5171
Fax(252) 482-5173
Organization SubpartNo
Authorized OfficialJoseph Ray HaskettPresident · (252) 482-5171
Enumeration DateOctober 27, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1104816396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
104 MARK DR, Edenton, NC 27932
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Other Identifiers 1

Medicaid890127HNC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSEPH RAY HASKETT JR. MD
Internal Medicine
104 MARK DR
EDENTON, NC 27932
Chowan County (252) 482-5171
JAFFER HUSSAIN M.D.
Internal Medicine
104 MARK DR
EDENTON, NC 27932
Chowan County (252) 482-5171
ATIF NASRULLAH
Internal Medicine
104 MARK DR
EDENTON, NC 27932
Chowan County (252) 482-5171
RUCHI BHATTARAI
Internal Medicine
104 MARK DR
EDENTON, NC 27932
Chowan County (469) 451-8535
JOHN STAFFORD TAYLOR MD
Internal Medicine
104 MARK DR
EDENTON, NC 27932
Chowan County (252) 482-5171

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edenton Internal Medicine PA's NPI number?

The NPI number for Edenton Internal Medicine PA is 1104816396. It was assigned to this organization in the NPPES registry on October 27, 2005.

Where is Edenton Internal Medicine PA located?

Edenton Internal Medicine PA is located at 104 Mark Dr, Edenton, NC 27932. The listed phone number is (252) 482-5171.

What is Edenton Internal Medicine PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Edenton Internal Medicine PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.