Fayetteville Pediatrics

LBN: John E. Gaston Md Dba
Fayetteville Pediatrics is an health care organization with primary practice located at 2312B Murchison Rd , Fayetteville NC 28301-3518. The organization recently has only one registered license in Managed Care Organizations / Health Maintenance Organization, which is considered as the primary health care specialty. John E. Gaston Md Dba can be contacted via phone (910) 488-6331, or through Gaston, Johnny Eugene via phone (910) 488-6331.

Contact Information

Primary practice address
2312B Murchison Rd Fayetteville NC 28301-3518
Phone: (910) 488-6331
Fax: (910) 488-5351
Website:
Map and Directions
Authorized official contact:
Name: Gaston, Johnny Eugene Doctor of Medicine (MD)
Phone: (910) 488-6331

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Health Maintenance Organization 302R00000X 22112 North Carolina

Profile Details

NPI number 1306965389
LBN Legal business name John E. Gaston Md Dba
DBA Doing business as Fayetteville Pediatrics
Authorized official Gaston, Johnny Eugene Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 28th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306965389 NPPES
North Carolina MEDICAID 8934945
North Carolina MEDICAID 8901585

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