Northside Park Gastroenterology & Endoscopy Center PLLC
NPI 1336422302ActiveOrganization· Internal Medicine, Gastroenterology· Elizabeth City, NC
Internal Medicine, Gastroenterology in Elizabeth City, North Carolina, registered in NPPES in September 2011. The authorized official on file is Michael Sue, MD, Physician/Owner.
Overview
| NPI | 1336422302 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 26, 2011 |
| Last updated in NPPES | Oct 22, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Gastroenterology Primary | 207RG0100X | 9600169 | NC |
| Specialist | 174400000X | 151718 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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