Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Northside Park Gastroenterology & Endoscopy Center PLLC

Organization Specialist · NPI 1336422302

Northside Park Gastroenterology & Endoscopy Center PLLC is a Specialist in Elizabeth City, North Carolina. Licensed in North Carolina. Registered with an NPI since 2011.

Licensed in
NC
In the registry since
2011
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

102 Northside Park Dr
Elizabeth City, NC 27909
Phone: (252) 335-4619
Fax: (252) 335-5744
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 9600169 (NC)
Specialist Taxonomy 174400000X · Licence 151718 (NC)

Record details

NPI number1336422302
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Sue — Physician/Owner · (252) 335-4619
NPI enumeratedSeptember 26, 2011
Last updated in NPPESOctober 22, 2011
Mailing address102 Northside Park Dr, Elizabeth City, NC 27909

Other providers in Elizabeth City