MEDICARE: DR. JOSEPH ANTHONY SARACINO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	35193	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	D4113	OTHER	NC	MEDCOST
2	74580	OTHER	NC	BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285637108
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH ANTHONY SARACINO M.D.

Provider Business Mailing Address
First Line	:	2000 PERIMETER PARK DR STE 200
Second Line	:
City	:	MORRISVILLE
State	:	NC
Zip	:	27560-8442
Country	:	US
Telephone Number	:	984-215-4110
Fax Number	:

Provider Business Practice Location Address
First Line	:	2602 N HERRITAGE ST
Second Line	:
City	:	KINSTON
State	:	NC
Zip	:	28501-1503
Country	:	US
Telephone Number	:	252-527-6565
Fax Number	:	252-233-0573

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	05/04/2022

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