OBXMD, P.C. (NPI# 1134460892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134460892 |
| Entity Type | Organization |
| Organization Name | OBXMD, P.C. |
| Practice Address |
4721 N Croatan Hwy Kitty Hawk NC 27949-8912 |
| Practice Telephone | 2522567792 |
| Practice Fax Number | 2522567691 |
| Mailing Telephone | 2522567792 |
| Enumeration Date | 2013-03-06 |
| Last Update Date | 2013-03-11 |
| Authorized Official Name | KAREN A SUPAN-MCPHERSON (PRESIDENT) |
| Authorized Official Telephone | 2522567792 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
2005-01853 | NC | Ambulatory Health Care Facilities |
| Street Address |
4721 N CROATAN HWY |
| City | KITTY HAWK |
| State | NC |
| Zip Code | 27949-8912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053682435 | Footprints In Recovery LLC | Substance Abuse Rehabilitation Facility | 4721 N Croatan Hwy, Kitty Hawk, NC 27949-8912 | 2012-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194294207 | Jamie Lee Haidinger | Social Worker | 105 Trinitie Dr, Duck, NC 27949 | 2018-11-19 |
| 1831611649 | Bmsc Nc LLC | Social Worker | 150 Olde Duck Rd, Kitty Hawk, NC 27949 | 2017-07-13 |
| 1942587332 | Coastal Family Medicine and Wellness Center,pllc | Family Medicine | 5200 North Croatan Highway, Suite 7, Kitty Hawk, NC 27949 | 2011-11-14 |
| 1326360371 | The Wellness Center of The Outer Banks Inc | Chiropractor | 3723 N. Croatan Hwy, Unit G, Kitty Hawk, NC 27949 | 2010-02-18 |
| 1467623900 | Albemarle Eye Center, Pllc | Optometrist | 3524 N Croatan Hwy, Kitty Hawk, NC 27949 | 2008-03-12 |
| 1982761854 | Donald E Lovis | Physical Therapist | 5567 N Croatan Highway, Kitty Hawk, NC 27949 | 2007-01-02 |
| 1639247349 | Donna Epley Trivette | Speech-Language Pathologist | 113 Light Keepers Way, Kitty Hawk, NC 27949 | 2006-12-01 |
| 1710062815 | Ken J Tompkins Md PC | Dermatology | 5565 Croatan Highway, Kitty Hawk, NC 27949 | 2006-10-26 |
| 1063420420 | Amy Marie Dougherty | Physical Therapist | 102 Pinnacle Ct, Kitty Hawk, NC 27949 | 2006-08-03 |
| 1760683163 | Christine Bowers Hutto | Nurse Practitioner | 5200 N Croatan Hwy, Beach Medical Care, Kitty Hawk, NC 27949 | 2007-05-31 |
| Find all providers in zip 27949 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699372243 | Urgent Care of Wallace, Pllc | Clinic/Center | 112 Medical Village Dr Ste G, Wallace, NC 28466-1665 | 2020-10-07 |
| 1093325250 | Cdt Healthcare | Clinic/Center | 1011 High Point St, Randleman, NC 27317-7192 | 2020-08-03 |
| 1700409562 | Range Urgent Care, Pllc | Clinic/Center | 201 Nc Highway 9, Black Mountain, NC 28804 | 2020-05-27 |
| 1649899279 | Queens Empire Health | Clinic/Center | 3280 Henderson Dr Ste C-1, Jacksonville, NC 28546-5289 | 2020-04-14 |
| 1255950325 | Northern Hospital District of Surry County | Clinic/Center | 119 Welch Rd Ste A, Mount Airy, NC 27030-5274 | 2020-04-09 |
| 1801453089 | Mediq Urgent Care PC | Clinic/Center | 12201 N Nc Highway 150 Ste 11, Winston Salem, NC 27127-9731 | 2019-05-23 |
| 1144887324 | Bettermed of North Carolina Pllc | Clinic/Center | 2304 Matthews Township Pkwy Ste 104, Matthews, NC 28105-2693 | 2019-05-23 |
| 1992361992 | First Call Medical Group Pllc | Clinic/Center | 210 Charlois Blvd, Winston Salem, NC 27103-1552 | 2019-05-15 |
| 1679066658 | Afc Urgent Care and Family Care of Wnc, Pllc | Clinic/Center | 10102 Johnston Rd, Charlotte, NC 28210 | 2018-06-13 |
| 1639661796 | Opportunities Industrialization Center, Inc | Clinic/Center | 260 Albemarle Avenue, Rocky Mount, NC 27801 | 2018-06-05 |
| Find all providers with the same taxonomy | ||||
| City | KITTY HAWK |
| Zip Code | 27949 |
Please comment or provide details below to improve the information on OBXMD, P.C..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.