OPEN WATER MEDICAL, PA


Address: 4008 Nc-42, Wilson, NC 27893
Phone: 2522912215

OPEN WATER MEDICAL, PA (NPI# 1942772983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942772983
Entity Type Organization
Organization Name OPEN WATER MEDICAL, PA
Practice Address 4008 Nc-42
Wilson
NC 27893
Mailing Address 1620c Live Oak St
Beaufort
NC 28516-1583
Practice Telephone 2522912215
Practice Fax Number 2522372281
Mailing Telephone 2527285737
Mailing Fax Number 2527285739
Enumeration Date 2018-12-31
Last Update Date 2018-12-31
Authorized Official Name MRS. TISHA RAE SMITH (PRACTICE MANAGER)
Authorized Official Telephone 2527285737
Is Organization Subpart Y
Parent Organization Name OPEN WATER MEDICAL, PA

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1760921613 Open Water Medical, Pa Family Medicine 109 South Vance St, Sanford, NC 27330 2017-02-13
1437531100 Open Water Medical, Pa Family Medicine 1303 Water Plant Rd, Zebulon, NC 27597-8615 2015-06-18
1750482493 Open Water Medical, Pa Clinic/Center 1620 Live Oak St Ste C, Beaufort, NC 28516-1582 2006-09-26
1720550940 Open Water Medical, Pa Clinic/Center 1209 E Ash St, Goldsboro, NC 27530-5103 2018-12-28
1669852372 Open Water Medical, Pa Family Medicine 3106 Arendell Street, Morehead City, NC 28557-3202 2015-06-08

Office Location

Street Address 4008 NC-42
City WILSON
State NC
Zip Code 27893

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245847524 Graceland Student Services LLC Early Intervention Provider Agency 610 Fairview Ave., Wilson, NC 27893 2020-09-30
1508477894 Evan Michael Abatiell Specialist/Technologist 400 Atlantic Christian E West Ne, Wilson, NC 27893 2020-08-11
1679100606 Newgreen Inhomecare Group Inc Registered Nurse 121 Nast Street N, Wilson, NC 27893 2020-03-27
1679043244 Madison Rose Propst Social Worker 2416 Bedgood, Wilson, NC 27893 2018-11-27
1104396753 Laboratory Corporation of America Holdings Clinical Medical Laboratory 2500 Horton Blvd, Wilson, NC 27893 2018-11-27
1528545498 North Carolina In-home Partner-viii, LLC Home Health 1901 Tarboro St Sw Ste 304, Wilson, NC 27893 2018-07-24
1518478957 Home Away From Home, Inc. In Home Supportive Care 1723 Meadowbrook Lane W., Wilson, NC 27893 2017-10-12
1942721295 Sandra Susan Blazek Social Worker 608 Nash Street Nw, Wilson, NC 27893 2017-06-27
1700306297 Kimberly Denton Almkuist Nurse Practitioner Wilson County Health Department, 1801 Glendale Dr. Sw, Wilson, NC 27893 2017-06-26
1356786909 John Philip Clarke Orthotist 118 Nash St E, Suite E, Wilson, NC 27893 2013-05-08
Find all providers in zip 27893

Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467551291 Hannahville Health Center Pharmacy Clinic/Center N15019 Hannahville B-1 Rd, Wilson, MI 49896 2006-09-21
1801143805 Wilson Community Family Practice Clinic/Center 114 Brentwood Center Ln N, Wilson, NC 27896-1710 2012-08-08
1174589345 Wilson Dermatology Clinic Pa Clinic/Center 2874 Ward Blvd, Wilson, NC 27893-1761 2006-04-25

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1649871807 Little Beam Rehabilitation Services Clinic/Center 1745 Us Highway 64 W, Plymouth, NC 27962-9325 2020-11-04
1962000828 Flash Rsn Family and Urgent Care, Pllc Clinic/Center 316 Summerwalk Rd, Greensboro, NC 27455-1556 2020-10-13
1225645542 Island Time Medical and Wellness, Pllc Clinic/Center 39 Dowitcher Trl, Bald Head Island, NC 28461 2020-09-30
1558977074 Zoe Wellness Clinic/Center 5322 Nc 55, 102, Durham, NC 27713 2020-09-21
1568088672 Whole Life Chiropractic PC Clinic/Center 5410 Page Rd Ste 3, Durham, NC 27703-8230 2020-06-24
1487270674 Fall Forward Wellness Center Clinic/Center 12709 Caldwell Rd, Charlotte, NC 28213-3811 2020-06-23
1710510482 Tailored Telehealth Clinic/Center 218 Westover Dr, Asheville, NC 28801-1638 2020-02-20
1114567930 Metroview Healthcare Solutions Inc Clinic/Center 301 E John St Ste 2501, Matthews, NC 28105-4837 2020-01-09
1174160923 Newell Health Clinic/Center 10208 Cerny St Ste 308, Raleigh, NC 27617-7885 2019-11-27
1871138644 Ourhealth Physicians Group, LLC Clinic/Center 2335 Matthews Township Pkwy Ste 101, Matthews, NC 28105-2403 2019-11-15
Find all providers with the same taxonomy

Competitor

Search similar providers

City WILSON
Zip Code 27893

Improve Information

Please comment or provide details below to improve the information on OPEN WATER MEDICAL, PA.

Dataset Information

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.

Trending Searches