OPEN WATER MEDICAL, PA – NPI #1669852372
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

OPEN WATER MEDICAL, PA is a provider located in MOREHEAD CITY, NC. NPPES has assigned the NPI number 1669852372 to OPEN WATER MEDICAL, PA on June 08, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 4 years ago on Feb 24, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for OPEN WATER MEDICAL, PA below.

NPI Profile for
OPEN WATER MEDICAL, PA

NPI Number
1669852372
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
OPEN WATER MEDICAL, PA
Primary location
3106 ARENDELL STREET
MOREHEAD CITY, NC 28557-3202
Phone: (252) 808-2500 Fax: (252) 808-2501
Mailing address
1620 C LIVE OAK STREET
BEAUFORT, NC 28516-1583
Phone: (252) 728-5737 Fax: (252) 728-5739
Organization Subpart
No
Authorized Official
TISHA SMITH
PRACTICE MANAGER
Phone: (252) 728-5737
Updated
Certification Date
Feb 24, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)		 NC 30580

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
www.carecloud.com
Endpoint type
Other URL
Endpoint Description
PASSWORDS AND FIREWALLS
Content Type
OTHER
Affiliation
N
Endpoint Location
3106 ARENDELL ST,
MOREHEAD CITY, NC 77025-1669