PAMLICO MEDICAL CENTER PA (NPI# 1285781740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285781740 |
| Entity Type | Organization |
| Organization Name | PAMLICO MEDICAL CENTER PA |
| Other Organization Name | ORIENTAL MEDICAL CENTER |
| Practice Address |
901 Broad St Oriental NC 28571 |
| Mailing Address |
Po Box 1058 Oriental NC 28571-1058 |
| Practice Telephone | 2522492888 |
| Practice Fax Number | 2522493166 |
| Mailing Telephone | 2522492888 |
| Mailing Fax Number | 2522493166 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2008-10-16 |
| Authorized Official Name | DR. MARC A WILLI (OFFICER) |
| Authorized Official Telephone | 2522492888 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | PAMLICO MEDICAL CENTER PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine & OMM | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8902364 | 05 | |
| NC | BLUE CROSS BLUE SHIELD | 02364 | 01 |
| Other Name | Type Code |
|---|---|
| Oriental Medical Center | Doing Business As Name - Organization |
| Street Address |
901 BROAD ST |
| City | ORIENTAL |
| State | NC |
| Zip Code | 28571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841233871 | Marc A Willi | Family Medicine | 901 Broad St, Oriental, NC 28571-9783 | 2006-06-14 |
| 1386194397 | Coastal Carolina Health Care Pa | Clinic/Center | 901 Broad St, Oriental, NC 28571-9783 | 2016-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114425501 | Amy Tankersley | Massage Therapist | 503 Church St., #11, Oriental, NC 28571 | 2018-01-31 |
| 1760773337 | Denton Pharmacy, Inc | Pharmacy | 807 D Broad St, Oriental, NC 28571 | 2011-04-29 |
| 1780827634 | David Chase Kibbe | Family Medicine | 1105 Link Ln, Oriental, NC 28571 | 2009-04-08 |
| 1174764005 | Florence Elizabeth Perry | Pharmacist | 642 Oriental Rd, Oriental, NC 28571 | 2009-03-24 |
| 1275921983 | Polly Meyer | Physical Therapist | 1006 Broad Street, Oriental, NC 28571 | 2015-01-05 |
| 1306101720 | Lisa M Piper | Physical Therapist | 1006 Broad St, Oriental, NC 28571 | 2012-07-11 |
| 1629389812 | Elaine E Hills | Physical Therapist | 1006 Broad Street, Oriental, NC 28571 | 2010-06-23 |
| 1891867792 | Jan Powers Laguardia | Physical Therapist | 1006 Broad Street, Oriental, NC 28571 | 2006-11-15 |
| 1205809423 | Jennifer H Smart | Specialist | 1006 Broad Street, Oriental, NC 28571-0769 | 2006-02-08 |
| 1093916538 | Village Health & Fitness | Clinic/Center | 1006 Broad St, Oriental, NC 28571-0894 | 2007-05-31 |
| Find all providers in zip 28571 | ||||
| Taxonomy Code | 204D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine & OMM |
| The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. |
| Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition] - Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750761409 | Nicole Maree Rice | Neuromusculoskeletal Medicine & OMM | 690 Sunset Blvd N Ste 109, Sunset Beach, NC 28468-5610 | 2015-06-08 |
| 1912021692 | Carteret Pain Medicine, Pllc | Neuromusculoskeletal Medicine & OMM | 5053 Executive Dr Ste B, Morehead City, NC 28557-2506 | 2007-03-19 |
| 1114944907 | Eric J Rentz | Neuromusculoskeletal Medicine & OMM | 100 Honey Bear Ln, Banner Elk, NC 28604-6802 | 2006-07-16 |
| 1184667883 | James Bryan Cox | Neuromusculoskeletal Medicine & OMM | 721 D Malcolm Blvd, Rutherford College, NC 28671-2867 | 2006-06-13 |
| 1942257118 | The Andersen Clinic PC | Neuromusculoskeletal Medicine & OMM | 5045 Hendersonville Rd, Fletcher, NC 28732-6606 | 2006-05-31 |
| 1396706156 | Charles Hubert Hutchins | Neuromusculoskeletal Medicine & OMM | 750 Cox Rd, Gastonia, NC 28054-3481 | 2006-03-31 |
| 1245870484 | Compass Functional Medicine Pllc | Neuromusculoskeletal Medicine & OMM | 3706 Morganton Rd, Fayetteville, NC 28303-4963 | 2020-01-15 |
| 1528404415 | Johnston Specialty Physician Services, Inc. | Neuromusculoskeletal Medicine & OMM | 507 N Brightleaf Blvd, Suite 100, Smithfield, NC 27577-4405 | 2013-05-17 |
| 1689019259 | Ecu Medicine Neurology Services | Neuromusculoskeletal Medicine & OMM | 2280 Hemby Ln, Greenville, NC 27834-3773 | 2013-05-08 |
| 1063708378 | Megan P. Johnson | Neuromusculoskeletal Medicine & OMM | 214 E Elm St, Graham, NC 27253-3022 | 2011-06-24 |
| Find all providers with the same taxonomy | ||||
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| 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.