Open Water Medical, PA
Organization Active NPI General Practice Physician · Sea Level, NC
NPI 1003730169 · NPPES record last updated Aug 10, 2026
Key facts
- NPI
- 1003730169
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Physician 208D00000X
- Legal business name
- OPEN WATER MEDICAL, PA
- Practice address
- 458 Hwy 70 East
Sea Level, NC 28577 - Phone
- (252) 728-5737
- NPI assigned
- Aug 10, 2026
- Organization subpart
- Yes
- Parent organization (as reported)
- OPEN WATER MEDICAL, PA
Authorized official
- Name
- Samuel Willis
- Title
- Coo
- Phone
- (252) 723-7234
Corporate family (same tax ID) 5
National Provider Directory
- Tax ID family
- Open Water Medical PA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician |
208D00000X | Yes |
Addresses
Primary practice location
458 Hwy 70 East
Sea Level, NC 28577
Mailing address
1620C Live Oak St
Beaufort, NC 28516-1583
Phone (252) 728-5737
Other providers in Sea Level, NC
- Carteret County General Hospital Corporation
- Carteret County General Hospital Corporation
- Down East Fire Department
- Eastern Carteret Medical Center
- Snug Harbor Management LLC
- Taylor Ecf
All providers in Sea Level, NC · General Practice Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.