White Oak Medical PLLC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-00402 Issued in NC

Legal business name

WHITE OAK MEDICAL PLLC

Practice address

205 Ward Rd
Suite #2
Swansboro, NC 28584-8265

Phone

(910) 326-3742

NPI assigned

Oct 20, 2015

Last updated

Oct 17, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Johnathan Eric Sawyer, P.A.NPI 1821108630

Title

Physician Assistant

Phone

(910) 326-3742

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Johnathan Eric Sawyer, PAC

  • Physician Assistant
  • Swansboro, NC
  • NPI 1821108630
  Medicare reassignment Authorized official
• Barbara Lori Pohlman, MD, MPH

  • Internal Medicine Physician
  • Cedar Point, NC
  • NPI 1518938539
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1445299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476662400000",
    "number": "1073985800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 WARD RD",
            "address_2": "SUITE #2",
            "city": "SWANSBORO",
            "state": "NC",
            "postal_code": "285848265",
            "telephone_number": "910-326-3742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 WARD RD",
            "address_2": "SUITE #2",
            "city": "SWANSBORO",
            "state": "NC",
            "postal_code": "285848265",
            "telephone_number": "910-326-3742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE OAK MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-20",
        "last_updated": "2016-10-17",
        "status": "A",
        "authorized_official_last_name": "SAWYER",
        "authorized_official_first_name": "JOHNATHAN",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "910-326-3742",
        "authorized_official_credential": "P.A."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-00402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physician Assistant in Swansboro, NC
• Providers in Swansboro, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.