Active NPI
Pamlico Podiatry Associates PA
- Podiatrist
- Washington, NC
National Provider Identifier
1104818418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- PAMLICO PODIATRY ASSOCIATES PA
- Practice address
- 403 W 15TH St
Washington, NC 27889-3524 - Phone
- (252) 946-0324
- Fax
- (252) 948-0558
- NPI assigned
- Aug 22, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Laura Ann Lloyd, DPM
- Title
- Owner/Podiatrist
- Phone
- (252) 946-0324
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | Primary |
Addresses
Primary practice location
403 W 15TH St
Washington, NC 27889-3524
Mailing address
403 W 15TH St
Washington, NC 27889-3524
Phone (252) 946-0324
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0805E | Other | NC | BLUE CROSS |
| 890805E | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
403 W 15th St
Washington, NC 27889
Phone (252) 946-0324
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Washington, NC
- NPI 1154314391
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124668800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205107200000",
"number": "1104818418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 W 15TH ST",
"city": "WASHINGTON",
"state": "NC",
"postal_code": "278893524",
"telephone_number": "252-946-0324",
"fax_number": "252-948-0558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 W 15TH ST",
"city": "WASHINGTON",
"state": "NC",
"postal_code": "278893524",
"telephone_number": "252-946-0324",
"fax_number": "252-948-0558"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAMLICO PODIATRY ASSOCIATES PA",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-22",
"last_updated": "2008-03-10",
"status": "A",
"authorized_official_last_name": "LLOYD",
"authorized_official_first_name": "LAURA",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "OWNER/PODIATRIST",
"authorized_official_telephone_number": "252-946-0324",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "0805E",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890805E",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Washington, NC
- Pamlico Counseling PLLC
- Pamlico Family Medicine & Wellness Center, PLLC
- Pamlico Internal Medicine Associates Inc
- Pamlico Medical Equipment, LLC
- Pamlico Pediatric Therapy
- Pamlico River Behavioral Health, PLLC
- Pamlico River Recovery Services LLC
- Laurel Eichelberger Paramore, MSW, LCSW
- Anna Woods Parker
- Corey Ange Parker
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.