NPIMap

Organization Active NPI

Beaufort Regional Physicians, LLC

Doing business as Zack J. Waters Jr.,General Outpatient Surgery

  • Surgery Physician
  • Washington, NC
National Provider Identifier
1114194024
Registry record updated Mar 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
BEAUFORT REGIONAL PHYSICIANS, LLC
Doing business as
Zack J. Waters Jr.,General Outpatient Surgery
Practice address
601 E 11TH St
Washington, NC 27889-3761
Phone
(252) 946-0835
Fax
(252) 946-1796
NPI assigned
May 9, 2008
Last updated
Mar 3, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2010

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

Authorized official

Name
Mrs. Susan S Gerard
Title
Phsyician Practice Administrator
Phone
(252) 975-4203

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X Primary

Addresses

Primary practice location

601 E 11TH St
Washington, NC 27889-3761

Mailing address

601 E 11TH St
Washington, NC 27889-3761
Phone (252) 946-0835

Other names 1

  • Zack J. Waters Jr.,General Outpatient Surgery Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Beaufort County Hospital Association Inc26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

Organizations that report the same tax identification number in the National Provider Directory.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267574400000",
    "number": "1114194024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E 11TH ST",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278893761",
            "telephone_number": "252-946-0835",
            "fax_number": "252-946-1796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E 11TH ST",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278893761",
            "telephone_number": "252-946-0835",
            "fax_number": "252-946-1796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUFORT REGIONAL PHYSICIANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-09",
        "last_updated": "2010-03-03",
        "status": "A",
        "authorized_official_last_name": "GERARD",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHSYICIAN PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "252-975-4203",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zack J. Waters Jr.,General Outpatient Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.