Organization Active NPI

Seaboard Surgical Associates PA

  • Clinic/Center
  • Washington, NC
National Provider Identifier
1265478085
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SEABOARD SURGICAL ASSOCIATES PA
Practice address
615 E 12TH St
Washington, NC 27889-3408
Phone
(252) 946-0181
Fax
(252) 946-7774
NPI assigned
Jun 21, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. James B Coleman, MDNPI 1114965324
Title
President
Phone
(252) 946-0181

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

615 E 12TH St
Washington, NC 27889-3408

Mailing address

615 E 12TH St
Washington, NC 27889-3408
Phone (252) 946-0181

National Provider Directory

National Provider Directory

Locations

615 E 12th St
Washington, NC 27889
Phone (252) 946-0181

625 E 12TH St
Washington, NC 27889
Phone (252) 946-0181

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265478085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 E 12TH ST",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278893408",
            "telephone_number": "252-946-0181",
            "fax_number": "252-946-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 E 12TH ST",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278893408",
            "telephone_number": "252-946-0181",
            "fax_number": "252-946-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEABOARD SURGICAL ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-946-0181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.