Active NPI
Pamlico Medical Center PA
Doing business as Oriental Medical Center
- Neuromusculoskeletal Medicine & OMM Physician
- Oriental, NC
National Provider Identifier
1285781740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuromusculoskeletal Medicine & OMM Physician
- Legal business name
- PAMLICO MEDICAL CENTER PA
- Doing business as
- Oriental Medical Center
- Practice address
- 901 Broad St
Oriental, NC 28571 - Phone
- (252) 249-2888
- Fax
- (252) 249-3166
- NPI assigned
- Jan 5, 2007
- Last updated
- Oct 16, 2008
- Organization subpart
- Yes
- Parent organization
- PAMLICO MEDICAL CENTER PA
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Marc A Willi, MD
- Title
- Officer
- Phone
- (252) 249-2888
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | NC | Primary |
Addresses
Primary practice location
901 Broad St
Oriental, NC 28571
Mailing address
PO Box 1058
Oriental, NC 28571-1058
Phone (252) 249-2888
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8902364 | Medicaid | NC | |
| 02364 | Other | NC | BLUE CROSS BLUE SHIELD |
Other names 1
- Oriental Medical Center
National Provider Directory
National Provider Directory- Part of
- Pamlico Medical Center
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1224115200000",
"number": "1285781740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1058",
"city": "ORIENTAL",
"state": "NC",
"postal_code": "285711058",
"telephone_number": "252-249-2888",
"fax_number": "252-249-3166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 BROAD ST",
"city": "ORIENTAL",
"state": "NC",
"postal_code": "28571",
"telephone_number": "252-249-2888",
"fax_number": "252-249-3166"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAMLICO MEDICAL CENTER PA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PAMLICO MEDICAL CENTER PA",
"enumeration_date": "2007-01-05",
"last_updated": "2008-10-16",
"status": "A",
"authorized_official_last_name": "WILLI",
"authorized_official_first_name": "MARC",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OFFICER",
"authorized_official_telephone_number": "252-249-2888",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "204D00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8902364",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "02364",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Oriental Medical Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Oriental, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.