Seaside Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

SEASIDE PEDIATRICS

Practice address

1606 Wellington Ave
Suite E
Wilmington, NC 28401-7747

Phone

(910) 452-1999

Fax

(910) 452-1883

NPI assigned

Jan 5, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Edgar O Horger, MD

Title

President

Phone

(910) 452-1999

Specialties & licenses 1

Addresses

Other identifiers 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

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edgar O Horger IV, MD

  • Pediatrics Physician
  • Wilmington, NC
  • NPI 1205947009
  NPD (past)
• Jessica Beth Jaskolka, M.D.

  • Pediatrics Physician
  • Wilmington, NC
  • NPI 1316164155
  NPD (past)
• Elizabeth Kahn Meine, MD

  • Pediatrics Physician
  • Wilmington, NC
  • NPI 1861570269
  NPD (past)
• Ashley Holland Putney, PNP

  • Pediatric Nurse Practitioner
  • Wilmington, NC
  • NPI 1083858559
  NPD (past)

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

{
    "created_epoch": "1231113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1346486891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1606 WELLINGTON AVE",
            "address_2": "SUITE E",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017747",
            "telephone_number": "910-452-1999",
            "fax_number": "910-452-1883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 WELLINGTON AVE",
            "address_2": "SUITE E",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017747",
            "telephone_number": "910-452-1999",
            "fax_number": "910-452-1883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASIDE PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-05",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "HORGER",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-452-1999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8943705",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Seashore Drugs Akshar Inc.
• Seashore Drugs Inc
• Seashore Eye Associates, OD, PLLC
• Seashore Women'S Health, PLLC
• Seaside Early Childhood & Inclusion Services
• Seaside Speech Solutions, PLLC
• Seaside Steps, LLC
• Brent L Seaver, D.C.
• Nathan Ryan Seay
• Ethan James Sebring, PHARMD, CPP

• Pediatrics Physician in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Pediatrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.