Organization Active NPI

Central Coast Wound Physicians, PLLC

  • Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
  • Morehead City, NC
National Provider Identifier
1649530643
Registry record updated May 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianTaxonomy code 207PE0005X
License
200101037 Issued in NC
Legal business name
CENTRAL COAST WOUND PHYSICIANS, PLLC
Practice address
3722 Bridges St
Wound Healing & Hyperbaric Center
Morehead City, NC 28557-2944
Phone
(252) 808-6450
Fax
(252) 808-6498
NPI assigned
May 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2012

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

Authorized official

Name
Dr. John R Duda, M.D.
Title
General Manager
Phone
(252) 646-5350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207PE0005X 200101037 NC Primary

Addresses

Primary practice location

3722 Bridges St
Wound Healing & Hyperbaric Center
Morehead City, NC 28557-2944

Mailing address

3722 Bridges St
Wound Healing & Hyperbaric Center
Morehead City, NC 28557-2944
Phone (252) 808-6450

National Provider Directory

National Provider Directory

Locations

3722 Bridges St
Morehead City, NC 28557
Phone (252) 622-4033

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337731200000",
    "number": "1649530643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3722 BRIDGES ST",
            "address_2": "WOUND HEALING & HYPERBARIC CENTER",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285572944",
            "telephone_number": "252-808-6450",
            "fax_number": "252-808-6498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3722 BRIDGES ST",
            "address_2": "WOUND HEALING & HYPERBARIC CENTER",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285572944",
            "telephone_number": "252-808-6450",
            "fax_number": "252-808-6498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL COAST WOUND PHYSICIANS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-23",
        "last_updated": "2012-05-23",
        "status": "A",
        "authorized_official_last_name": "DUDA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "252-646-5350",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207PE0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "NC",
            "license": "200101037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morehead City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2012; 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.