Active NPI
Central Coast Wound Physicians, PLLC
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- Morehead City, NC
National Provider Identifier
1649530643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- License
- 200101037
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Undersea and Hyperbaric Medicine (Emergency Medicine) Physician | 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 DirectoryLocations
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.
-
- Gynecology Physician
- Morehead City, NC
- NPI 1023117926
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.