Karen A Supan-McPherson, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

0090-00556 Issued in NC

Practice address

106 W Wood Hill Dr
Nags Head, NC 27959-9394

Phone

(757) 264-6928

NPI assigned

Jun 7, 2006

Last updated

Dec 7, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Obxmd, P.C.

  • Urgent Care Clinic/Center
  • Kitty Hawk, NC
  • NPI 1134460892
  NPD Authorized official

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449446400000",
    "number": "1679513790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N LYNNHAVEN RD STE 100",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527523",
            "telephone_number": "757-264-6928",
            "fax_number": "757-963-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 W WOOD HILL DR",
            "city": "NAGS HEAD",
            "state": "NC",
            "postal_code": "279599394",
            "telephone_number": "757-264-6928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUPAN-MCPHERSON",
        "first_name": "KAREN",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2015-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "0090-00556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00329413",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "14150",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5902962",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James H Southern Jr., LPC
• Stacey Ann Starsman, CNM
• Gillian Lennox Stewart, DPT
• Holly Michele Strum
• Kerri Styn
• Tar River LTC Group, LLC (Colony Ridge Nursing and Rehabilitation Center)
• Kellie Deanne Tatro, PA-C, RRA, RT(R)
• The Outer Banks Hospital Inc
• The Outer Banks Hospital Inc
• The Outer Banks Hospital Inc

• Emergency Medicine Physician in Nags Head, NC
• Providers in Nags Head, NC by specialty
• Emergency Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; 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.