Active NPI
Edward James Healy, PAC
- Physician Assistant
- Elizabeth City, NC
National Provider Identifier
1710919055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 103623
- Practice address
- 1134 N Road St Ste 9
Elizabeth City, NC 27909-3365 - Phone
- (252) 338-9451
- Fax
- (252) 338-9170
- NPI assigned
- Jul 7, 2006
- Last updated
- Dec 22, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 103623 | NC | Primary |
Addresses
Primary practice location
1134 N Road St Ste 9
Elizabeth City, NC 27909-3365
Mailing address
1134 N Road St Ste 9
Elizabeth City, NC 27909-3365
Phone (252) 338-9451
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103623 | NC | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419206400000",
"number": "1710919055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1134 N ROAD ST STE 9",
"city": "ELIZABETH CITY",
"state": "NC",
"postal_code": "279093365",
"telephone_number": "252-338-9451",
"fax_number": "252-338-9170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1134 N ROAD ST STE 9",
"city": "ELIZABETH CITY",
"state": "NC",
"postal_code": "279093365",
"telephone_number": "252-338-9451",
"fax_number": "252-338-9170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEALY",
"first_name": "EDWARD",
"middle_name": "JAMES",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2014-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "103623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elizabeth City, NC
- Haven Mental Wellness PLLC
- Lushell Hayes, FNP
- Healthcore Resource Inc
- Healthcore Resource, Inc
- Healthkeeperz, Inc
- Julianna Marie Heber, M.A., BCBA
- Heidi E. Wight (Optimistic Outlook Therapy Services)
- Helianthus Positive Behavior Supports LLC
- Sara Hellwege
- Helping Hands & Caring Heart Nursing Staffing Agency Inc (Helping Hands & Caring Hearts Home Care Agency)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.