NPIMap

Organization Active NPI

The Outer Banks Hospital Inc

  • Family Medicine Physician
  • Nags Head, NC
National Provider Identifier
1801874102
Registry record updated Dec 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H0273 Issued in NC
Legal business name
THE OUTER BANKS HOSPITAL INC
Practice address
4800 S Croatan Hwy
Nags Head, NC 27959-9704
Phone
(252) 449-4500
NPI assigned
Jan 6, 2006
Organization subpart
Yes
Parent organization
THE OUTER BANKS HOSPITAL INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 23, 2008

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

Authorized official

Name
Mr. Todd Warlitner
Title
Chief Financial Officer
Phone
(252) 449-4513

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X H0273 NC
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X H0273 NC
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X H0273 NC Primary
Certified Registered Nurse AnesthetistGroup: 193200000X MULTI-SPECIALTY GROUP 367500000X H0273 NC

Addresses

Primary practice location

4800 S Croatan Hwy
Nags Head, NC 27959-9704

Mailing address

4800 S Croatan Hwy
Nags Head, NC 27959-9704
Phone (252) 449-4500

Other identifiers 4

IdentifierTypeStateIssuer
017MFOtherNCHOSPITALISTS GROUP #
8000307MedicaidNC
5904773MedicaidNC
020P7OtherNCBCBS ANESTHESIOLOGY GROUP #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050119001045 NC Part B Supplier - Clinic/Group Practice 0345149290 Receives reassigned benefits from 20 practitioners
Practice locations: Nags Head, NC
O20050204000765 NC Part B Supplier - Clinic/Group Practice 0345149290 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Nags Head, NC

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
The Outer Banks Hospital

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

4800 S Croatan Hwy
#100
Nags Head, NC 27959

Practitioners & affiliated clinicians

Practitioners 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229990400000",
    "number": "1801874102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 S CROATAN HWY",
            "city": "NAGS HEAD",
            "state": "NC",
            "postal_code": "279599704",
            "telephone_number": "252-449-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 S CROATAN HWY",
            "city": "NAGS HEAD",
            "state": "NC",
            "postal_code": "279599704",
            "telephone_number": "252-449-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE OUTER BANKS HOSPITAL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE OUTER BANKS HOSPITAL INC",
        "enumeration_date": "2006-01-06",
        "last_updated": "2008-12-23",
        "status": "A",
        "authorized_official_last_name": "WARLITNER",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "252-449-4513",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": "H0273",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "H0273",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "H0273",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "H0273",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOSPITALISTS GROUP #",
            "identifier": "017MF",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8000307",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5904773",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ANESTHESIOLOGY GROUP #",
            "identifier": "020P7",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nags Head, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.