Sunny Point Fire & Rescue

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

License

1500 Issued in NC

Legal business name

SUNNY POINT FIRE & RESCUE

Practice address

6280 Sunny Point Rd BLDG 44
Southport, NC 28461

Phone

(910) 457-8218

NPI assigned

Mar 1, 2018

Organization subpart

Yes

Parent organization

DEFENSE FINANCEAs reported in NPPES

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

Authorized official

Name

Mr. Michael Scott, NREMT

Title

Fire Chief

Phone

(910) 457-8218

Specialties & licenses 1

Addresses

Part of

McDonald Army Health Care Center

Practitioners 1

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

• Leon Bass Jr., NRP

  • Emergency Medical Services (Emergency Medicine) Physician
  • Southport, NC
  • NPI 1205319050
  NPD

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

{
    "created_epoch": "1519862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582675200000",
    "number": "1871095356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6280 SUNNY POINT RD BLDG 44",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "28461",
            "telephone_number": "910-457-8218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6280 SUNNY POINT RD BLDG 44",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "28461",
            "telephone_number": "910-457-8218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNY POINT FIRE & RESCUE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DEFENSE FINANCE",
        "enumeration_date": "2018-03-01",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "910-457-8218",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NREMT"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "NC",
            "license": "1500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kymra Fowler Stewart, LCSW
• Mary Francis Stoker, DPT
• Jennifer Stutts Pack, PT, DPT
• Slade Alan Suchecki, D.O.
• Ryan James Sullivan
• Erin Sweeney, MSW, LCSW
• Jillian Sara Tabor, FNP-C
• Tara J Parnell, OD PA
• Joan Taylor-Webb, DPT
• Conner Grindstaff Taylor

• Emergency Medical Services (Emergency Medicine) Physician in Southport, NC
• Providers in Southport, NC by specialty
• Emergency Medical Services (Emergency Medicine) Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; 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.