Organization Active NPI

Carteret Surgical Associates P.a.

Doing business as Carolinas Center for Interventional Pain Medicine

  • Non-Pharmacy Dispensing Site
  • Morehead City, NC
National Provider Identifier
1912323189
Registry record updated Jul 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
CARTERET SURGICAL ASSOCIATES P.A.
Doing business as
Carolinas Center for Interventional Pain Medicine
Practice address
534 N 35TH St
Suite a
Morehead City, NC 28557-3182
Phone
(252) 773-0614
Fax
(252) 773-0617
NPI assigned
Mar 12, 2014
Last updated
Jul 22, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
CARTERET SURGICAL ASSOCIATES P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 22, 2014

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

Authorized official

Name
Angela Clark
Title
Executive Director
Phone
(252) 222-5877

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X NU Primary

Addresses

Primary practice location

534 N 35TH St
Suite a
Morehead City, NC 28557-3182

Mailing address

534 N 35TH St
Suite a
Morehead City, NC 28557-3182
Phone (252) 773-0617

Other identifiers 1

IdentifierTypeStateIssuer
5919028MedicaidNC

Other names 1

  • Carolinas Center for Interventional Pain Medicine Doing business as

National Provider Directory

National Provider Directory
Part of
Carteret Surgical Associates PA

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1394582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405987200000",
    "number": "1912323189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 N 35TH ST",
            "address_2": "SUITE A",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285573182",
            "telephone_number": "252-773-0617",
            "fax_number": "252-726-1805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 N 35TH ST",
            "address_2": "SUITE A",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285573182",
            "telephone_number": "252-773-0614",
            "fax_number": "252-773-0617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARTERET SURGICAL ASSOCIATES P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARTERET SURGICAL ASSOCIATES P.A.",
        "enumeration_date": "2014-03-12",
        "last_updated": "2014-07-22",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "252-222-5877"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5919028",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolinas Center for Interventional Pain Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 22, 2014; 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.