Loris Community Hospital District

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

C201015300336 Issued in NC

Legal business name

LORIS COMMUNITY HOSPITAL DISTRICT

Doing business as

Sunset Beach Internal Medicine

Practice address

1733 Seaside Rd SW
Suite B
Ocean Isle Beach, NC 28469-5849

Phone

(910) 575-8488

Fax

(910) 575-6542

NPI assigned

Jun 14, 2010

Last updated

Jul 6, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

LORIS COMMUNITY HOSPITAL DISTRICTAs reported in NPPES

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

Authorized official

Name

Carolyn Ward

Title

Loris Physician Credentialing

Phone

(919) 880-6406

Specialties & licenses 1

Addresses

Other names 1

• SUNSET BEACH INTERNAL MEDICINE Doing business as

Part of

Loris Community Hospita

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Stuart Martin, MD

  • Internal Medicine Physician
  • Scottsdale, AZ
  • NPI 1598853939
  NPD (past)

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

{
    "created_epoch": "1276473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278374400000",
    "number": "1942521976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1733 SEASIDE RD SW",
            "address_2": "SUITE B",
            "city": "OCEAN ISLE BEACH",
            "state": "NC",
            "postal_code": "284695849",
            "telephone_number": "910-575-8488",
            "fax_number": "910-575-6542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1733 SEASIDE RD SW",
            "address_2": "SUITE B",
            "city": "OCEAN ISLE BEACH",
            "state": "NC",
            "postal_code": "284695849",
            "telephone_number": "910-575-8488",
            "fax_number": "910-575-6542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORIS COMMUNITY HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LORIS COMMUNITY HOSPITAL DISTRICT",
        "enumeration_date": "2010-06-14",
        "last_updated": "2010-07-06",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "LORIS PHYSICIAN CREDENTIALING",
        "authorized_official_telephone_number": "919-880-6406"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "C201015300336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUNSET BEACH INTERNAL MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca Justice, RPH
• K. Jasinski, D.M.D., P.C. (Dental Care on Causeway)
• Jacelyn L Kershaw
• Mikayla Brianne Kinsey, PT, DPT
• Bruce Le
• McLeod Physician Associates II (McLeod Seacoast Endocrinology Associates)
• James Edward McNeil, RPH
• Daniel James Mines, PT
• Donald Joseph Muller
• Christen Murphy, MA, LMFT

• Internal Medicine Physician in Ocean Isle Beach, NC
• Providers in Ocean Isle Beach, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; 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.