Organization Active NPI

Way Surgical Associates PA

  • Surgery Physician
  • Morehead City, NC
National Provider Identifier
1982647244
Registry record updated Feb 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
20985 Issued in NC
Legal business name
WAY SURGICAL ASSOCIATES PA
Practice address
210 Penny LN
Morehead City, NC 28557-4305
Phone
(252) 247-4769
NPI assigned
Jun 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2008

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

Authorized official

Name
Brady C Way, M.D.NPI 1992747703
Title
Owner
Phone
(252) 247-4769

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 20985 NC Primary

Addresses

Primary practice location

210 Penny LN
Morehead City, NC 28557-4305

Mailing address

3025 Breckinridge Blvd
Suite 120
Duluth, GA 30096-7611
Phone (678) 226-0022

Other identifiers 2

IdentifierTypeStateIssuer
8986054MedicaidNC
86054OtherNCNC BCBS NUMBER

National Provider Directory

National Provider Directory

Locations

210 Penny Ln
Morehead City, NC 28557
Phone (252) 247-4769

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1982647244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 BRECKINRIDGE BLVD",
            "address_2": "SUITE 120",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300967611",
            "telephone_number": "678-226-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 PENNY LN",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285574305",
            "telephone_number": "252-247-4769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAY SURGICAL ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "WAY",
        "authorized_official_first_name": "BRADY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-247-4769",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NC",
            "license": "20985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8986054",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC BCBS NUMBER",
            "identifier": "86054",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Feb 25, 2008; 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.