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OAK ISLAND PEDIATRICS P.A. NPI 1205815685


NPI Information

NPI: 1205815685
Provider Name: OAK ISLAND PEDIATRICS, P.A.
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
4734 LONG BEACH RD SE
SOUTHPORT, NC
ZIP 28461
Phone: (910) 457-0070
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OAK ISLAND PEDIATRICS, P.A. is a pediatrics in Southport, NC. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. OAK ISLAND PEDIATRICS, P.A. NPI is 1205815685. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4734 LONG BEACH RD SE
SOUTHPORT, NC
ZIP 28461-721
Phone: (910) 457-0070
Fax: (910) 457-0062

The provider's authorized official is Jugta Kahai .
The authorized official title is President and has the following contact phone number (910) 457-0070.

The enumeration date for this NPI number is 1/12/2006 and was last updated on 11/20/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselor4773NORTH CAROLINANo
2103T00000XPsychologist3068NORTH CAROLINANo
3208000000XPediatrics9900076NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1PENDINGMEDICAIDNORTH CAROLINA
2017HMOTHERNORTH CAROLINABCBSNC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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