Provider Type Icon

SEASIDE PEDIATRICS NPI 1346486891


NPI Information

NPI: 1346486891
Provider Name: SEASIDE PEDIATRICS
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 34D1012794

Address:
1606 WELLINGTON AVE
SUITE E
WILMINGTON, NC
ZIP 28401
Phone: (910) 452-1999
Get Directions

SEASIDE PEDIATRICS is a pediatrics in Wilmington, 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. SEASIDE PEDIATRICS NPI is 1346486891. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1606 WELLINGTON AVE
SUITE E
WILMINGTON, NC
ZIP 28401-747
Phone: (910) 452-1999
Fax: (910) 452-1883

The provider's authorized official is Edgar O Horger .
The authorized official title is President and has the following contact phone number (910) 452-1999.

The CLIA number assigned to this NPI record is 34D1012794 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/5/2009 and was last updated on 1/11/2012.


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
1208000000XPediatricsYes

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
18943705MEDICAIDNORTH CAROLINA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.