Surf Pediatrics And Medicine Pc

LBN: Surf Pediatrics And Medicine Pc
Surf Pediatrics And Medicine Pc is an health care organization with primary practice located at 5107 N Croatan Hwy Ste 101 , Kitty Hawk NC 27949-3989. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Ambulatory Health Care Facilities / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. Surf Pediatrics And Medicine Pc can be contacted via phone (252) 255-5321, or through Lige, Christian Thor via phone (252) 449-5200.

Contact Information

Primary practice address
5107 N Croatan Hwy Ste 101 Kitty Hawk NC 27949-3989
Phone: (252) 255-5321
Fax: (252) 565-0534
Website:
Map and Directions
Authorized official contact:
Name: Lige, Christian Thor Doctor of Medicine (MD)
Phone: (252) 449-5200

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2002-00943 North Carolina
Ambulatory Health Care Facilities / Primary Care 261QP2300X 200200943 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-01994 North Carolina

Profile Details

NPI number 1609058056
LBN Legal business name Surf Pediatrics And Medicine Pc
DBA Doing business as
Authorized official Lige, Christian Thor Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 28th, 2007
Last updated Aug 5th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609058056 NPPES
North Carolina MEDICAID 5916879

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