Provider Demographics
NPI:1972641918
Name:OCEAN VIEW MEDICAL
Entity Type:Organization
Organization Name:OCEAN VIEW MEDICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARGE
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:WHITLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-261-3773
Mailing Address - Street 1:PO BOX 609
Mailing Address - Street 2:
Mailing Address - City:NAGS HEAD
Mailing Address - State:NC
Mailing Address - Zip Code:27959-0609
Mailing Address - Country:US
Mailing Address - Phone:252-261-3773
Mailing Address - Fax:252-441-5044
Practice Address - Street 1:119 W WOOD HILL DR
Practice Address - Street 2:SUITE 1
Practice Address - City:NAGS HEAD
Practice Address - State:NC
Practice Address - Zip Code:27959-8701
Practice Address - Country:US
Practice Address - Phone:252-261-3773
Practice Address - Fax:252-441-5044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9700610207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2335670Medicare ID - Type Unspecified
NCF10107Medicare UPIN