| Surf Pediatrics And Medicine Pc | |
|
5107 N Croatan Hwy Ste 101 Kitty Hawk NC 27949-3989 | |
| (252) 255-5321 | |
| (252) 565-0534 |
| Full Name | Surf Pediatrics And Medicine Pc |
|---|---|
| Speciality | Pediatrics |
| Location | 5107 N Croatan Hwy Ste 101, Kitty Hawk, North Carolina |
| Authorized Official Name and Position | Christian Thor Lige (PEDIATRICIAN) |
| Authorized Official Contact | 2524495200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Surf Pediatrics And Medicine Pc 5107 N Croatan Hwy Kitty Hawk NC 27949-3989 Ph: (252) 255-5321 | Surf Pediatrics And Medicine Pc 5107 N Croatan Hwy Ste 101 Kitty Hawk NC 27949-3989 Ph: (252) 255-5321 |
| NPI Number | 1609058056 |
|---|---|
| Provider Enumeration Date | 11/28/2007 |
| Last Update Date | 08/05/2020 |
| Medicare PECOS PAC ID | 8527207927 |
|---|---|
| Medicare Enrollment ID | O20130614000610 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609058056 | NPI | - | NPPES |
| 5916879 | Medicaid | NC |
| Provider Name | Johnny L Farrow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891831038 PECOS PAC ID: 2365579984 Enrollment ID: I20100429000781 |
| Provider Name | Christian Lige |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740283142 PECOS PAC ID: 0244479640 Enrollment ID: I20130621000477 |
| Provider Name | Mary Theresa Mcvean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083722623 PECOS PAC ID: 9032156856 Enrollment ID: I20150819006337 |
| Provider Name | Tarra O Midgette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568097418 PECOS PAC ID: 6608290184 Enrollment ID: I20200716001676 |
| Provider Name | Michelle Boyce Strickland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710575642 PECOS PAC ID: 7315353554 Enrollment ID: I20210312000433 |
| Provider Name | Jennifer N Harrison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265929681 PECOS PAC ID: 8224431564 Enrollment ID: I20210726000407 |
| Provider Name | Kristen Travis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265827679 PECOS PAC ID: 7315242690 Enrollment ID: I20230223001676 |
| Provider Name | Katelyn Angelo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568243715 PECOS PAC ID: 4082067533 Enrollment ID: I20240131002810 |
| Provider Name | Tami J Bruggeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073376984 PECOS PAC ID: 0840630059 Enrollment ID: I20240503002335 |
Sentara Albemarle Regional Medical Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5200 N Croatan Hwy, Kitty Hawk, NC 27949 Phone: 252-255-6020 | |
Sentara Albemarle Regional Medical Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5200 N Croatan Hwy, Kitty Hawk, NC 27949 Phone: 252-255-6020 | |
Care-a-van House Calls Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 142 Beech Tree Trl, Kitty Hawk, NC 27949 Phone: 252-441-9941 Fax: 252-441-9943 | |
Beach Medical Care, Ltd. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5200 N Croatan Hwy, Kitty Hawk, NC 27949 Phone: 252-261-4187 Fax: 252-261-5182 | |
Coastal Family Medicine And Wellness Center,pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5200 North Croatan Highway, Suite 7, Kitty Hawk, NC 27949 Phone: 252-715-0607 |