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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

OPEN WATER MEDICAL, PA
NPI 1003730169
General Practice in Sea Level, NC

Active since August 10, 2026
458 HWY 70 EAST, SEA LEVEL, NC 28577(252) 728-5737 Get Directions Write a Review

NPPES record added: August 10, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Open Water Medical, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OPEN WATER MEDICAL, PA (NPI 1003730169) is a healthcare organization registered as a general practice in Sea Level, North Carolina and active in the NPI registry since August 2026. The organization lists Samuel Willis, Coo, as its authorized official.

NPPES Registry Identity

NPI1003730169
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameOPEN WATER MEDICAL, PA
Location Address458 HWY 70 EASTSea Level, NC 28577
Mailing Address1620c Live Oak StBeaufort, NC 28516-1583 · (252) 728-5737 · Fax (252) 723-5739
Phone(252) 728-5737
Organization SubpartYes
Authorized OfficialSamuel WillisCoo · (252) 723-7234
Enumeration DateAugust 10, 2026
NPPES CertifiedJuly 30, 2026
✔ NPI 1003730169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
458 HWY 70 EAST, Sea Level, NC 28577
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HOMER CURTISS MERRICK M.D.
Internal Medicine
458 HWY 70 EAST
SEALEVEL, NC 28577
Carteret County (252) 225-1134

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Open Water Medical, PA's NPI number?

The NPI number for Open Water Medical, PA is 1003730169. It was assigned to this organization in the NPPES registry on August 10, 2026.

Where is Open Water Medical, PA located?

Open Water Medical, PA is located at 458 Hwy 70 East, Sea Level, NC 28577. The listed phone number is (252) 728-5737.

What is Open Water Medical, PA's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Open Water Medical, PA was last updated on August 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.