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OPEN WATER MEDICAL, PA
NPI 1699421065
Family Medicine in Newport, NC

Active since February 24, 2022
263 HOWARD BLVD, NEWPORT, NC 28570(252) 728-5737(252) 728-5739 Get Directions Write a Review

NPPES record last updated: February 24, 2022. Verified against the NPPES registry weekly; last sync: August 02, 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 1699421065) is a healthcare organization registered as a family medicine in Newport, North Carolina and active in the NPI registry since February 2022. The organization lists Tisha Rae Smith, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1699421065
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameOPEN WATER MEDICAL, PA
Location Address263 HOWARD BLVDNewport, NC 28570-7927
Mailing Address1620c Live Oak StBeaufort, NC 28516-1583 · (252) 728-5737 · Fax (252) 728-5739
Phone(252) 728-5737
Fax(252) 728-5739
Organization SubpartNo
Authorized OfficialTisha Rae SmithPractice Manager · (252) 728-5737
Enumeration DateFebruary 24, 2022
NPPES CertifiedFebruary 24, 2022
✔ NPI 1699421065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
263 HOWARD BLVD, Newport, NC 28570
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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.

MRS. CHRISTY HADDOCK JONES FNP-C
Nurse Practitioner (Family)
263 HOWARD BLVD
NEWPORT, NC 28570
Carteret County (252) 359-4708

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 1699421065. It was assigned to this organization in the NPPES registry on February 24, 2022.

Where is Open Water Medical, PA located?

Open Water Medical, PA is located at 263 Howard Blvd, Newport, NC 28570. The listed phone number is (252) 728-5737.

What is Open Water Medical, PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Open Water Medical, PA was last updated on February 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.