Healthcare Provider Details

I. General information

NPI: 1942242599
Provider Name (Legal Business Name): CARTERET SURGICAL ASSOCIATES, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2006
Last Update Date: 05/29/2024
Certification Date: 05/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

306 MEDICAL PARK CT
MOREHEAD CITY NC
28557-4346
US

IV. Provider business mailing address

306 MEDICAL PARK CT
MOREHEAD CITY NC
28557-4346
US

V. Phone/Fax

Practice location:
  • Phone: 252-247-2101
  • Fax: 252-247-4675
Mailing address:
  • Phone: 252-247-2101
  • Fax: 252-247-4675

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number
License Number StateNC
# 4
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number StateNC

VIII. Authorized Official

Name: JAMIE HIGGINS
Title or Position: CREDENTIALING
Credential:
Phone: 252-222-5865