Open Water Medical, PA
NPI 1003730169ActiveOrganization· General Practice· Sea Level, NC
General Practice in Sea Level, North Carolina, registered in NPPES in August 2026, part of Open Water Medical, PA. The authorized official on file is Samuel Willis, Coo.
Overview
| NPI | 1003730169 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Open Water Medical, PA |
| NPI issued | Aug 10, 2026 |
| Last updated in NPPES | Aug 10, 2026 |
| Certified by provider | Jul 30, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|