COASTAL SPECIALTY IMAGING (NPI# 1083990261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083990261 |
| Entity Type | Organization |
| Organization Name | COASTAL SPECIALTY IMAGING |
| Practice Address |
1006 N H St 5th Floor Aberdeen WA 98520-2521 |
| Mailing Address |
Po Box 1898 Aberdeen WA 98520-0315 |
| Practice Telephone | 3605376450 |
| Practice Fax Number | 3605376451 |
| Mailing Telephone | 3605331576 |
| Mailing Fax Number | 3606378732 |
| Enumeration Date | 2011-11-01 |
| Last Update Date | 2011-11-01 |
| Authorized Official Name | CAREY MARTENS (DOCTOR) |
| Authorized Official Telephone | 3605376450 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians | ||
| Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
Allopathic & Osteopathic Physicians |
| Street Address |
1006 N H ST 5TH FLOOR |
| City | ABERDEEN |
| State | WA |
| Zip Code | 98520-2521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396746905 | Kenneth I Hunt | Internal Medicine | 1006 N H St, Aberdeen, WA 98520-2535 | 2005-08-04 |
| 1275147704 | Rachel Zynda | Physical Therapist | 1006 N H St, Aberdeen, WA 98520-2521 | 2020-09-02 |
| 1548881121 | Fatima Corbeta Gerard | Nurse Practitioner | 1006 N H St, Aberdeen, WA 98520-2521 | 2020-05-05 |
| 1578102539 | Seunghyun Ryoo | Physical Therapist | 1006 N H St, Aberdeen, WA 98520-2521 | 2019-12-22 |
| 1053961391 | Bryana K Braykovich | Occupational Therapist | 1006 N H St, Aberdeen, WA 98520-2521 | 2019-09-18 |
| 1073086146 | Christopher Jensen | Physical Therapist | 1006 N H St, Aberdeen, WA 98520-2521 | 2019-01-10 |
| 1821573965 | Grays Harbor Community Hospital | Family Medicine | 1006 N H St, Aberdeen, WA 98520-2521 | 2018-09-25 |
| 1093292690 | Tiffany Anne Macrina | Occupational Therapist | 1006 N H St, Aberdeen, WA 98520-2521 | 2018-07-26 |
| 1144716341 | Katha Suzanne Gazda | Nurse Practitioner | 1006 N H St, Aberdeen, WA 98520-2521 | 2018-07-11 |
| 1174015028 | Suzanne Howard | Physical Therapy Assistant | 1006 N H St, Aberdeen, WA 98520-2521 | 2018-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740755354 | Wchs, Inc. | Clinic/Center | 516 East 1st Street, Aberdeen, WA 98520 | 2018-10-10 |
| 1518454180 | Katie Cutshaw | Counselor | 1700 Cherry Street, Suite C, Aberdeen, WA 98520 | 2018-04-18 |
| 1629587738 | Robert Williams | Counselor | Catholic Community Services, 403 West State Street, Suite 206, Aberdeen, WA 98520 | 2017-09-21 |
| 1174032296 | Amy D Tyler | Peer Specialist | 403 W State Street, Ste 206, Aberdeen, WA 98520 | 2017-09-20 |
| 1073032819 | Amanda Leona Franklin | Counselor | 2700 Simpson Ave, Suite 101, Aberdeen, WA 98520 | 2017-09-13 |
| 1184141152 | Chrystal Lynn Beckley | Counselor | 2700 Simpson Avenue Suite 101, Aberdeen, WA 98520 | 2017-08-29 |
| 1285158923 | Josh Butler | Technician/Technologist | 1718 Sumner Ave, Aberdeen, WA 98520 | 2017-08-02 |
| 1386165553 | Melvin Taylor | Counselor | 311 South I Street, Aberdeen, WA 98520 | 2017-06-28 |
| 1164870267 | Kelly Knittle | Counselor | 4820 She-nah-num Dr. Se, Olympia, WA 98520 | 2016-05-31 |
| 1437570249 | Aberdeen Therapy Works | Occupational Therapist | 100 S. I Street, Suite 205, Aberdeen, WA 98520 | 2013-12-20 |
| Find all providers in zip 98520 | ||||
| Taxonomy Code | 207VX0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Obstetrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215498779 | Community Pregnancy Center of Camas/washougal | Obstetrics & Gynecology | 2926 E St, Washougal, WA 98671-2021 | 2019-03-27 |
| 1720422512 | Options360 Women's Clinic | Obstetrics & Gynecology | 221 Ne 104th Ave Ste 209, Vancouver, WA 98664-4505 | 2013-04-23 |
| 1174673214 | Theresa Agnes Burdick | Obstetrics & Gynecology | 801 Broadway Ste 707, Seattle, WA 98122-4328 | 2007-01-11 |
| 1801988878 | Daniel E Bahnmiller | Obstetrics & Gynecology | 138 Keene Rd, Richland, WA 99352-8683 | 2006-09-28 |
| 1326154881 | James Vincent Brasch | Obstetrics & Gynecology | 212 E Central Ave Ste 340, Spokane, WA 99208-6289 | 2006-08-21 |
| 1154313674 | Candace C Green | Obstetrics & Gynecology | 2630 N Columbia Center Blvd, Suite B, Richland, WA 99352-4853 | 2005-08-19 |
| 1093350977 | Roseline Buyeka | Obstetrics & Gynecology | 3815 S Othello St, Seattle, WA 98118-3510 | 2019-11-14 |
| 1154863157 | Waterfalls Longevity Center Pllc | Obstetrics & Gynecology | 9144 Burnett Rd Se, Ste B-3, Yelm, WA 98597-8488 | 2016-11-08 |
| 1306295605 | Lorraine Robertsonmd | Obstetrics & Gynecology | 12520 Sunrise Dr Ne, Bainbridge Island, WA 98110-4307 | 2016-06-07 |
| 1710394572 | Caitlin Schuh | Obstetrics & Gynecology | 9040 Jackson Ave, Tacoma, WA 98431-7324 | 2014-07-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.