CRYSTAL COAST PAIN MANAGEMENT CENTER, PLLC (NPI# 1093209546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093209546 |
| Entity Type | Organization |
| Organization Name | CRYSTAL COAST PAIN MANAGEMENT CENTER, PLLC |
| Practice Address |
5053 Executive Dr Ste B Morehead City NC 28557 |
| Mailing Address |
2111 Neuse Blvd Ste J New Bern NC 28560-4318 |
| Practice Telephone | 2527268480 |
| Mailing Telephone | 1252636030 |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2018-07-25 |
| Authorized Official Name | SUSAN JONES (MGR) |
| Authorized Official Telephone | 2526360300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013401561 | Crystal Coast Pain Management Center, Pllc | Anesthesiology | 57 Office Park Dr, Jacksonville, NC 28546 | 2018-06-19 |
| 1790747988 | Crystal Coast Pain Management Center, Pllc | Anesthesiology | 2111 Neuse Blvd. Suite J, New Bern, NC 28560 | 2006-04-04 |
| Street Address |
5053 EXECUTIVE DR STE B |
| City | MOREHEAD CITY |
| State | NC |
| Zip Code | 28557 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912021692 | Carteret Pain Medicine, Pllc | Neuromusculoskeletal Medicine & OMM | 5053 Executive Dr Ste B, Morehead City, NC 28557-2506 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568022929 | Lixue Dong | Audiologist | 5000 Us Highway 70 West, Suite 103, Morehead City, NC 28557 | 2019-06-18 |
| 1235611682 | Kayla Stanton | Pharmacist | 5000 Us Hwy 70 Suite 100, Morehead City, NC 28557 | 2018-09-02 |
| 1154823649 | Myeyedr Optometry of North Carolina, Pllc | Optometrist | 5100 Highway 70 W, Morehead City, NC 28557 | 2018-03-01 |
| 1487162434 | Goshen Medical Center, Incorporated | Clinic/Center | 4370a Arendell St, Morehead, NC 28557 | 2018-01-11 |
| 1063953123 | Carteret Landing LLC | Custodial Care Facility | 221 Friendly Road, Morehead City, NC 28557 | 2017-03-09 |
| 1619313277 | 123 Go Kidz | Community/Behavioral Health | 2339 Shore Dr, Morehead City, NC 28557 | 2013-05-22 |
| 1164765855 | Carly Outland Silverthorne | Social Worker | 209 N 35th St Ste A-2, Morehead City, NC 28557 | 2013-04-01 |
| 1639437981 | Jeffrey Theodore Hainsworth | Internal Medicine | 623 N 35th St, Morehead City, NC 28557 | 2012-04-24 |
| 1780993832 | Elizabeth Anne Mills | Pharmacist | 5020 Arendell St., Morehead City, NC 28557 | 2010-10-06 |
| 1306075650 | Friendly Caregivers | In Home Supportive Care | 710 Arendell St., Morehead City, NC 28557 | 2009-07-08 |
| Find all providers in zip 28557 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174164057 | Regenerative Medical Institute,pllc | Anesthesiology | 1305 W. Wendover Ave., Ste A, Greensboro, NC 27408 | 2019-10-02 |
| 1598235830 | Mission Community Anesthesiology Specialists LLC | Anesthesiology | 89 Hospital Dr Ste C, Brevard, NC 28712-4838 | 2018-11-29 |
| 1508341736 | Bethany Medical Center | Anesthesiology | 190 Independence Ave Ste B, North Wilkesboro, NC 28659-4270 | 2018-10-03 |
| 1508347048 | Premier Pain Solutions Pllc | Anesthesiology | 5710 Oleander Dr Ste 201, Wilmington, NC 28403-4722 | 2018-08-23 |
| 1417434069 | Kyle Mason Fisher | Anesthesiology | Duke Univeristy Hospital Anesthesia Department, Durham, NC 27710-0001 | 2018-07-26 |
| 1306351432 | Carteret Surgical Associates P.a. | Anesthesiology | 2145 Country Club Rd Ste 400, Jacksonville, NC 28546-2400 | 2017-12-12 |
| 1003331521 | Accela Spine and Pain, Pllc | Anesthesiology | 10120 Ivey Chase Lane, Apt 617, Charlotte, NC 28277 | 2017-08-04 |
| 1205372588 | Interventional Pain Center, Pllc | Anesthesiology | 517 B Hwy 210 N, Spring Lake, NC 28390 | 2017-01-11 |
| 1316482201 | Providence Pain, Spine & Recovery, Pllc | Anesthesiology | 7 Berkshire Rd, Smithfield, NC 27577 | 2016-12-30 |
| 1356898720 | Ketamine Wellness Institute | Anesthesiology | 414 Cosgrove Ave, Chapel Hill, NC 27514-5271 | 2016-09-02 |
| Find all providers with the same taxonomy | ||||
| City | MOREHEAD CITY |
| Zip Code | 28557 |
Please comment or provide details below to improve the information on CRYSTAL COAST PAIN MANAGEMENT CENTER, PLLC.
| 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.