COASTAL PHYSICIAN CARE LLC (NPI# 1124424098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124424098 |
| Entity Type | Organization |
| Organization Name | COASTAL PHYSICIAN CARE LLC |
| Practice Address |
9250 Corkscrew Rd Suite 3 Estero FL 33928-3208 |
| Mailing Address |
1865 Veterans Park Dr Ste 202 Naples FL 34109-0447 |
| Practice Telephone | 2394982528 |
| Mailing Telephone | 2398983836 |
| Enumeration Date | 2014-11-05 |
| Last Update Date | 2014-11-05 |
| Authorized Official Name | MR. JEREMY L DARSTEK (CEO) |
| Authorized Official Telephone | 2398983836 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QA0000X |
Family Medicine Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
9250 CORKSCREW RD SUITE 3 |
| City | ESTERO |
| State | FL |
| Zip Code | 33928-3208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477554590 | Ricardo Bendeck | Family Medicine | 9250 Corkscrew Rd, Estero, FL 33928-3208 | 2005-08-10 |
| 1275993651 | Associates In Medicine & Surgery LLC | Podiatrist | 9250 Corkscrew Rd, Suite 7, Estero, FL 33928-3208 | 2016-02-29 |
| 1588977235 | Joan Gargiula Richards | Occupational Therapist | 9250 Corkscrew Rd, Unit 10, Estero, FL 33928-3208 | 2010-07-23 |
| 1265621726 | Daryoush Zafar Dpm Pa | Podiatrist | 9250 Corkscrew Rd, Suite 7, Estero, FL 33928-3208 | 2007-10-22 |
| 1366657629 | Fort Myers Dermatopathology | Dermatology | 9250 Corkscrew Rd, Suite 5, Estero, FL 33928-3208 | 2007-05-11 |
| 1407863897 | Diane Elizabeth Carroll | Physical Therapist | 9250 Corkscrew Rd, Suite 10, Estero, FL 33928-3208 | 2006-08-01 |
| 1932139805 | Christopher Michael Green | Chiropractor | 9250 Corkscrew Rd, Ste 4, Estero, FL 33928-3208 | 2006-07-04 |
| 1740219849 | Chiropractic Care and Rehab Center | Chiropractor | 9250 Corkscrew Rd, Ste 4, Estero, FL 33928-3208 | 2006-07-01 |
| 1154364057 | Patricia Anne Curr | Physical Therapist | 9250 Corkscrew Rd, Ste 15, Estero, FL 33928-3217 | 2006-06-14 |
| 1720039902 | Physiotherapy Associates Inc | Clinic/Center | 9250 Corkscrew Rd, Suite 10, Estero, FL 33928-3216 | 2006-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578055588 | Jeremiah S Mossman | Nurse Anesthetist, Certified Registered | 21586 Belvedere Ln, Estero, FL 33928 | 2018-06-05 |
| 1376030361 | Trish Daino Lisw LLC | Social Worker | 9180 Estero Park Commons, Ste 2, Suite 2, Estero, FL 33928 | 2018-04-16 |
| 1861994204 | Kin Med, Pa | General Practice | 19910 S Tamiami Trail Ste C, Estero, FL 33928 | 2018-03-01 |
| 1073031225 | Dieu Huyen Thi Le | Pharmacist | 20311 Grande Oak Blvd, Estero, FL 33928 | 2017-09-07 |
| 1295284008 | National Vision, Inc. | Technician/Technologist | 22907 Lyden Dr, Estero, FL 33928 | 2016-09-22 |
| 1275982654 | Eileen Cherbini | Counselor | 13616 Canola Ct, Estero, FL 33928 | 2016-06-07 |
| 1952759342 | Alexander Conrad | Counselor | 8010 Sardinia Way Unit #221, Estero, FL 33928 | 2016-05-26 |
| 1154700466 | Estero Eyecare | Clinic/Center | 21753 Brixham Run Loop, Estero, FL 33928 | 2015-05-20 |
| 1982082335 | Gulfshore Pediatric Dentistry, P.a. | Dentist | 9921 Corkscrew Rd, Estero, FL 33928 | 2015-05-18 |
| 1942697149 | Conor William Byrt | Emergency Medicine | 21731 Sound Way, 102, Estero, FL 33928 | 2015-04-25 |
| Find all providers in zip 33928 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427545292 | Kari Nicole Aughenbaugh | Family Medicine | 10201 Arcos Ave Ste 203, Estero, FL 33928-9461 | 2018-04-17 |
| 1548702228 | Scotts Health and Associates Inc | Family Medicine | 9723 Heatherstone Lake Ct, Unit 1, Estero, FL 33928-3084 | 2016-11-10 |
| 1548370489 | James Kenneth Clary | Family Medicine | 9007 Whitfield Dr, Estero, FL 33928-4409 | 2006-08-30 |
| 1144246729 | Gregory Romaniuk | Family Medicine | 9911 Corkscrew Rd Ste 200, Estero, FL 33928-3323 | 2006-07-15 |
| 1528021417 | Richard Reid Wilson | Family Medicine | 9250 Corkscrew Rd Ste 5, Estero, FL 33928 | 2006-04-11 |
| 1477554590 | Ricardo Bendeck | Family Medicine | 9250 Corkscrew Rd, Estero, FL 33928-3208 | 2005-08-10 |
| 1396307062 | Liberty Personal LLC | Family Medicine | 9911 Corkscrew Rd Ste 200, Estero, FL 33928-3323 | 2019-07-02 |
| 1740669613 | Jessica Castaneira | Family Medicine | 23450 Via Coconut Pt, Estero, FL 34135 | 2015-05-26 |
| 1528149424 | Richard R Wilson, D.o. | Family Medicine | 10201 Arcos Ave, Ste 202, Estero, FL 33928 | 2006-10-18 |
| 1891894929 | Brian David Zelis | Family Medicine | 10201 Arcos Ave, Estero, FL 33928-9459 | 2006-09-22 |
| Find all providers in ESTERO | ||||
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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.