COASTAL PLASTIC SURGERY LTD (NPI# 1215242755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215242755 |
| Entity Type | Organization |
| Organization Name | COASTAL PLASTIC SURGERY LTD |
| Practice Address |
1200 First Colonial Rd Suite 100 Virginia Beach VA 23454-2274 |
| Practice Telephone | 7574817788 |
| Practice Fax Number | 7574811707 |
| Mailing Telephone | 7574817788 |
| Mailing Fax Number | 7574811707 |
| Enumeration Date | 2010-08-09 |
| Last Update Date | 2016-08-31 |
| Authorized Official Name | DR. GLENN R. CARWELL JR. (PRESIDENT) |
| Authorized Official Telephone | 7574817788 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0105X |
Surgery Specialization: Surgery of the Hand |
0101025726 | VA | Allopathic & Osteopathic Physicians |
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
0101025726 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
1200 FIRST COLONIAL RD SUITE 100 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23454-2274 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053345082 | Eye Surgery Limited LLC | Clinic/Center | 1200 First Colonial Rd, Suite 104, Virginia Beach, VA 23454-2207 | 2006-07-10 |
| 1316343478 | Riverside Hospital, Inc | General Acute Care Hospital | 1200 First Colonial Rd, Suite 204a, Virginia Beach, VA 23454-2207 | 2014-11-17 |
| 1144656133 | Angela Garcia | Nurse Practitioner | 1200 First Colonial Rd, Suite 202, Virginia Beach, VA 23454-2207 | 2013-09-23 |
| 1114107729 | Sentara Medical Group | Urology | 1200 First Colonial Rd, Ste 100g, Virginia Beach, VA 23454-2207 | 2007-11-12 |
| 1972799567 | Justin D Martin | Dentist | 1200 First Colonial Rd, Suite #201, Virginia Beach, VA 23454-2207 | 2007-09-18 |
| 1396954715 | Dermatology Inc. of Virginia Beach | Clinic/Center | 1200 First Colonial Rd, Suite 200, Virginia Beach, VA 23454-2207 | 2007-05-22 |
| 1063583722 | Tidewater Anesthesia Inc | Nurse Anesthetist, Certified Registered | 1200 First Colonial Rd, Virginia Beach, VA 23454-2207 | 2006-11-13 |
| 1013924588 | George Charles Harr | Dermatology | 1200 First Colonial Rd, Suite 200, Virginia Beach, VA 23454-2207 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356994263 | Agape Consulting | Behavioral Analyst | 1216 Garth Court, Virginia Beach, VA 23454 | 2019-07-19 |
| 1831650266 | Amelia Jo Crutsinger | Physician Assistant | 1644 Kepler Bnd, Virginia Beach, VA 23454 | 2019-03-28 |
| 1538639158 | Bay Psychiatric II Inc | Counselor | 923 First Colonial Rd Suite 1821, Virginia Beach, VA 23454 | 2018-11-26 |
| 1487151759 | Akanksha Mohan | Student in an Organized Health Care Education/Training Program | 100 Mannng Drive, Chapel Hill, Nc 27514, Chapel Hill, NC 23454 | 2018-04-12 |
| 1275038580 | Food Lion, LLC | Durable Medical Equipment & Medical Supplies | 1615 General Booth Blvd, Virginia Beach, VA 23454 | 2018-03-28 |
| 1346783164 | Tracy Chasse | Occupational Therapy Assistant | 1628 Old Donation Parkway, Virginia Beach, VA 23454 | 2016-11-28 |
| 1982066627 | Jennifer Mitchell | Speech-Language Pathologist | 2101 Agecroft Rd., Virginia Beach, VA 23454 | 2016-03-22 |
| 1659730562 | Rebecca Houvener | Psychologist | 1120 First Colonial Rd Ste 202, Virginia Beach, VA 23454 | 2016-02-19 |
| 1932581741 | Monica Jane Bailey | Nurse Practitioner | 2110 N Great Neck Rd, Virginia Beach, VA 23454 | 2015-06-29 |
| 1376930073 | Ashley A Burkholder | Family Medicine | 1024 First Colonial Rd Ste 104, Virginia Beach, VA 23454 | 2015-04-20 |
| Find all providers in zip 23454 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134619166 | Aesthetic Center for Plastic Surgery | Surgery | 6845 Elm St Ste 708, Mc Lean, VA 22101-3851 | 2018-05-15 |
| 1720504244 | Dominion Surgical Specialists, LLC | Surgery | 2755 Hartland Rd Ste 300, Falls Church, VA 22043-3545 | 2017-08-16 |
| 1215465646 | Dominion Plastic Surgery LLC | Surgery | 2755 Hartland Rd Ste 204, Falls Church, VA 22043-3544 | 2017-05-30 |
| 1609018928 | Nicholas R Galardi | Surgery | 300 Medical Pkwy Ste 316, Chesapeake, VA 23320-4985 | 2009-04-01 |
| 1285835488 | Julia Stevenson | Surgery | 300 Medical Pkwy Ste 300, Chesapeake, VA 23320-4985 | 2007-05-29 |
| 1952516734 | Richard Gordon Lewis Jr. | Surgery | 2331a Robious Station Cir, Midlothian, VA 23113-2124 | 2007-05-14 |
| 1184768939 | Roanoke Plastic Surgery Plc | Surgery | 1118 First Street Sw, Roanoke, VA 24016-4702 | 2007-02-16 |
| 1851402515 | Nadia P Blanchet | Surgery | 9210 Forest Hill Avenue, Suite B1, Richmond, VA 23235-6880 | 2006-08-31 |
| 1255449872 | Magee-rosenblum Plastic Surgery, Inc | Surgery | 5818 Harbour View Blvd Ste 200, Suffolk, VA 23435-3315 | 2006-08-25 |
| 1235158189 | Balvant Parashram Arora | Surgery | 1101 Sam Perry Blvd., Suite 121, Fredericksburg, VA 22401-4467 | 2006-07-19 |
| Find all providers with the same taxonomy | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23454 |
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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.