AZALEA COAST PLASTIC SURGERY, PA (NPI# 1447406327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447406327 |
Entity Type | Organization |
Organization Name | AZALEA COAST PLASTIC SURGERY, PA |
Practice Address |
1604 Physicians Dr Suite 103 Wilmington NC 28401-7362 |
Practice Telephone | 9107621234 |
Practice Fax Number | 9107621232 |
Mailing Telephone | 9107621234 |
Mailing Fax Number | 9107621232 |
Enumeration Date | 2008-08-12 |
Last Update Date | 2008-08-12 |
Authorized Official Name | DR. TOR MARTIN LJUNG (PHYSICIAN) |
Authorized Official Telephone | 9107621234 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
Street Address |
1604 PHYSICIANS DR SUITE 103 |
City | WILMINGTON |
State | NC |
Zip Code | 28401-7362 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932298668 | Coastal Carolina Heart, LLC | Clinic/Center | 1604 Physicians Dr, Suite 104, Wilmington, NC 28401-7362 | 2006-10-12 |
1760870323 | Azalea Coast Podiatry and Foot Spa, Pllc | Podiatrist | 1604 Physicians Dr, Suite 105, Wilmington, NC 28401-7362 | 2015-01-06 |
1316202948 | Wilmington Aesthetic Facial Plastic and Reconstructive Center, LLC | Otolaryngology | 1604 Physicians Dr, 103, Wilmington, NC 28401-7362 | 2012-07-10 |
1578868600 | Damon R Arne, Dds, Pa | Dentist | 1604 Physicians Dr, Suite 102, Wilmington, NC 28401-7362 | 2011-01-20 |
1245402064 | Coastal Carolina Heart LLC | Clinic/Center | 1604 Physicians Dr, Suite 104, Wilmington, NC 28401-7362 | 2008-04-01 |
1508036997 | Dr. Timothy H. Mihle | Dentist | 1604 Physicians Dr, Suite 101, Wilmington, NC 28401-7362 | 2008-03-03 |
1568664183 | Damon Ross Arne' | Dentist | 1604 Physicians Dr, Suite 102, Wilmington, NC 28401-7362 | 2007-06-05 |
1598834350 | Kerry Allyson Smith | Podiatrist | 1604 Physicians Dr, Suite 105, Wilmington, NC 28401-7362 | 2006-11-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275002461 | Thrivetothrive, LLC | Physical Therapist | 1606 Physicians Drive, Inside Promina Health, Wilmington, NC 28401 | 2018-11-16 |
1841787454 | Kevin Christopher Panebianco | Family Medicine | 1911 S 17th St Ste 130a, Wilmington, NC 28401 | 2018-04-18 |
1518472588 | Michelle Bruin | Family Medicine | 415 S. 2nd Street, Wilmington, NC 28401 | 2017-12-12 |
1639617343 | Anna Farwell | Behavior Technician | 3904 Oleander Dr. Suite 102, Wilmington, NC 28401 | 2017-02-02 |
1588034144 | Dimitri Zivko Pitovski | Allergy & Immunology | 1099 Medical Center Dr Unit 100b, Wilmington, NC 28401 | 2015-09-25 |
1629457007 | Megan Havel | Counselor | 1512 E Lakeshore Drive, Wilmington, NC 28401 | 2015-05-19 |
1154709251 | Lance Hutchens | Dentist | 1611 Doctors Cir, Wilmington, NC 28401 | 2015-05-11 |
1609281161 | Diane Pittman Whitford | Counselor | 313 Walnut St., Wilmington, NC 28401 | 2014-06-24 |
1942550728 | Bryan Cole Chalk | Nurse Anesthetist, Certified Registered | 2131 S 17th Street, Wilmington, NC 28401 | 2012-09-19 |
1740566546 | Valerie Baars | Pharmacist | 2302 S 17th Street, Wilmington, NC 28401 | 2011-10-25 |
Find all providers in zip 28401 |
Taxonomy Code | 261QM2500X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Medical Specialty |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740893734 | Blue Telepsych Urgent Care | Clinic/Center | 8406 Fiddlestick Way, Wilmington, NC 28412-3394 | 2020-08-28 |
1144846197 | Olive Branch Medical LLC | Clinic/Center | 530 Harlan Blvd Unit 404, Wilmington, DE 19801-5170 | 2020-06-24 |
1669940722 | Wilmington Chiropractic and Wellness Center LLC | Clinic/Center | 576 Prairie Ave, Wilmington, OH 45177-1770 | 2018-11-07 |
1932298668 | Coastal Carolina Heart, LLC | Clinic/Center | 1604 Physicians Dr, Suite 104, Wilmington, NC 28401-7362 | 2006-10-12 |
1386751048 | Robert N. Dumin, M.d. | Clinic/Center | 1504 Turkey Run Rd, Wilmington, DE 19803-3918 | 2006-08-25 |
1801813456 | Partners In Endocrinology and Diabetes Pllc | Clinic/Center | 1501 Medical Center Dr, Wilmington, NC 28401-7506 | 2006-07-17 |
1699154880 | Wilmington Family Eye Care LLC | Clinic/Center | 801 E Newport Pike, Wilmington, DE 19804-1920 | 2015-05-21 |
1528454683 | Greenville As, LLC | Clinic/Center | 3801 Kennett Pike, E126, Wilmington, DE 19807-2321 | 2015-04-15 |
1215278726 | Family Eye Care, LLC | Clinic/Center | 410 Foulk Rd, Suite 102, Wilmington, DE 19803-3820 | 2013-03-07 |
1760649545 | Seacoast Skin Surgery Pllc | Clinic/Center | 710 Military Cutoff Rd, Suite 200, Wilmington, NC 28405-2375 | 2008-05-20 |
Find all providers in WILMINGTON |
City | WILMINGTON |
Zip Code | 28401 |
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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.