AZALEA COAST PLASTIC SURGERY, PA


Address: 1604 Physicians Dr, Suite 103, Wilmington, NC 28401-7362
Phone: 9107621234

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM2500X Clinic/Center
Specialization: Medical Specialty
Ambulatory Health Care Facilities

Office Location

Street Address 1604 PHYSICIANS DR
SUITE 103
City WILMINGTON
State NC
Zip Code 28401-7362

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QM2500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Medical Specialty

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City WILMINGTON
Zip Code 28401

Improve Information

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Dataset Information

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.

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