COASTAL SURGICAL ASSOCIATES (NPI# 1457420747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457420747 |
| Entity Type | Organization |
| Organization Name | COASTAL SURGICAL ASSOCIATES |
| Practice Address |
3 Medical Center Dr Biddeford ME 04005-9422 |
| Practice Telephone | 2072948448 |
| Mailing Telephone | 2072948448 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2008-04-16 |
| Authorized Official Name | JAMES GEORGITIS (PRESIDENT) |
| Authorized Official Telephone | 2072948448 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians | ||
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
3 MEDICAL CENTER DR |
| City | BIDDEFORD |
| State | ME |
| Zip Code | 04005-9422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023281078 | Webber Hospital Association | Surgery | 3 Medical Center Dr, Biddeford, ME 04005-9422 | 2008-04-10 |
| 1699811406 | Omer Thibodeau | Specialist | 3 Medical Center Dr, Biddeford, ME 04005-9422 | 2007-01-29 |
| 1679642979 | James W Georgitis | Surgery | 3 Medical Center Dr, Biddeford, ME 04005-9422 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235600479 | Hilary Mitchell-clark | Massage Therapist | 311 Alfred St. Massage Craft, Biddeford, ME 04005 | 2018-12-16 |
| 1598266793 | Galicia Fryzlewicz | Physical Medicine & Rehabilitation | 11 Hills Beach Road, Biddeford, ME 04005 | 2018-02-22 |
| 1487175550 | Emily Abbie Burns | Dentist | 125-126 Shops Way, Biddeford, ME 04005 | 2017-06-29 |
| 1811365513 | Sarah D. Shepherd, D.o.llc | Clinic/Center | 27 Wadlin Road, Biddeford, ME 04005 | 2015-09-11 |
| 1598012213 | Shayne Mcmahon Foley | Physician Assistant | 1 Medial Center Drive, Biddeford, ME 04005 | 2012-08-13 |
| 1174807374 | Justin Clark Cialfi | Counselor | 6d Wellspring Road, Biddeford, ME 04005 | 2011-10-06 |
| 1689981763 | Ann Burton | Physical Therapist | 4 Autumn Ln, Biddeford, ME 04005 | 2010-09-09 |
| 1164733978 | Christopher Patrick Blomberg | Internal Medicine | 9 Healthcare Dr Ste 105, Biddeford, ME 04005 | 2010-06-25 |
| 1821324815 | Oceanside Community Services | Community/Behavioral Health | 22 W Cole Rd Ste 103, Biddeford, ME 04005 | 2009-10-26 |
| 1386979383 | New Communities, Inc. | Assisted Living Facility | 2 Dartmouth Street, Biddeford, ME 04005 | 2009-10-08 |
| Find all providers in zip 04005 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083876296 | Michelle Lea Ramirez | Surgery | 24 W Cole Rd Ste 104, Biddeford, ME 04005-9404 | 2008-06-29 |
| 1124438544 | Alexander Dowli | Surgery | 1 Medical Center Dr, Biddeford, ME 04005-9422 | 2014-05-07 |
| 1346686219 | David Howard Skavdahl | Surgery | 9 Healthcare Dr Ste 204, Biddeford, ME 04005-9450 | 2013-05-17 |
| 1366623548 | John P Nadeau | Surgery | 9 Healthcare Dr Ste 204, Biddeford, ME 04005-9450 | 2007-11-16 |
| 1124164207 | Cynthia Tien-bao Chao | Surgery | 9 Healthcare Dr Ste 204, Biddeford, ME 04005-9450 | 2007-01-29 |
| 1730258054 | Catherine A Share | Surgery | 9 Healthcare Dr, Suite 204, Biddeford, ME 04005-9449 | 2006-11-08 |
| 1679642979 | James W Georgitis | Surgery | 3 Medical Center Dr, Biddeford, ME 04005-9422 | 2006-11-08 |
| 1407883135 | Martin J Fleishman | Surgery | 9 Healthcare Dr, Suite 204, Biddeford, ME 04005-9449 | 2006-06-27 |
| 1699738252 | Michael Carroll | Surgery | 9 Healthcare Drive, Suite 204, Biddeford, ME 04005-3742 | 2006-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700329133 | Thomas Tarnay | Surgery | 108 Nickerson Ln, Rome, ME 04963-3239 | 2016-12-03 |
| 1831572882 | Alexander James Wall IIi | Surgery | 463 Manchester Rd, Belgrade, ME 04917-3812 | 2015-07-08 |
| 1851654933 | Shantanu N Razdan | Surgery | 193 Main St Ste 16, Norway, ME 04268-5647 | 2012-06-22 |
| 1568728343 | Enrique Octavio Bujanda-morun | Surgery | Ar Gould Hospital 140 Academy St, Presque Isle, ME 04769 | 2012-04-06 |
| 1336411057 | Heidar Nemat | Surgery | 44 Hillside Avenue, Auburn, ME 04210-4653 | 2012-01-27 |
| 1386962546 | John Michael Fallon II | Surgery | 818 Congress St Dept Of, Portland, ME 04102-3112 | 2010-05-12 |
| 1689905283 | Ivan L Shapiro | Surgery | 101 Presque Isle Rd., Fort Fairfield, ME 04742-0325 | 2010-01-21 |
| 1275762999 | Brady C Mullin | Surgery | 193 Main Street, Suite 16, Norway, ME 04268 | 2009-07-02 |
| 1104070051 | William Warren Babson Jr. | Surgery | 578 Barn Brook Rd., Sinclair, ME 04779-0079 | 2008-11-05 |
| 1851540108 | Khaldoun Kamal Bekdache | Surgery | 417 State St. Surgery and Trauma Specialists of Maine, Webber West, Suite 340, Bangor, ME 04401 | 2008-09-11 |
| Find all providers with the same taxonomy | ||||
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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.