COASTAL CAROLINA PATHOLOGY, PA (NPI# 1487170387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487170387 |
| Entity Type | Organization |
| Organization Name | COASTAL CAROLINA PATHOLOGY, PA |
| Other Organization Name | COASTAL CAROLINA PATHOLOGY, PA |
| Practice Address |
2606 Iron Gate Dr Ste 201 Wilmington NC 28412-2494 |
| Practice Telephone | (910) 395-4441 |
| Practice Fax Number | 9103957074 |
| Mailing Telephone | 9103954441 |
| Mailing Fax Number | 9103957074 |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2017-08-22 |
| Authorized Official Name | DR. WARREN C WHITE (PRESIDENT) |
| Authorized Official Telephone | 9103954441 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | COASTAL CAROLINA PATHOLOGY, PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7001210 | 05 |
| Other Name | Type Code |
|---|---|
| Coastal Carolina Pathology, PA | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497724991 | Coastal Carolina Pathology, Pa | Clinical Medical Laboratory | 2606 Iron Gate Dr, Suite 201, Wilmington, NC 28412-2573 | 2006-03-16 |
| Street Address |
2606 IRON GATE DR STE 201 |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28412-2494 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891357166 | Alexandra Palamaru | Dentist | 2759, 6132 Carolina Beach Rd., 6, Wilmington, NC 28412 | 2019-07-08 |
| 1447640115 | Carrie Anne Emory | Physician Assistant | 1124 Gallery Park Blvd, #200, Wilmington, NC 28412 | 2015-02-02 |
| 1144639295 | Christina Marie Terry | Physical Therapist | 7842 Champlain Dr, Wilmington, NC 28412 | 2014-08-03 |
| 1972889715 | New Hanover House, LLC | Assisted Living Facility | 3915 Stedwick Court, Wilmington, NC 28412 | 2011-10-25 |
| 1538440672 | Celine Adair | Marriage & Family Therapist | 9809 River Rd, Wilmington, NC 28412 | 2011-09-02 |
| 1033412267 | American Anesthesiology of North Carolina, Pllc | Anesthesiology | 2520 Independence Blvd, Suite 200, Wilmington, NC 28412 | 2010-12-09 |
| 1932418357 | Dale Autry | Pharmacist | 3625 South College Road, Wilmington, NC 28412 | 2010-10-04 |
| 1528390762 | Sheila Flynn | Counselor | 710 St. Andrews Dr. #18, Wilmington, NC 28412 | 2010-02-12 |
| 1952563686 | Stephen Rolfe Wells | Anesthesiology | 2520 Independence Boulevard, Suite 200, Wilmington, NC 28412 | 2008-06-25 |
| 1396902722 | Henry D Browning Iv | Dentist | 604 Junction Creek, Wilmington, NC 28412 | 2008-05-22 |
| Find all providers in zip 28412 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386632271 | Maria Angela Dizon | Pathology | 701 N Clayton St Ste 301, Wilmington, DE 19805-3165 | 2005-10-13 |
| 1093703175 | Brian Charles Shiro | Pathology | 1915 S 17th St, Suite 100, Wilmington, NC 28401-6681 | 2005-10-12 |
| 1760600738 | Kudakwashe R. Chikwava | Pathology | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2007-04-23 |
| 1336262088 | Regina Schmidt Meara | Pathology | 701 N Clayton St, Wilmington, DE 19805 | 2007-04-09 |
| 1275659641 | Gowd Shiva Nagaraj | Pathology | 2131 S 17th St, Wilmington, NC 28401-7407 | 2007-03-21 |
| 1861537664 | Warren C White | Pathology | 2606 Iron Gate Dr, Suite 201, Wilmington, NC 28412-2573 | 2007-02-20 |
| 1275699696 | Michael Delacruz | Pathology | 701 N Clayton St, Suite 301, Medical Services Building, Wilmington, DE 19805 | 2006-12-29 |
| 1710097092 | Valentina Markovsky | Pathology | 1601 Kirkwood Hwy, Wilmington, DE 19805-4917 | 2006-08-30 |
| 1982616496 | Bruce Zangwill | Pathology | 1601 Kirkwood Hwy, Wilmington, DE 19805-4917 | 2006-08-13 |
| 1356385843 | Wilmington Pathology Associates Pa | Pathology | 1915 S 17th St, Suite 100, Wilmington, NC 28401-6626 | 2006-06-15 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28412 |
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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.