COASTAL CAROLINA SURGICAL ASSOCIATES, P.A. (NPI# 1578656773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578656773 |
| Entity Type | Organization |
| Organization Name | COASTAL CAROLINA SURGICAL ASSOCIATES, P.A. |
| Other Organization Name | COASTAL SURGERY SPECIALISTS |
| Practice Address |
1411 Physicians Drive Wilmington NC 28401-7338 |
| Practice Telephone | 9103430811 |
| Practice Fax Number | 9103435719 |
| Mailing Telephone | 9103430811 |
| Mailing Fax Number | 9103435719 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2012-03-08 |
| Authorized Official Name | DAVID A WEATHERFORD (VICE PRESIDENT/OWNER) |
| Authorized Official Telephone | 9103430811 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
CERTIFICATE # 40 | NC | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 40958 | NC | Allopathic & Osteopathic Physicians |
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
40958 | NC | Allopathic & Osteopathic Physicians |
| Y | 208600000X | Surgery | CERTIFICATE # 40 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 79-0271C | 05 | |
| NC | BCBS OF NC GROUP # | 0271C | 01 |
| NC | BCBS OF NC | 0271C | 01 |
| NC | RAILROAD MEDICARE GROUP # | CB0557 | 01 |
| NC | GRP UNITED HEALTHCARE # | 142384 | 01 |
| Other Name | Type Code |
|---|---|
| Coastal Surgery Specialists | Doing Business As Name - Organization |
| Street Address |
1411 PHYSICIANS DRIVE |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28401-7338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235222431 | James Alan Harris | Surgery | 1411 Physicians Drive, Wilmington, NC 28401 | 2006-10-02 |
| 1831282037 | Lawrence Harding Knott Jr. | Surgery | 1411 Physicians Drive, Wilmington, NC 28401 | 2006-10-02 |
| 1326131525 | David Allen Weatherford | Surgery | 1411 Physicians Drive, Wilmington, NC 28401-7338 | 2006-10-02 |
| 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 | 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 |
|---|---|---|---|---|
| 1689145799 | Raymond R Noble | Surgery | 629 Kilburn Rd, Wilmington, DE 19803-1720 | 2018-12-16 |
| 1376022533 | Shawn Thomas Colwell | Surgery | 411 Dogwood Ln, Wilmington, NC 28409-5805 | 2018-08-08 |
| 1710128855 | Rachel Christine Lovano | Surgery | 630 W Main St Ste 304, Wilmington, OH 45177-2171 | 2009-03-19 |
| 1063685485 | Danielle Press | Surgery | 1401 Foulk Rd Ste 207, Wilmington, DE 19803-2764 | 2008-04-07 |
| 1437332491 | Timothy P Schirmer Md LLC | Surgery | 586 W Main St, Wilmington, OH 45177-2123 | 2007-12-13 |
| 1629293121 | Philip S Metz | Surgery | 1508 Meridian Ter, Wilmington, NC 28411-9263 | 2007-04-17 |
| 1902967557 | Payam John Kahen | Surgery | 714 N Avalon Blvd, Wilmington, CA 90744 | 2006-12-13 |
| 1548353741 | Warren Winslow Mcmurry | Surgery | 1411 Physicians Dr, Wilmington, NC 28401-7338 | 2006-10-02 |
| 1366553851 | Charles L Hobbs | Surgery | 1941 Limestone Rd Ste 213, Wilmington, DE 19808-5400 | 2006-08-31 |
| 1093823866 | Robert Daniel Mcgarrigle | Surgery | 700 Lea Blvd, Medical Arts Complex # 302, Wilmington, DE 19802 | 2006-08-29 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28401 |
Please comment or provide details below to improve the information on COASTAL CAROLINA SURGICAL ASSOCIATES, P.A..
| 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.