COASTAL CAROLINA ENT DO PA (NPI# 1689757007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689757007 |
Entity Type | Organization |
Organization Name | COASTAL CAROLINA ENT DO PA |
Practice Address |
302 Liberty St Whiteville NC 28472-3714 |
Practice Telephone | 9109140540 |
Practice Fax Number | 9109140640 |
Mailing Telephone | 9109140540 |
Mailing Fax Number | 9109140640 |
Enumeration Date | 2006-10-21 |
Last Update Date | 2012-03-16 |
Authorized Official Name | MRS. WENDY COTRINA PARIS (INSURANCE BILLING MGR) |
Authorized Official Telephone | 9109140540 |
Authorized Official Credential | CPC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
85930 | NC | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 89012KN | 05 |
Street Address |
302 LIBERTY ST |
City | WHITEVILLE |
State | NC |
Zip Code | 28472-3714 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497807986 | Marie M. Wheatley | Nurse Practitioner | 302 Liberty St, Whiteville, NC 28472-3714 | 2007-01-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720503568 | Anthony Ruan | Pharmacist | 1728 S Madison St., Whiteville, NC 28472 | 2017-08-12 |
1336677699 | Brittany Canady | Nurse Practitioner | 5 Whiteville Towncenter, Whiteville, NC 28472 | 2017-05-31 |
1801335773 | Mary Mcneill Hooks | Pharmacist | 612-10 Jefferson Street, Whiteville, NC 28472 | 2017-02-13 |
1386180248 | Mickey Worthington | Pharmacist | 20 Whiteville Town Ctr, Whiteville, NC 28472 | 2017-01-16 |
1851702138 | Tom Mauney Owens | Pharmacist | 612- 4 Jefferson Street, Whiteville, NC 28472 | 2014-05-08 |
1740429778 | Coastal Hearing Centers, Inc | Audiologist | 302 Liberty Street, Whiteville, NC 28472 | 2009-02-15 |
1689831653 | Amber Marie Wallace Robinson | Occupational Therapy Assistant | 1472 Pickney Street, Whiteville, NC 28472 | 2008-05-19 |
1225236417 | Sandra Pickett | Speech-Language Pathologist | 123 E. Columbus Street, Whiteville, NC 28472 | 2007-07-10 |
1306041249 | Kimberlee White | Speech-Language Pathologist | 123 E Columbus Street, Whiteville, NC 28472 | 2007-06-20 |
1568667418 | Ismael Montes | Respiratory Therapist, Registered | 1014 N. Jk Powell Boulevard, Whiteville, NC 28472 | 2007-06-20 |
Find all providers in zip 28472 |
Taxonomy Code | 207YX0905X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
Specialization | Otolaryngology/Facial Plastic Surgery |
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043766686 | Granville Health Inc | Otolaryngology | 102 Professional Park Dr., Suite C, Oxford, NC 27565-2501 | 2016-09-01 |
1417052986 | Center for Facial Plastic and Laser Surgery | Otolaryngology | 11220 Elm Lane, Suite 101, Charlotte, NC 28277 | 2006-09-13 |
1366484958 | Genesis Ent & Plastic Surgery, Pllc | Otolaryngology | 14835 John J Delaney Dr, Suite 210, Charlotte, NC 28277-2738 | 2006-06-11 |
1831153402 | Eastern Carolina Ear Nose and Throat Associates Pa | Otolaryngology | 927 North Bright Leaf Blvd, Smithfield, NC 27577 | 2006-04-12 |
1861464422 | Nitzan Daniel Catz | Otolaryngology | 927 N Brightleaf Blvd, Smithfield, NC 27577 | 2006-02-07 |
1710974332 | Jeffrey Paul Campbell | Otolaryngology | 730 Oakridge Blvd, Suite C, Lumberton, NC 28358-2324 | 2005-09-29 |
1427680180 | Triangle Facial Plastic Surgery, Pllc | Otolaryngology | 9104 Falls of Neuse Rd Ste 204, Raleigh, NC 27615-2494 | 2020-02-10 |
1417404344 | Charlotte Facial Plastic Surgery | Otolaryngology | 1819 Lyndhurst Ave, Charlotte, NC 28203-5103 | 2016-09-08 |
1528339967 | Moses Cone Affiliated Physicians, Inc. | Otolaryngology | 1200 N Elm St, Greensboro, NC 27401-1004 | 2012-01-17 |
1790804813 | Nicholas Daniel Lukacs | Otolaryngology | 1107 Reynolds St, Monroe, NC 28112-4351 | 2007-03-28 |
Find all providers with the same taxonomy |
City | WHITEVILLE |
Zip Code | 28472 |
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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.