COASTAL CAROLINA ENT DO PA


Address: 302 Liberty St, Whiteville, NC 28472-3714
Phone: 9109140540

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207YX0905X Otolaryngology
Specialization: Otolaryngology/Facial Plastic Surgery
85930 NC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NC 89012KN 05

Office Location

Street Address 302 LIBERTY ST
City WHITEVILLE
State NC
Zip Code 28472-3714

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497807986 Marie M. Wheatley Nurse Practitioner 302 Liberty St, Whiteville, NC 28472-3714 2007-01-17

Providers in the same zip code

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 Information

Taxonomy Code 207YX0905X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology
Specialization Otolaryngology/Facial Plastic Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and state

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

Competitor

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City WHITEVILLE
Zip Code 28472

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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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