COASTAL GASTROENTEROLOGY PLLC (NPI# 1720014012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720014012 |
| Entity Type | Organization |
| Organization Name | COASTAL GASTROENTEROLOGY PLLC |
| Practice Address |
3 Medical Center Drive Supply NC 28462 |
| Practice Telephone | 9107547790 |
| Practice Fax Number | 9107547838 |
| Mailing Telephone | 9107547790 |
| Mailing Fax Number | 9107547838 |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2007-08-28 |
| Authorized Official Name | DR. FRANK LOVING HOLT JR. (MD) |
| Authorized Official Telephone | 9107547790 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BLUE SHIELD | 1235G | 01 |
| NC | 891235G | 05 |
| Street Address |
3 MEDICAL CENTER DRIVE |
| City | SUPPLY |
| State | NC |
| Zip Code | 28462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558910943 | Lisa M Jock | Technician | 1276 Skipper Run Sw, Supply, NC 28462 | 2019-09-09 |
| 1023532686 | Novant Health Brunswick Endoscopy Center, LLC | Nurse Anesthetist, Certified Registered | 13 Medical Campus Drive, Suite 101, Supply, NC 28462 | 2017-07-26 |
| 1821510579 | Novant Health Brunswick Endoscopy Center, LLC | Clinic/Center | 13 Medical Campus Dr, Suite 101, Supply, NC 28462 | 2017-07-14 |
| 1831461920 | Reginald Lofton Hewett | Counselor | 1473 Cedar Grove Rd, Supply, NC 28462 | 2012-02-03 |
| 1760793343 | Coastal Hearing Centers, Inc | Clinic/Center | 2298 Ocean Hwy, Supply, NC 28462 | 2010-06-29 |
| 1083943567 | Lorell Sneeden Pait | Nurse Practitioner | 795 Ocean Highway West, Supply, NC 28462 | 2009-12-14 |
| 1043451321 | Well Care Home Care | Home Health | 118 Ocean Highway West, Supply, NC 28462 | 2009-03-16 |
| 1467672873 | South Atlantic Radiation Oncology, LLC | Clinic/Center | 545 Ocean Highway West, Supply, NC 28462 | 2007-04-26 |
| 1225177702 | Barbara C Bauer | Counselor | 1041 Old Ocean Highway, Supply, NC 28462 | 2007-02-05 |
| 1891852323 | Liberty Medical Specialties, Inc | Durable Medical Equipment & Medical Supplies | 1120 Ocean Hwy West, Supply, NC 28462 | 2007-01-03 |
| Find all providers in zip 28462 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437556594 | Novant Medical Group Inc | Internal Medicine | 13 Medical Campus, Suite 102, Supply, NC 28462-4093 | 2014-12-04 |
| 1124028014 | Frank Loving Holt Jr. | Internal Medicine | 13 Medical Campus Dr Nw, Suite 102, Supply, NC 28462-4093 | 2005-07-21 |
| 1013984244 | Jonathan Blair Lamphier | Internal Medicine | 6 Doctors Cir, Ste 5, Supply, NC 28462-6357 | 2006-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346889292 | Park Gastroenterology, Pllc | Internal Medicine | 7560 Carpenter Fire Station Rd Ste 303, Cary, NC 27519-9637 | 2019-12-24 |
| 1528625399 | Rowan Endoscopy Center, Pllc | Internal Medicine | 1809 Brenner Ave, Suite 102, Salisbury, NC 28144-2558 | 2019-05-28 |
| 1073091088 | Gastroenterology Associates of The Piedmont, P.a. | Internal Medicine | 445 Pineview Dr Ste 200b, Kernersville, NC 27284 | 2018-08-01 |
| 1710489273 | Appalachian Regional Medical Associates Inc | Internal Medicine | Appgastro - Asc, 870 State Farm Rd, Ste 102, Boone, NC 28607 | 2018-03-01 |
| 1669971826 | Appalachian Regional Medical Associates Inc | Internal Medicine | 870 State Farm Rd Ste 2, Boone, NC 28607-4861 | 2018-02-02 |
| 1275930968 | Digestive Health Specialists, Pa | Internal Medicine | 434 Kirby Rd, Lower Level Suite 6, King, NC 27021-9494 | 2014-11-25 |
| 1326454174 | Daniel Dillon | Internal Medicine | 1045 25th Avenue Dr Nw, Hickory, NC 28601-9077 | 2014-07-01 |
| 1841610300 | Shelly Gurwara | Internal Medicine | Medical Ctr Blvd, Winston Salem, NC 27157-2358 | 2014-04-23 |
| 1518386457 | Silpa Yalamanchili | Internal Medicine | 781 Avent Ferry Rd Ste 204, Holly Springs, NC 27540-7776 | 2014-04-08 |
| 1043648546 | Mission Medical Associates | Internal Medicine | 2695 Hendersonville Rd., Suite 206, Arden, NC 28704-8576 | 2013-10-18 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on COASTAL GASTROENTEROLOGY PLLC.
| 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.