COASTAL PAIN MEDICINE, LLC


Address: 2905 Groveland Dr, Greenville, NC 27858-7188
Phone: 8884180333

COASTAL PAIN MEDICINE, LLC (NPI# 1902094485) 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) 1902094485
Entity Type Organization
Organization Name COASTAL PAIN MEDICINE, LLC
Practice Address 2905 Groveland Dr
Greenville
NC 27858-7188
Mailing Address Po Box 30692
Greenville
NC 27833-0692
Practice Telephone 8884180333
Mailing Fax Number 8884180333
Enumeration Date 2007-10-09
Last Update Date 2008-01-16
Authorized Official Name DR. CHRISTOPHER THOMAS GRUBB (MANAGER, DIRECT OWNER)
Authorized Official Telephone 8884180333
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207L00000X Anesthesiology NC Allopathic & Osteopathic Physicians
Y 207LP2900X Anesthesiology
Specialization: Pain Medicine
NC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
BCBS 019PK 01

Office Location

Street Address 2905 GROVELAND DR
City GREENVILLE
State NC
Zip Code 27858-7188

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740890797 Kari Melissa Carr Counselor 4410 Health Sciences Building, Greenville, NC 27858 2020-08-05
1518584705 Apriann Marchelle Sutton Social Worker 2050 Eastgate Dr., # E, Greenville, NC 27858 2020-07-03
1174145338 Matthew Charles Whited Psychologist Pass Clinic Rawl Building Room 311, East Carolina University, Greenville, NC 27858 2020-05-11
1760025043 Brooke Elizabeth Wallace Occupational Therapist 740 Greenville Blvd, Ste 400 #133, Greenville, NC 27858 2019-10-19
1770141699 Andrew Pickett Specialist/Technologist 130b Scales Field House, Ecu, Greenville, NC 27858 2019-06-05
1659836591 Advanced Regenerative Care, Pllc Physical Medicine & Rehabilitation 504 C Red Banks Road, Greenville, NC 27858 2019-02-05
1316410996 East Carolina Acupuncture Inc Acupuncturist 211 Commerce Street, Suite A, Greenville, NC 27858 2019-01-07
1922597368 Kevin Westbrook Respiratory Therapist, Registered 513 Abington Court, Greenville, NC 27858 2018-05-01
1871090167 Faith Based Counseling Services, LLC Counselor 235 Commerece Street, Greenville, NC 27858 2018-04-12
1639677800 Marcus Brian Ward, Dmd, Pa Clinic/Center 3912 East 10th St., Greenville, NC 27858 2018-01-23
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Taxonomy Information

Taxonomy Code 207LP2900X
Grouping Allopathic & Osteopathic Physicians
Classification Anesthesiology
Specialization Pain Medicine

Taxonomy Definition

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952674277 The Heag Pain Management Center Pa Anesthesiology 2245 Stantonsburg Rd Ste H, Greenville, NC 27834 2012-02-16
1043540222 Carolinas Center for Advanced Management of Pain, Pa Anesthesiology 10 Enterprise Blvd Ste 201, Greenville, SC 29615-3554 2010-01-11
1912443821 Interventional Pain Center, Pllc Anesthesiology 2080 W Arlington Blvd, Suite A, Greenville, NC 27834-3770 2017-01-17
1215488267 Konig Pm, LLC Anesthesiology 2498 N Pleasantburg Dr, Suite E, Greenville, SC 29609-2730 2016-10-14
1932652328 Konig Pm LLC Anesthesiology 2498 N Pleasantburg Dr, Suite E, Greenville, SC 29609-2730 2016-08-02
1154563955 Optimal Anesthesia, Pllc Anesthesiology 4215 Joe Ramsey Blvd E, Greenville, TX 75401-7852 2009-03-25
1073558516 Lee Ashley Mullinax Anesthesiology 111 Doctors Dr, Greenville, SC 29605-5622 2006-06-18
1700833654 Adele S Lynagh Anesthesiology 1 Saint Francis Dr, Greenville, SC 29601-3955 2006-05-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1174164057 Regenerative Medical Institute,pllc Anesthesiology 1305 W. Wendover Ave., Ste A, Greensboro, NC 27408 2019-10-02
1598235830 Mission Community Anesthesiology Specialists LLC Anesthesiology 89 Hospital Dr Ste C, Brevard, NC 28712-4838 2018-11-29
1508341736 Bethany Medical Center Anesthesiology 190 Independence Ave Ste B, North Wilkesboro, NC 28659-4270 2018-10-03
1508347048 Premier Pain Solutions Pllc Anesthesiology 5710 Oleander Dr Ste 201, Wilmington, NC 28403-4722 2018-08-23
1417434069 Kyle Mason Fisher Anesthesiology Duke Univeristy Hospital Anesthesia Department, Durham, NC 27710-0001 2018-07-26
1306351432 Carteret Surgical Associates P.a. Anesthesiology 2145 Country Club Rd Ste 400, Jacksonville, NC 28546-2400 2017-12-12
1003331521 Accela Spine and Pain, Pllc Anesthesiology 10120 Ivey Chase Lane, Apt 617, Charlotte, NC 28277 2017-08-04
1205372588 Interventional Pain Center, Pllc Anesthesiology 517 B Hwy 210 N, Spring Lake, NC 28390 2017-01-11
1316482201 Providence Pain, Spine & Recovery, Pllc Anesthesiology 7 Berkshire Rd, Smithfield, NC 27577 2016-12-30
1356898720 Ketamine Wellness Institute Anesthesiology 414 Cosgrove Ave, Chapel Hill, NC 27514-5271 2016-09-02
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Competitor

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City GREENVILLE
Zip Code 27858

Improve Information

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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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