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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
BCBS | 019PK | 01 |
Street Address |
2905 GROVELAND DR |
City | GREENVILLE |
State | NC |
Zip Code | 27858-7188 |
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 |
Find all providers in zip 27858 |
Taxonomy Code | 207LP2900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Anesthesiology |
Specialization | Pain Medicine |
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. |
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 |
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 |
Find all providers with the same taxonomy |
City | GREENVILLE |
Zip Code | 27858 |
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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.