COASTAL ORTHOPEDICS & SPORTS MEDICINE (NPI# 1912009416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912009416 |
| Entity Type | Organization |
| Organization Name | COASTAL ORTHOPEDICS & SPORTS MEDICINE |
| Practice Address |
14 Thomas Point Road Brunswick ME 04011 |
| Practice Telephone | 2074420325 |
| Practice Fax Number | 2074434578 |
| Mailing Telephone | 2074420325 |
| Mailing Fax Number | 2074434578 |
| Enumeration Date | 2006-09-04 |
| Last Update Date | 2016-03-11 |
| Authorized Official Name | STEPHEN KATZ (OWNER) |
| Authorized Official Telephone | 2074420325 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 127980000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992166151 | Coastal Orthopedics & Sports Medicine | Specialist | 14 Thomas Point Rd, Brunswick, ME 04011-3911 | 2016-03-16 |
| Street Address |
14 THOMAS POINT ROAD |
| City | BRUNSWICK |
| State | ME |
| Zip Code | 04011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093276370 | Convenientmd LLC | Clinic/Center | 193 Bath Road, Brunswick, ME 04011 | 2019-03-28 |
| 1326571241 | Psychology Specialists of Maine | Psychologist | 14 Maine St., Suite 309, Brunswick, ME 04011 | 2017-04-07 |
| 1992249775 | Avita Brunswick LLC | Alzheimer Center (Dementia Center) | 89 Admiral Fitch Way, Brunswick, ME 04011 | 2016-12-13 |
| 1215303433 | Mary K Kunhardt | Social Worker | 116 Maquoit Rd, Brunswick, ME 04011 | 2015-08-12 |
| 1861803843 | Gretchen Jane Stevens | Counselor | 136 Maine Street, Suite #6, Brunswick, ME 04011 | 2014-05-13 |
| 1356764567 | Kid Function, Inc. | Clinic/Center | 225 Thomas Point Road, Brunswick, ME 04011 | 2014-01-23 |
| 1356788921 | Jacques M. Reynolds | Psychiatry & Neurology | 81 Medical Center Dr # 2400, Brunswick, ME 04011 | 2013-05-23 |
| 1922369891 | Charles Russell Thorp | Pharmacist | 147 Bath Rd, Rtes 1 and 24, Merry Meeting Plaza, Brunswick, ME 04011 | 2012-06-06 |
| 1992076111 | Benjamin C. Tyau | Physician Assistant | 193 Bath Rd, Brunswick, ME 04011 | 2012-01-19 |
| 1841575339 | Bluesage Therapies Inc. | Social Worker | 214 Raymond Road, Brunswick, ME 04011 | 2011-10-15 |
| Find all providers in zip 04011 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932468709 | Nicholas Scott Richardson | Orthopaedic Surgery | 3231 Glynn Avenue, Brunswick, GA 31520 | 2012-05-14 |
| 1881869378 | Donald D Kalvoda, Md, Pa | Orthopaedic Surgery | 329 Maine St Ste B, Brunswick, ME 04011-3310 | 2008-04-25 |
| 1124102173 | Konstantin R. Kuschnir | Orthopaedic Surgery | 1212 Pearl Rd, Brunswick, OH 44212-5409 | 2006-10-25 |
| 1417979402 | Cooperative Healthcare Services, Inc. | Orthopaedic Surgery | 15 Gable Ct, Brunswick, GA 31525-6738 | 2006-07-25 |
| 1649251273 | Robert D Livingston Jr. | Orthopaedic Surgery | 430 Bath Road, Suite 102, Brunswick, ME 04011 | 2005-11-10 |
| 1639562978 | Tattnall Hospital Company, LLC | Orthopaedic Surgery | 1111 Glynco Pkwy, Suite 30 - A Summit Professional Plaza I, Brunswick, GA 31525-7921 | 2015-03-11 |
| 1487047726 | Optim Orthopedics, LLC | Orthopaedic Surgery | 1111 Glynco Pkwy, Suite 30 - A Summit Professional Plaza I, Brunswick, GA 31525-7921 | 2015-03-11 |
| 1871848473 | Brunswick Orthopedics Inc | Orthopaedic Surgery | 1212 Pearl Rd, Brunswick, OH 44212-5409 | 2012-07-19 |
| 1487948527 | Jacob Furey | Orthopaedic Surgery | 430 Bath Rd, Brunswick, ME 04011-2637 | 2011-06-07 |
| 1881888030 | Lisa D Khoury | Orthopaedic Surgery | 430 Bath Rd, Brunswick, ME 04011-2637 | 2007-08-30 |
| Find all providers in BRUNSWICK | ||||
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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.