COASTAL ONCOLOGY & HEMATOLOGY PA


Address: 3322 Wellons Blvd, New Bern, NC 28562-5290
Phone: 2526341616

COASTAL ONCOLOGY & HEMATOLOGY PA (NPI# 1912077090) 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) 1912077090
Entity Type Organization
Organization Name COASTAL ONCOLOGY & HEMATOLOGY PA
Practice Address 3322 Wellons Blvd
New Bern
NC 28562-5290
Practice Telephone 2526341616
Practice Fax Number 2526341617
Mailing Telephone 2526341616
Mailing Fax Number 2526341617
Enumeration Date 2006-11-08
Last Update Date 2020-08-22
Authorized Official Name DR. ANNA G FAIDAS (PRESIDENT)
Authorized Official Telephone 2526341616
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
9601134 NC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NC 89012NA 05
NC BLUE CROSS BLUE SHIELD # 0285R 01

Office Location

Street Address 3322 WELLONS BLVD
City NEW BERN
State NC
Zip Code 28562-5290

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1841799814 Dallin Page Physical Therapist 2111 Neuse Blvd Suite K, New Bern, NC 28562 2018-02-06
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Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841726064 Carolinaeast Physicians Internal Medicine 2000 Neuse Blvd, New Bern, NC 28560-3449 2017-05-08
1457642605 Sarah Bass Carroll Internal Medicine 2000 Neuse Blvd, New Bern, NC 28560-3449 2011-04-22
1700094174 William C Taylor Internal Medicine 2000 Neuse Blvd, New Bern, NC 28560-3449 2007-05-18
1033165246 Richard Forbes Gorman Jr. Internal Medicine 2000 Neuse Blvd, New Bern, NC 28560-3449 2006-05-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1851909816 The Presbyterian Hospital Internal Medicine 125 Queens Rd Ste 660, Charlotte, NC 28204-3215 2020-07-16
1346858487 The Presbyterian Hospital Internal Medicine 125 Queens Rd Ste 560, Charlotte, NC 28204-3215 2020-07-15
1295343341 The Presbyterian Hospital Internal Medicine 125 Queens Rd Ste 640, Charlotte, NC 28204-3215 2020-07-15
1881212215 The Presbyterian Hospital Internal Medicine 125 Queens Rd Ste 520, Charlotte, NC 28204-3215 2020-07-13
1720606486 The Presbyterian Hospital Internal Medicine 125 Queens Rd Ste 400, Charlotte, NC 28204-3215 2020-07-09
1720606445 The Presbyterian Hospital Internal Medicine 125 Queens Rd Ste 430, Charlotte, NC 28204-3215 2020-07-09
1235757352 The Presbyterian Hospital Internal Medicine 125 Queens Rd Ste 420, Charlotte, NC 28204-3215 2020-07-07
1811517311 Rowan Regional Medical Center, Inc. Internal Medicine 631 Mocksville Ave, Ste 1020, Salisbury, NC 28144-2731 2020-04-24
1154955995 Mohamed Sobhy Elhusseini Yassin Internal Medicine 2400 Pratt St Ste 5000, Durham, NC 27705-3976 2020-03-02
1164944377 David Michael Ashley Internal Medicine Department of Neurosurgery Duke University Ctr, Durham, NC 27710-0001 2017-07-10
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Competitor

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City NEW BERN
Zip Code 28562

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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