COASTAL PLAINS PATHOLOGY PA (NPI# 1003308305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003308305 |
| Entity Type | Organization |
| Organization Name | COASTAL PLAINS PATHOLOGY PA |
| Practice Address |
1705 Tarboro St Sw Wilson NC 27893-3428 |
| Mailing Address |
3705 Eagle Farm Dr N Wilson NC 27896-1277 |
| Practice Telephone | 2523998703 |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2018-06-01 |
| Authorized Official Name | DR. BENJAMIN COULTER (PRESIDENT) |
| Authorized Official Telephone | 2523998703 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
Allopathic & Osteopathic Physicians |
| Street Address |
1705 TARBORO ST SW |
| City | WILSON |
| State | NC |
| Zip Code | 27893-3428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912902628 | Wilmed Generations,inc. | Skilled Nursing Facility | 1705 Tarboro St Sw, Wilson, NC 27893-3428 | 2005-06-17 |
| 1174131791 | Julia Adams | Physical Therapist | 1705 Tarboro St Sw, Wilson, NC 27893-3428 | 2020-07-20 |
| 1457986085 | Angela Fogel Carter | Occupational Therapy Assistant | 1705 Tarboro St Sw, Wilson, NC 27893-3428 | 2020-03-04 |
| 1194373217 | Louis Pettygrove | Physician Assistant | 1705 Tarboro St Sw, Wilson, NC 27893-3428 | 2019-09-02 |
| 1730734757 | Joellen Carroll | Physical Therapist | 1705 Tarboro St Sw, Wilson, NC 27893-3428 | 2019-08-06 |
| 1205304391 | Nikolas Bland | Physical Therapist | 1705 Tarboro St Sw, Wilson, NC 27893-3428 | 2018-11-06 |
| 1629544804 | Robin Marie Steinert | Speech-Language Pathologist | 1705 Tarboro St Sw, Wilson, NC 27893-3428 | 2018-10-16 |
| 1093298804 | Wanda Lisa Crunkleton | Physical Therapy Assistant | 1705 Tarboro St Sw, Wilson, NC 27893-3428 | 2018-09-08 |
| 1356861694 | Andrew Patrick Fink | Radiology | 1705 Tarboro St Sw, Wilson Medical Center, Wilson, NC 27893-3428 | 2017-06-27 |
| 1386196459 | Dlp Wilson Medical Center LLC | Psychiatric Unit | 1705 Tarboro St Sw, Wilson, NC 27893-3428 | 2016-10-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245847524 | Graceland Student Services LLC | Early Intervention Provider Agency | 610 Fairview Ave., Wilson, NC 27893 | 2020-09-30 |
| 1508477894 | Evan Michael Abatiell | Specialist/Technologist | 400 Atlantic Christian E West Ne, Wilson, NC 27893 | 2020-08-11 |
| 1679100606 | Newgreen Inhomecare Group Inc | Registered Nurse | 121 Nast Street N, Wilson, NC 27893 | 2020-03-27 |
| 1942772983 | Open Water Medical, Pa | Clinic/Center | 4008 Nc-42, Wilson, NC 27893 | 2018-12-31 |
| 1679043244 | Madison Rose Propst | Social Worker | 2416 Bedgood, Wilson, NC 27893 | 2018-11-27 |
| 1104396753 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 2500 Horton Blvd, Wilson, NC 27893 | 2018-11-27 |
| 1528545498 | North Carolina In-home Partner-viii, LLC | Home Health | 1901 Tarboro St Sw Ste 304, Wilson, NC 27893 | 2018-07-24 |
| 1518478957 | Home Away From Home, Inc. | In Home Supportive Care | 1723 Meadowbrook Lane W., Wilson, NC 27893 | 2017-10-12 |
| 1942721295 | Sandra Susan Blazek | Social Worker | 608 Nash Street Nw, Wilson, NC 27893 | 2017-06-27 |
| 1700306297 | Kimberly Denton Almkuist | Nurse Practitioner | Wilson County Health Department, 1801 Glendale Dr. Sw, Wilson, NC 27893 | 2017-06-26 |
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| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588656821 | Peter J Kragel | Pathology | 2693 Forest Hills Rd Sw Ste B, Wilson, NC 27893-8611 | 2005-08-22 |
| 1932528346 | Sonya Purushothaman | Pathology | 2693 Forest Hills Rd Sw Ste B, Wilson, NC 27893-8611 | 2014-04-14 |
| 1144457201 | George Drennan Smith II | Pathology | 2693 Forest Hills Rd Sw, Suite B, Wilson, NC 27893-8611 | 2009-06-16 |
| 1174782205 | Benjamin Lee Coulter | Pathology | 2693 Forest Hills Rd Sw, Suite B, Wilson, NC 27893-8611 | 2008-06-04 |
| 1902099187 | Romualdo Velez Talento II | Pathology | 2693 Forest Hills Rd Sw Ste B, Wilson, NC 27893-8611 | 2007-08-22 |
| 1881682383 | Eastern Carolina Pathology Associates Pa | Pathology | 2693 Forest Hills Rd Sw Ste B, Wilson, NC 27893-8611 | 2005-10-10 |
| 1871581397 | James Butler Cash | Pathology | 1705 Tarboro St Sw, Wilson, NC 27893-3428 | 2005-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508484965 | Azad Bakht | Pathology | Medical Center Boulevard Department of Pathology, Winston Salem, NC 27157-0001 | 2020-07-10 |
| 1316401375 | Celligent Diagnostics, LLC | Pathology | 101 E W T Harris Blvd Ste 1212, Charlotte, NC 28262-3423 | 2019-01-24 |
| 1487170387 | Coastal Carolina Pathology, Pa | Pathology | 2606 Iron Gate Dr Ste 201, Wilmington, NC 28412-2494 | 2017-08-22 |
| 1134651748 | Elsa Mondou | Pathology | 6008 Bunchberry Ct, Raleigh, NC 27616-5454 | 2017-04-02 |
| 1578910006 | Jennifer Michelle Crimmins | Pathology | Dumc 3712, Durham, NC 27710-4220 | 2016-05-13 |
| 1407237811 | Cori Breslauer | Pathology | Pathology and Lab Medicine, Bbb Cb 7525, Chapel Hill, NC 27599-7525 | 2015-06-11 |
| 1548668338 | Cheryl Levine | Pathology | 1740 Montclair Ave, Gastonia, NC 28054-4848 | 2014-12-11 |
| 1396005369 | Bart B Singer | Pathology | Unc Pathology Cb 7525 Brinkhous-bullitt Building, Chapel Hill, NC 27599-7525 | 2012-05-23 |
| 1750670279 | Nathan Samuel Cuka | Pathology | 3333 Silas Creek Pkwy Fl 1, Winston Salem, NC 27103-3013 | 2011-04-05 |
| 1669790994 | Sara Elizabeth Wobker | Pathology | 303 Brinkhouse Bullitt Bldg, Department of Pathology, Cb# 7525, Chapel Hill, NC 27599-7525 | 2010-05-11 |
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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.