COASTAL MEDICAL, INC. (NPI# 1114069218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114069218 |
| Entity Type | Organization |
| Organization Name | COASTAL MEDICAL, INC. |
| Practice Address |
850 Aquidneck Ave Middletown RI 02842-7244 |
| Mailing Address |
5626 Oberlin Dr Suite 110 San Diego CA 92121-1705 |
| Practice Telephone | 4018460055 |
| Mailing Telephone | 8586252990 |
| Mailing Fax Number | 8586252999 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2012-10-17 |
| Authorized Official Name | KENNY HEINE (DIR. OF OPERATIONS) |
| Authorized Official Telephone | 8586252990 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDVANTX,INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | MD07724 | RI | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184767022 | Coastal Medical, Inc. | Non-Pharmacy Dispensing Site | 761 Park Ave, Cranston, RI 02910-2137 | 2007-02-14 |
| 1114124864 | Coastal Medical, Inc. | Non-Pharmacy Dispensing Site | 1075 Smith St, 2nd Floor, Providence, RI 02908-2700 | 2007-06-27 |
| 1528265212 | Coastal Medical, Inc. | Non-Pharmacy Dispensing Site | 450 Veterans Memorial Pkwy, 404, East Providence, RI 02914-5300 | 2007-06-27 |
| 1184767030 | Coastal Medical, Inc. | Non-Pharmacy Dispensing Site | 6 Blackstone Valley Pl, Suite 701, Lincoln, RI 02865-1179 | 2007-02-14 |
| 1073655379 | Coastal Medical, Inc. | Non-Pharmacy Dispensing Site | 400 Reservoir Ave, Providence, RI 02907-3565 | 2007-02-13 |
| 1992847099 | Coastal Medical, Inc. | Non-Pharmacy Dispensing Site | 1524 Atwood Ave, Ste. 340, Johnston, RI 02919-3228 | 2007-02-13 |
| 1720128499 | Coastal Medical, Inc. | Non-Pharmacy Dispensing Site | 70 Kenyon Ave, Suite 321, Wakefield, RI 02879-4239 | 2007-02-08 |
| 1144361718 | Coastal Medical, Inc. | Non-Pharmacy Dispensing Site | 900 Warren Ave, East Providence, RI 02914-1400 | 2007-02-08 |
| Street Address |
850 AQUIDNECK AVE |
| City | MIDDLETOWN |
| State | RI |
| Zip Code | 02842-7244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912901869 | Steven Franklin Freedman | Otolaryngology | 850 Aquidneck Ave, Unit B9, Middletown, RI 02842-7244 | 2005-06-09 |
| 1164916904 | Kendra Ryan Pimenta | Physician Assistant | 850 Aquidneck Ave, Middletown, RI 02842-7280 | 2018-06-15 |
| 1275052755 | Coastal Foot & Ankle Inc | Clinic/Center | 850 Aquidneck Ave, Middletown, RI 02842-7280 | 2017-09-15 |
| 1518226687 | Joseph Robert Weisberger IIi | Audiologist | 850 Aquidneck Ave, Unit B-9, Middletown, RI 02842-7280 | 2012-05-10 |
| 1750677514 | Aleah W Kirchner | Physician Assistant | 850 Aquidneck Ave, Middletown, RI 02842-7280 | 2011-06-21 |
| 1588891279 | Newport Acupuncture & Herbal Medicine, Inc. | Acupuncturist | 850 Aquidneck Ave, A3, Middletown, RI 02842-7244 | 2009-06-19 |
| 1538286679 | Shake-a-leg, Inc. | Residential Treatment Facility, Physical Disabilities | 850 Aquidneck Ave, Suite 6-a, Middletown, RI 02842-7244 | 2007-03-23 |
| 1033247002 | Tiffany J St Germain | Audiologist | 850 Aquidneck Ave, Unit B9, Middletown, RI 02842-7244 | 2007-03-01 |
| 1508918053 | Seth Bock | Acupuncturist | 850 Aquidneck Ave, Unit A3, Middletown, RI 02842-7244 | 2007-01-17 |
| 1649322744 | Julianne Stapleton | Acupuncturist | 850 Aquidneck Ave, Suite B2, Middletown, RI 02842-7244 | 2007-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427671478 | Shannon M. Pine | Counselor | E Admiralty Drive, 2, Middletown, RI 02842 | 2020-05-26 |
| 1912425968 | Gail Demarco | Registered Nurse | 127 Johnnycake Hill Road, Middletown, RI 02842 | 2017-08-30 |
| 1790201861 | Logan Christopher Menard | Specialist/Technologist | 4 Orville Drive, Middletown, RI 02842 | 2017-08-20 |
| 1295149714 | Jacquelyn Marez | Occupational Therapy Assistant | 1998 West Main Rd, Middletown, RI 02842 | 2014-06-12 |
| 1144660465 | Brittney Lea Barry | Audiologist | Naval Health Clinic New England 43 Smith Rd., Newport, RI 02842 | 2013-07-01 |
| 1912262445 | Wendy S Drysdale | Student in an Organized Health Care Education/Training Program | 372 Purgatory Road, St. George's School, Middletown, RI 02842 | 2012-07-11 |
| 1912294778 | Laurie B Phenix | Pharmacist | 88 Silva Lane, Tech 4, Suite 110, Middletown, RI 02842 | 2011-06-30 |
| 1023278249 | Ann Marie Efflandt | Speech-Language Pathologist | 333 Green Ave, Middletown, RI 02842 | 2008-06-11 |
| 1669631487 | Tiffany Bourquin | Counselor | 575 E Main Rd Unit 4, Middletown, RI 02842 | 2008-06-06 |
| 1104048396 | Valley Primary Care Inc | Family Medicine | 294 Valley Road, Middletown, RI 02842 | 2007-05-03 |
| Find all providers in zip 02842 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457701088 | Medical Art Center | Non-Pharmacy Dispensing Site | 950 State Route 35, Middletown, NJ 07748-2603 | 2016-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336493535 | Atmed Treatment Center, Inc | Non-Pharmacy Dispensing Site | 5750 Post Rd, East Greenwich, RI 02818-2139 | 2012-11-09 |
| 1760754923 | Richard M. Del Sesto Md Ms Ltd | Non-Pharmacy Dispensing Site | 3410 S County Trail, 303, E. Greenwich, RI 02818 | 2012-02-03 |
| 1336370691 | Provant Health Solutions, LLC | Non-Pharmacy Dispensing Site | 42 Ladd St, Suite 214, East Greenwich, RI 02818-4361 | 2009-08-05 |
| 1063684900 | Atmed Treatment Center Inc | Non-Pharmacy Dispensing Site | 1524 Atmed Avenue, Suite 122, Johnston, RI 02919 | 2008-04-01 |
| 1184767022 | Coastal Medical, Inc. | Non-Pharmacy Dispensing Site | 761 Park Ave, Cranston, RI 02910-2137 | 2007-02-14 |
| 1144304783 | Physicians of Rhode Island Enterprises Incorporated | Non-Pharmacy Dispensing Site | 10 Nate Whipple Hw 101, Cumberland, RI 02864 | 2006-10-24 |
| 1932520509 | University Internal Medicine Inc | Non-Pharmacy Dispensing Site | 407 East Ave, Suite 120, Pawtucket, RI 02860-5290 | 2013-12-26 |
| 1669800967 | Bald Hill Walk In and Primary Care | Non-Pharmacy Dispensing Site | 300 Quaker Ln, Suite 16, Warwick, RI 02886-0159 | 2013-10-23 |
| 1538474713 | University Family Medicine | Non-Pharmacy Dispensing Site | 1351 S County Trl, 301, East Greenwich, RI 02818-5079 | 2010-08-12 |
| 1447496617 | University Medicine Foundation Inc | Non-Pharmacy Dispensing Site | 50 Memorial Blvd, Newport, RI 02840-3636 | 2008-12-18 |
| Find all providers with the same taxonomy | ||||
| City | MIDDLETOWN |
| Zip Code | 02842 |
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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.