COASTAL CHILDRENS SERVICES PLLC (NPI# 1124371646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124371646 |
Entity Type | Organization |
Organization Name | COASTAL CHILDRENS SERVICES PLLC |
Other Organization Name | CCS LUMBERTON |
Practice Address |
400 Liberty Hill Rd Lumberton NC 28358-2446 |
Mailing Address |
1915 Glen Meade Rd Wilmington NC 28403-6024 |
Practice Telephone | 9107729202 |
Practice Fax Number | 9107729452 |
Mailing Telephone | 9107729202 |
Mailing Fax Number | 9107729452 |
Enumeration Date | 2012-10-22 |
Last Update Date | 2012-10-22 |
Authorized Official Name | DR. FERNANDO R MOYA (PRESIDENT) |
Authorized Official Telephone | 9106675011 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
CCS Lumberton | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982092219 | Coastal Childrens Services Pllc | Pediatrics | 2131 S 17th St, Wilmington, NC 28401-7407 | 2015-01-09 |
1538558879 | Coastal Childrens Services Pllc | Pediatrics | 2131 S 17th St, Wilmington, NC 28401-7407 | 2015-01-09 |
1922356146 | Coastal Childrens Services Pllc | Pediatrics | 120 Memorial Dr, Jacksonville, NC 28546-6328 | 2012-08-20 |
1548523095 | Coastal Childrens Services Pllc | Pediatrics | 2131 S 17th St, Wilmington, NC 28401-7407 | 2012-06-20 |
Street Address |
400 LIBERTY HILL RD |
City | LUMBERTON |
State | NC |
Zip Code | 28358-2446 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528064599 | William Scott Ryan | Pediatrics | 400 Liberty Hill Rd, Lumberton, NC 28358-2446 | 2005-06-24 |
1699305060 | Jacklynn Lindsey Hunt | Physician Assistant | 400 Liberty Hill Rd, Lumberton, NC 28358-2446 | 2020-01-24 |
1376181487 | Jessica Nicole Fairfax | Nurse Practitioner | 400 Liberty Hill Rd, Lumberton, NC 28358-2446 | 2019-12-19 |
1174031173 | Danielle Nicole Chavis | Physician Assistant | 400 Liberty Hill Rd, Lumberton, NC 28358-2446 | 2018-01-12 |
1417467408 | Kandis Danielle Atkins | Family Medicine | 400 Liberty Hill Rd, Lumberton, NC 28358-2446 | 2017-10-04 |
1881126738 | Michelle Lin | Pediatrics | 400 Liberty Hill Rd, Lumberton, NC 28358-2446 | 2017-03-30 |
1255764536 | Candace Michelle Lowry | Nurse Practitioner | 400 Liberty Hill Rd, Lumberton, NC 28358-2446 | 2013-08-09 |
1689924268 | Christie Lynne Hagan | Physician Assistant | 400 Liberty Hill Rd, Lumberton, NC 28358-2446 | 2012-09-11 |
1063760031 | Children's Health of Carolina, Pa | Pediatrics | 400 Liberty Hill Rd, Lumberton, NC 28358-2446 | 2012-08-24 |
1679863070 | Maria Torres Sy | Pediatrics | 400 Liberty Hill Rd, Lumberton, NC 28358-2446 | 2011-04-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649812397 | Monarch | Community/Behavioral Health | 13128 Serenity Street, Huntersville, NC 28358 | 2019-10-15 |
1114577194 | Lashonda Patrice Bostic | Social Worker | 4719 Fayetteville Road, Lumberton, NC 28358 | 2019-09-12 |
1780232389 | Rosaline Whittington | Technician | 39 Sibley Road, Lumberton, NC 28358 | 2019-08-28 |
1790343168 | Emily Graham | Social Worker | 401 S. 27th Street, Lumberton, NC 28358 | 2019-05-31 |
1316420722 | Karen Lynn Warwick | Nurse Practitioner | 600 Farringdom St # Ab, Lumberton, NC 28358 | 2018-09-11 |
1982184149 | Virginia Feldick Hampton | Speech-Language Pathologist | Coastal Therapy Partners, 210 Liberty Hill Road, Lumberton, NC 28358 | 2018-08-17 |
1366941882 | Ashlynn Faircloth Mckeithan | Occupational Therapist | 210 Liberty Hill Road, Lumberton, NC 28358 | 2018-02-10 |
1992153506 | Matthew Mercer | Nurse Anesthetist, Certified Registered | 2703 Riverwood Ave, Lumberton, NC 28358 | 2016-05-25 |
1295100964 | Chosen Health Care Services Inc | In Home Supportive Care | 705b Wesley Pines Road, Lumberton, NC 28358 | 2015-12-07 |
1346626173 | Brittany Renea Chavis | Social Worker | 888 Wire Grass Road, Lumberton, NC 28358 | 2015-08-04 |
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Taxonomy Code | 2080P0206X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Gastroenterology |
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841760238 | Mission Community Anesthesiology Specialists LLC | Pediatrics | 2695 Hendersonville Rd Ste 206, Arden, NC 28704-8576 | 2018-11-28 |
1205351756 | Dara Adina Seelig | Pediatrics | Brenner Children's Hospital Wake Forest Baptist Health, Winston Salem, NC 27157-0001 | 2017-08-06 |
1609229947 | Prathipa Santhanam | Pediatrics | N.c. Children's Hospital, 101 Manning Drive, Chapel Hill, NC 27514 | 2016-07-21 |
1912286410 | Carolinas Medical Center-northeast | Pediatrics | 101 East W T Harris Blvd, Bldg 3000, Suite 3301e, Charlotte, NC 28262-7000 | 2011-08-15 |
1013296730 | Timothy Menz | Pediatrics | 2711 Randolph Rd Ste 301, Charlotte, NC 28207-2027 | 2011-08-11 |
1396904967 | Sachin Shrikar Kunde | Pediatrics | 2601 Lake Dr Ste 201, Raleigh, NC 27607-6689 | 2008-06-08 |
1639260243 | Rose Corinne Marcus | Pediatrics | 333 South Columbia Street Cb 7229, Chapel Hill, NC 27599-4202 | 2006-09-27 |
1336704766 | Wakemed Specialists Group, LLC | Pediatrics | 23 Sunnybrook Rd, Raleigh, NC 27610-1855 | 2019-05-01 |
1982105375 | Pedzfeedz, Pllc | Pediatrics | 720 Saint James Dr, Wilmington, NC 28403 | 2018-02-22 |
1013453604 | Novant Medical Group, Inc. | Pediatrics | 11840 Southmore Dr, Suite 200, Charlotte, NC 28277-4466 | 2017-01-06 |
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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.