COASTAL STATES MANAGEMEN (NPI# 1265440630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265440630 |
| Entity Type | Organization |
| Organization Name | COASTAL STATES MANAGEMEN |
| Other Organization Name | SOUTHEASTERN PAIN MANAGMENT |
| Practice Address |
1026 Goodyear Ave Bldg 400, Ste 302 Gadsden AL 35903-1102 |
| Practice Telephone | 2564927246 |
| Practice Fax Number | 2564921168 |
| Mailing Telephone | 2564927246 |
| Mailing Fax Number | 2564921168 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MARY KATHERINE JACOBS (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 2564927246 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 1294 | AL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD | 05152215RAY | 01 |
| Other Name | Type Code |
|---|---|
| southeastern pain managment | Doing Business As Name - Organization |
| Street Address |
1026 GOODYEAR AVE BLDG 400, STE 302 |
| City | GADSDEN |
| State | AL |
| Zip Code | 35903-1102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578527917 | Gadsden Regional Primary Care LLC | Family Medicine | 1026 Goodyear Ave, Ste. 100, Gadsden, AL 35903-1102 | 2006-04-13 |
| 1225428261 | Pain Specialists of Gadsden, Inc | Clinic/Center | 1026 Goodyear Ave, Bld 400 Suite 301, Gadsden, AL 35903-1102 | 2015-01-29 |
| 1851617997 | Womens Health Partners LLC | Obstetrics & Gynecology | 1026 Goodyear Ave, Suite 200, Gadsden, AL 35903-1102 | 2010-04-14 |
| 1023348398 | Gadsden Lung Center, P.C. Inc | Internal Medicine | 1026 Goodyear Ave, Suite 302, Gadsden, AL 35903-1102 | 2010-01-07 |
| 1497997449 | Cindy Celise Pike | Nurse Practitioner | 1026 Goodyear Ave, Suite 200, Gadsden, AL 35903-1102 | 2009-04-06 |
| 1083850713 | Allied Anesthesia Associates, Inc | Nurse Anesthetist, Certified Registered | 1026 Goodyear Ave, Building 400, Suite 302, Gadsden, AL 35903-1102 | 2008-12-30 |
| 1922243617 | Mark Allen Manning | Obstetrics & Gynecology | 1026 Goodyear Ave, Suite 200, Gadsden, AL 35903-1102 | 2008-12-09 |
| 1720249097 | Sarah Lindsay Prophet Frederick | Obstetrics & Gynecology | 1026 Goodyear Ave, Suite 200, Gadsden, AL 35903-1102 | 2008-06-19 |
| 1750562492 | Etowah Gastroenterology Associates PC | Specialist | 1026 Goodyear Ave, Suite 201, Gadsden, AL 35903-1194 | 2007-11-23 |
| 1508070293 | The Surgery Clinic, LLC | Radiologic Technologist | 1026 Goodyear Ave, Suite 50, Gadsden, AL 35903-1102 | 2007-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821519612 | Fresenius Kidney Care Gadsden Acq, LLC | Clinic/Center | 800 Goodyear Ave, Gadsden, AL 35903 | 2017-06-30 |
| 1992140545 | Kristy Bray | Nurse Practitioner | 1007 Goodyear Avenue, Gadsden, AL 35903 | 2013-05-08 |
| 1386918076 | Chinyere Hope Buchi-ahiabuike | Nurse Practitioner | 1216 Wilbanks Ave, Gadsden, AL 35903 | 2012-02-28 |
| 1003047606 | Housing Opportunities for Persons With Exceptionalities, Inc. | Community/Behavioral Health | 327 N. 10th Street, Gadsden, AL 35903 | 2009-07-30 |
| 1154596690 | Cardiovascular Imaging | Technician, Cardiology | 5606 2nd St, Hokes Bluff, AL 35903 | 2008-04-25 |
| 1114007713 | State of Alabama Department of Public Health | Home Health | 709 East Broad Street, Gadsden, AL 35903 | 2006-10-17 |
| 1336246321 | Terisa Ann Thomas | Specialist | 800 Goodyear Avenue, Suite B, Gadsden, AL 35903 | 2006-09-20 |
| 1508874512 | Steven Michael Sanders | Family Medicine | 1026 Goodyear Avenue, Suite 100, Gadsden, AL 35903 | 2006-08-04 |
| 1184673535 | Quality of Life Health Services, Inc. | Clinic/Center | 1216 Wilbanks Avenue, Gadsden, AL 35903 | 2006-05-10 |
| 1306838818 | Thomas A Pugliese | Internal Medicine | 900 Goodyear Avenue, Suite A, Gadsden, AL 35903 | 2005-08-19 |
| Find all providers in zip 35903 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174781447 | Terisa A Thomas Md PC | Specialist | 303 Bay St Ste 202, Gadsden, AL 35901-5203 | 2008-05-23 |
| 1437321387 | Karen Green Parris | Specialist | 205 N 3rd St, Gadsden, AL 35901-3731 | 2008-04-01 |
| 1649485582 | Hemant K Sinha PC | Specialist | 215 S 5th St Ste 110, Gadsden, AL 35901-4217 | 2007-05-14 |
| 1578610705 | Cardiovascular Surgical Associates | Specialist | 815 Riverbend Dr, Gadsden, AL 35901-2556 | 2007-01-03 |
| 1730269119 | N E Alabama Nephrology LLC | Specialist | 425 S 3rd St, Gadsden, AL 35901-5210 | 2006-10-17 |
| 1609965839 | Sheral B. Serafini | Specialist | 922 E Meighan Blvd, Gadsden, AL 35903-1922 | 2006-10-12 |
| 1336246321 | Terisa Ann Thomas | Specialist | 800 Goodyear Avenue, Suite B, Gadsden, AL 35903 | 2006-09-20 |
| 1275648420 | Southeastern Wound Care | Specialist | 705 South 3rd Street, Gadsden, AL 35901 | 2006-08-20 |
| 1285669077 | Eric W Baum | Specialist | 101 Cherry St, Gadsden, AL 35901-5234 | 2006-07-11 |
| 1790716744 | Bryan I Grissett IIi | Specialist | 429 S 3rd St, Gadsden, AL 35901-5210 | 2006-07-06 |
| Find all providers in GADSDEN | ||||
Please comment or provide details below to improve the information on COASTAL STATES MANAGEMEN.
| 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.