COASTAL PROSTHETICS AND ORTHOTICS, LLC (NPI# 1275178816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275178816 |
| Entity Type | Organization |
| Organization Name | COASTAL PROSTHETICS AND ORTHOTICS, LLC |
| Practice Address |
1134 N Road St Elizabeth City NC 27909-3322 |
| Mailing Address |
433 Network Sta Chesapeake VA 23320-3851 |
| Practice Telephone | 7578925300 |
| Practice Fax Number | 7578925303 |
| Mailing Telephone | 7578925300 |
| Enumeration Date | 2019-11-07 |
| Last Update Date | 2019-11-07 |
| Authorized Official Name | BRITTANY SIVERD (ADMINISTRATIVE EXECUTIVE) |
| Authorized Official Telephone | 7578925300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ACM | 1029129 | 01 |
| VA | SENTARA | 39563 | 01 |
| VA | BCBS | 434534 | 01 |
| VA | 9190414 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093727117 | Coastal Prosthetics and Orthotics, LLC | Prosthetic/Orthotic Supplier | 11818 Rock Landing Dr, Ste#104, Newport News, VA 23606-4230 | 2006-08-13 |
| 1386270643 | Coastal Prosthetics and Orthotics, LLC | Prosthetic/Orthotic Supplier | 1008 First Colonial Rd, Virginia Beach, VA 23454-3071 | 2020-03-19 |
| 1164990040 | Coastal Prosthetics and Orthotics, LLC | Prosthetic/Orthotic Supplier | 433 Network Sta, Chesapeake, VA 23320-3851 | 2018-11-08 |
| Street Address |
1134 N ROAD ST |
| City | ELIZABETH CITY |
| State | NC |
| Zip Code | 27909-3322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841285293 | Albemarle Ear Nose & Throat Asthma and Allergy Associates Pa | Otolaryngology | 1134 N Road St, Bldg # 2, Elizabeth City, NC 27909-3365 | 2005-09-13 |
| 1215491634 | Tamara Pace | Nurse Practitioner | 1134 N Road St, Elizabeth City, NC 27909-3322 | 2019-01-30 |
| 1689123473 | Kelly Daniels | Specialist/Technologist | 1134 N Road St, Bldg 7, Elizabeth City, NC 27909-3365 | 2016-09-22 |
| 1982046124 | Robin Williams Adami | Nurse Practitioner | 1134 N Road St, Bldg. 9, Elizabeth City, NC 27909-3365 | 2013-07-29 |
| 1386088144 | Amparo Elisa Halecki | Nurse Practitioner | 1134 N Road St, Suite 9, Elizabeth City, NC 27909-3365 | 2013-04-24 |
| 1811204431 | Albemarle Physician Services - Sentara, Inc | Allergy & Immunology | 1134 N Road St, Bldg 2, Elizabeth City, NC 27909-3365 | 2010-09-02 |
| 1487899589 | Urology Associates of The Albemarle,p.c. | Urology | 1134 N Road St, Suite 5, Elizabeth City, NC 27909-3365 | 2008-12-04 |
| 1982884847 | Jan Mcdonald, M.d. | Dermatology | 1134 N Road St, Ste 2, Elizabeth City, NC 27909-3365 | 2007-11-08 |
| 1639358369 | Advanced Orthopaedics and Sports Medicine PC | Orthopaedic Surgery | 1134 N Road St, Suite 7, Elizabeth City, NC 27909-3365 | 2007-10-30 |
| 1568565760 | Alan Richard Maniet | Internal Medicine | 1134 N Road St, Suite 9, Elizabeth City, NC 27909-3365 | 2006-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407482177 | Leslie Treherne-fayton Dds Pllc | Dentist | 3875 Conlon Way Ste A, Elizabeth City, NC 27909 | 2020-03-13 |
| 1053829077 | Kaitlyn Daniels | Counselor | 1825 West City Drive, Suites A&b, Elizabeth City, NC 27909 | 2018-01-11 |
| 1487183778 | Traniqua Mccullen | Social Worker | 314 Orchard Drive, Elizabeth City, NC 27909 | 2017-06-08 |
| 1760938401 | Lauren Noele Schaefer | Physical Therapist | 615 S Hughes Boulevard, Unit B, Elizabeth City, NC 27909 | 2016-09-01 |
| 1588023279 | Regina Mccoy | Nurse Practitioner | 1507 N Road St Ste 3, Elizabeth City, NC 27909 | 2016-02-23 |
| 1750753760 | Mark C. ''chris'' Patterson | Physician Assistant | Coast Guard Base Elizabeth City, 1664 Weeksville Road, Building 128, Elizabeth City, NC 27909 | 2015-10-29 |
| 1770963365 | Harlan Bradley Hurdle | Pharmacist | 104 Breezewood Drive, Elizabeth City, NC 27909 | 2015-06-09 |
| 1558779298 | Wilkiam Wilson | Counselor | 1290 Halstead Blvd, Elizabeth City, NC 27909 | 2014-07-25 |
| 1871919886 | Courtney Bunch | Specialist/Technologist | 1680 Cedar Point Circle, Elizabeth City, NC 27909 | 2014-03-14 |
| 1790100832 | The Power of U | Community/Behavioral Health | 1023 Us17s Suite 1, Elizabeth City, NC 27909 | 2014-02-26 |
| Find all providers in zip 27909 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306290648 | Active Foot and Ankle of Carolina Pllc | Prosthetic/Orthotic Supplier | 1076 Us Highway 17 S, Elizabeth City, NC 27909-7627 | 2016-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659970770 | Survivor Friendly LLC | Prosthetic/Orthotic Supplier | 527 Keisler Dr Ste 104, Cary, NC 27518-9306 | 2020-10-20 |
| 1154920395 | Anderson Prosthetics & Orthotics, LLC | Prosthetic/Orthotic Supplier | 307 W Tremont Ave Ste 200, Charlotte, NC 28203-4902 | 2020-10-20 |
| 1528666195 | Skyland Prosthetics & Orthotics Inc | Prosthetic/Orthotic Supplier | 1141 Tunnel Rd Ste E, Asheville, NC 28805-2037 | 2020-10-15 |
| 1982202545 | Davidson Prosthetics & Orthotics | Prosthetic/Orthotic Supplier | 845 Church St N Ste 205, Concord, NC 28025-4374 | 2020-10-15 |
| 1891301156 | Tys Cranial Prothesis | Prosthetic/Orthotic Supplier | 2400 S Memorial Dr Ste 3b, Greenville, NC 27834-5031 | 2020-09-21 |
| 1124645882 | The Royal Stich By Melinda | Prosthetic/Orthotic Supplier | 8032 Black Forest Ln Apt 10103, Charlotte, NC 28277-6746 | 2020-06-29 |
| 1073134573 | Diva Salon By Veronica Ashley, Inc. | Prosthetic/Orthotic Supplier | 10901 University City Blvd Ste 108, Charlotte, NC 28213-9300 | 2020-05-06 |
| 1841819711 | Sc&f Enterprises, LLC | Prosthetic/Orthotic Supplier | 2187 Skibo Rd, Fayetteville, NC 28314-0264 | 2020-04-10 |
| 1457986499 | Lala Lashes Charlotte | Prosthetic/Orthotic Supplier | 2434 Shad Ct, Charlotte, NC 28208-3307 | 2020-03-10 |
| 1871125237 | Elite Hair Replacement Inc | Prosthetic/Orthotic Supplier | 2110 Fort Bragg Rd Ste 112, Fayetteville, NC 28303-7036 | 2020-02-04 |
| Find all providers with the same taxonomy | ||||
| City | ELIZABETH CITY |
| Zip Code | 27909 |
Please comment or provide details below to improve the information on COASTAL PROSTHETICS AND ORTHOTICS, LLC.
| 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.