COASTAL WOMENS CARE PC (NPI# 1558628883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558628883 |
| Entity Type | Organization |
| Organization Name | COASTAL WOMENS CARE PC |
| Practice Address |
1721 Allens Ln Suite 102 Wilmington NC 28403-3661 |
| Practice Telephone | 9106201053 |
| Mailing Telephone | 9106201053 |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2012-04-11 |
| Authorized Official Name | DR. FAZIL A MOHAMED II (PHYSICIAN) |
| Authorized Official Telephone | 9106201053 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
201001263 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 266429 | 05 | |
| SC | BCBSOFSC | 21041534 | 01 |
| NC | 8906020 | 05 |
| Street Address |
1721 ALLENS LN SUITE 102 |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28403-3661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841263852 | Fazil A Mohamed II | Obstetrics & Gynecology | 1721 Allens Ln, Suite 102, Wilmington, NC 28403-3661 | 2006-02-09 |
| 1619382868 | Emily Mackovjak | Nurse Practitioner | 1721 Allens Ln, Ste 100, Wilmington, NC 28403-3661 | 2014-06-26 |
| 1215230891 | Jennifer Lynn Stephenson | Physical Therapist | 1721 Allens Ln, Suite 101, Wilmington, NC 28403-3661 | 2010-12-21 |
| 1114252988 | Kathryn Lomax | Nurse Practitioner | 1721 Allens Ln, Ste 100, Wilmington, NC 28403-3661 | 2009-10-12 |
| 1568697175 | Carolina Healthcare Associates Inc | Family Medicine | 1721 Allens Ln, Ste 100, Wilmington, NC 28403-3661 | 2009-05-27 |
| 1285771931 | Peter Kramer | Family Medicine | 1721 Allens Ln, Ste 100, Wilmington, NC 28403-3661 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902413875 | Ymca of Southeastern Nc | Health Educator | 2710 Market Street, Wilmington, NC 28403 | 2020-09-25 |
| 1659917334 | Noa Alper | Occupational Therapist | 5412 Old Garden Road, Wilmington, NC 28403 | 2019-11-18 |
| 1992346340 | Nancy Rosita Carson | Technician | 5608 Locke Str. Apt 108, Wilmington, NC 28403 | 2019-10-07 |
| 1912484585 | Jennifer Nicole Perry | Behavior Technician | 349 Campus Cv, Wilmington, NC 28403 | 2018-07-25 |
| 1386159929 | Monumental Foundations LLC | Clinic/Center | Plum Tree Plaza 925 South Kerr Ave Suite F4, Wilmington, NC 28403 | 2017-12-05 |
| 1114445731 | Jacqulyn Craichy | Speech-Language Pathologist | 75 Cavalier Drive, Wilmington, NC 28403 | 2017-09-04 |
| 1730638545 | Ashley Mcneil | Durable Medical Equipment & Medical Supplies | 3435 Wilshire Blvd Apt 203, Wilmington, NC 28403 | 2016-09-22 |
| 1306204276 | Valerie Pringle Jones | Physical Therapist | 1717 Shipyard Blvd. Ste 350, Wilmington, NC 28403 | 2016-02-05 |
| 1689039992 | Lifeline Treatment Center | Clinic/Center | 5710 Oleander Dr Ste 100, Wilmington, NC 28403 | 2015-12-31 |
| 1750758264 | Melissa Beatson | Speech-Language Pathologist | 4014 Oleander Drive, Ste. 3b, Coastal Speech & Language Pllc, Wilmington, NC 28403 | 2015-09-01 |
| Find all providers in zip 28403 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205105053 | Bohdan Malyk | Obstetrics & Gynecology | 1646 Verrazzano Dr, Wilmington, NC 28405-4224 | 2011-12-23 |
| 1447427943 | Marie E Pinizzotto | Obstetrics & Gynecology | 200 Campbell Rd, Wilmington, DE 19807-2008 | 2008-05-14 |
| 1457433500 | Coastline Gynecology Pa | Obstetrics & Gynecology | 1437 Military Cutoff Rd, Suite 206, Wilmington, NC 28403-3637 | 2006-10-19 |
| 1609978071 | Elias Mamberg | Obstetrics & Gynecology | 1301 N Harrison St, 104, Wilmington, DE 19806 | 2006-09-05 |
| 1700288776 | Seashore Women's Health, Pllc | Obstetrics & Gynecology | 3720 Shipyard Blvd, Wilmington, NC 28403-6147 | 2014-09-22 |
| 1730439290 | Uma Chatterjee, Md Pa | Obstetrics & Gynecology | 1941 Limestone Rd, Suite 212, Wilmington, DE 19808-5408 | 2012-09-12 |
| 1518216118 | Carolina Healthcare Associates Inc | Obstetrics & Gynecology | 1809 Glen Meade Rd, Wilmington, NC 28403-6022 | 2012-08-29 |
| 1235380536 | Novant Medical Group, Inc. | Obstetrics & Gynecology | 1717 Shipyard Blvd, Suite 200, Wilmington, NC 28403-8023 | 2008-10-06 |
| 1558540559 | R. Henry Temple Md PC | Obstetrics & Gynecology | 1606 Physicians Dr, Suite 102, Wilmington, NC 28401-7361 | 2007-10-26 |
| 1689703084 | Estelle H Whitney Md Pa | Obstetrics & Gynecology | 1941 Limestone Rd, Suite 217, Wilmington, DE 19808-5400 | 2007-03-04 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28403 |
Please comment or provide details below to improve the information on COASTAL WOMENS CARE PC.
| 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.