COASTAL MEDICAL INC (NPI# 1609863828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609863828 |
| Entity Type | Organization |
| Organization Name | COASTAL MEDICAL INC |
| Practice Address |
10 Davol Sq Suite 400 Providence RI 02903-4754 |
| Practice Telephone | 4014214000 |
| Practice Fax Number | 4014533258 |
| Mailing Telephone | 4014214000 |
| Mailing Fax Number | 4014533258 |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2016-04-01 |
| Authorized Official Name | MERYL MOSS (COO) |
| Authorized Official Telephone | 4014214000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 207ZP0105X |
Pathology Specialization: Clinical Pathology/Laboratory Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | CM13413 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972590552 | Coastal Medical Inc | Clinical Medical Laboratory | 272 W Exchange St, Suite 100, Providence, RI 02903-1061 | 2005-09-29 |
| Street Address |
10 DAVOL SQ SUITE 400 |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02903-4754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891782579 | Robyn Bacon | Physician Assistant | 10 Davol Sq, Suite 400, Providence, RI 02903-4754 | 2005-09-29 |
| 1861011967 | Emily Bitton | Pharmacist | 10 Davol Sq, Providence, RI 02903-4754 | 2020-04-09 |
| 1700384781 | Caitlin Mary Kennedy | Pharmacist | 10 Davol Sq, Providence, RI 02903-4754 | 2018-01-25 |
| 1295167088 | Felicia Lynn Strom | Pharmacist | 10 Davol Sq, Suite 400, Providence, RI 02903-4754 | 2013-08-02 |
| 1467798405 | Christopher L Federico | Pharmacist | 10 Davol Sq, Suite 400, Providence, RI 02903-4754 | 2012-12-19 |
| 1235475252 | Shannon M Levesque | Pharmacist | 10 Davol Sq, Suite 400, Providence, RI 02903-4754 | 2012-12-19 |
| 1194057216 | Sarah Marie Thompson | Pharmacist | 10 Davol Sq, Suite 400, Providence, RI 02903-4754 | 2010-02-01 |
| 1215163134 | Coastal Care | Case Manager/Care Coordinator | 10 Davol Sq, Suite 400, Providence, RI 02903-4754 | 2009-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475755 | Sarah Fellows | Student in an Organized Health Care Education/Training Program | 350 Eddy Street, Uri Nursing Education Center, Providence, RI 02903 | 2020-10-20 |
| 1093328262 | Esther Robbins | Social Worker | 290 West Exchange St., Suite 100, Providence, RI 02903 | 2020-08-27 |
| 1720619489 | Ivy Marie Mcdonald | Behavioral Analyst | 290 W Exchange St #101, Providence, RI 02903 | 2020-01-31 |
| 1447802707 | Natalie Monaghan, LLC | Social Worker | 545 South Water Street, Providence, RI 02903 | 2019-07-16 |
| 1760049522 | Daniel Steven Alanko | Pediatrics | 293 Eddy Street, Providence, RI 02903 | 2019-05-28 |
| 1154894368 | Margaret Emily Dyson | Behavior Technician | 290 W. Exchange St, Providence, RI 02903 | 2019-01-10 |
| 1497235014 | Yao Zhou Liu | Surgery | 593 Eddy St - Rhode Island Hospital, Providence, RI 02903 | 2018-08-14 |
| 1558840645 | Tamara Gore | Behavior Technician | 290 W Exchange Street Suite 101, Providence, RI 02903 | 2018-08-09 |
| 1437642709 | Adrian Cotarelo | Student in an Organized Health Care Education/Training Program | 174 Wickenden St, Apt. 3rd Floor, Providence, RI 02903 | 2018-06-12 |
| 1356833024 | Natalie Rita Noonan | Clinical Neuropsychologist | 593 Eddy St Ste 430, Providence, RI 02903 | 2018-05-30 |
| Find all providers in zip 02903 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871115147 | James Lewis Scharfen | Internal Medicine | 593 Eddy St Rm 126, Providence, RI 02903-4923 | 2020-05-10 |
| 1083271241 | Perry Mayo-malasky | Internal Medicine | 201 Angell St Apt 7, Providence, RI 02906-1236 | 2019-05-23 |
| 1871084509 | Jaclyn Mckenna | Internal Medicine | Rhode Island Hospital 593 Eddy Street, Providence, RI 02903 | 2018-05-29 |
| 1588161608 | Michael P. Johnson, Md, Inc | Internal Medicine | 148 W River St Ste 22b, Providence, RI 02904 | 2018-04-06 |
| 1952824831 | Isabelle Malhame | Internal Medicine | 101 Dudley St # 3352, Providence, RI 02905-2401 | 2017-07-21 |
| 1669854634 | Lissy Hu | Internal Medicine | 150 Union St, Providence, RI 02903-1790 | 2015-06-25 |
| 1154718161 | Parvati Singh | Internal Medicine | 164 Summit Ave Ste 221, Providence, RI 02906-2894 | 2015-04-17 |
| 1801208798 | Seth Clark | Internal Medicine | 200 Corliss St, Providence, RI 02904 | 2014-05-27 |
| 1831459874 | Ryan Steven Hirschfeld | Internal Medicine | 27 Dryden Ln Ste 100, Providence, RI 02904-2782 | 2012-05-24 |
| 1114286739 | Robert Clyde Heffron | Internal Medicine | 25 Emeline St, Providence, RI 02906-3305 | 2012-05-16 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02903 |
Please comment or provide details below to improve the information on COASTAL MEDICAL INC.
| 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.