COASTAL CAROLINA PROSTHETICS & ORTHOTICS, INC. (NPI# 1710344304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710344304 |
| Entity Type | Organization |
| Organization Name | COASTAL CAROLINA PROSTHETICS & ORTHOTICS, INC. |
| Practice Address |
2800 Ashton Dr Ste 201 Wilmington NC 28412-2486 |
| Mailing Address |
2800 Ashton Dr Suite 201 Wilmington NC 28412-2575 |
| Practice Telephone | 2523383002 |
| Mailing Telephone | (910) 218-2240 |
| Enumeration Date | 2016-01-27 |
| Last Update Date | 2017-07-21 |
| Authorized Official Name | KIMBERLY WILLIAMSON (OFFICE MANAGER) |
| Authorized Official Telephone | 9102182240 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers | ||
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912437930 | Coastal Carolina Prosthetics & Orthotics, Inc. | Prosthetist | 1970 W Arlington Blvd Ste A, Greenville, NC 27834-5783 | 2017-06-13 |
| 1790233385 | Coastal Carolina Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 1715 Country Club Rd Ste B, Jacksonville, NC 28546-6042 | 2016-09-13 |
| 1386842193 | Coastal Carolina Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 103 Nc Highway 42 W, Ahoskie, NC 27910-9725 | 2007-07-03 |
| 1760583033 | Coastal Carolina Prosthetics & Orthotics, Inc. | Prosthetic/Orthotic Supplier | 148 Burnetts Way Ste 104, Suffolk, VA 23434-6149 | 2006-09-26 |
| 1124096292 | Coastal Carolina Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 106 Medical Drive, Elizabeth City, NC 27909 | 2006-03-14 |
| 1659472926 | Coastal Carolina Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 405 W 15th St, Washington, NC 27889-3524 | 2006-09-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COASTAL CAROLINA PROSTHETICS & ORTHOTICS, INC. | 103 Nc Hwy 42 W, Ahoskie, NC 27910-9725 |
| Street Address |
2800 ASHTON DR STE 201 |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28412-2486 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760533491 | John Southall Shelton | Orthotist | 2800 Ashton Dr Ste 201, Wilmington, NC 28412-2486 | 2007-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891357166 | Alexandra Palamaru | Dentist | 2759, 6132 Carolina Beach Rd., 6, Wilmington, NC 28412 | 2019-07-08 |
| 1447640115 | Carrie Anne Emory | Physician Assistant | 1124 Gallery Park Blvd, #200, Wilmington, NC 28412 | 2015-02-02 |
| 1144639295 | Christina Marie Terry | Physical Therapist | 7842 Champlain Dr, Wilmington, NC 28412 | 2014-08-03 |
| 1972889715 | New Hanover House, LLC | Assisted Living Facility | 3915 Stedwick Court, Wilmington, NC 28412 | 2011-10-25 |
| 1538440672 | Celine Adair | Marriage & Family Therapist | 9809 River Rd, Wilmington, NC 28412 | 2011-09-02 |
| 1033412267 | American Anesthesiology of North Carolina, Pllc | Anesthesiology | 2520 Independence Blvd, Suite 200, Wilmington, NC 28412 | 2010-12-09 |
| 1932418357 | Dale Autry | Pharmacist | 3625 South College Road, Wilmington, NC 28412 | 2010-10-04 |
| 1528390762 | Sheila Flynn | Counselor | 710 St. Andrews Dr. #18, Wilmington, NC 28412 | 2010-02-12 |
| 1952563686 | Stephen Rolfe Wells | Anesthesiology | 2520 Independence Boulevard, Suite 200, Wilmington, NC 28412 | 2008-06-25 |
| 1396902722 | Henry D Browning Iv | Dentist | 604 Junction Creek, Wilmington, NC 28412 | 2008-05-22 |
| Find all providers in zip 28412 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271330 | Inga Nykole Goodwine | Durable Medical Equipment & Medical Supplies | 2911 Lancaster Ave, Wilmington, DE 19805-5226 | 2020-10-06 |
| 1730638545 | Ashley Mcneil | Durable Medical Equipment & Medical Supplies | 3435 Wilshire Blvd Apt 203, Wilmington, NC 28403 | 2016-09-22 |
| 1770767618 | Quality Eyewear Opticians, Inc. | Durable Medical Equipment & Medical Supplies | 4705 Kirkwood Hwy, Wilmington, DE 19808-5007 | 2007-12-27 |
| 1467650440 | Carolina Medical Specialties, Inc. | Durable Medical Equipment & Medical Supplies | 420 Raleigh St, Suite D, Wilmington, NC 28412-6316 | 2007-07-11 |
| 1497816532 | Dental Management Strategies LLC | Durable Medical Equipment & Medical Supplies | 1415 Foulk Rd Ste 200, Wilmington, DE 19803-2748 | 2006-12-13 |
| 1629175674 | Carolina Mobility & Seating, Inc. | Durable Medical Equipment & Medical Supplies | 2105 Capital Dr Ste 300, Wilmington, NC 28405-6489 | 2006-09-20 |
| 1447290846 | Steinbakes,inc. | Durable Medical Equipment & Medical Supplies | 120 Cardinal Drive Ext., Unit 106, Wilmington, NC 28405-5412 | 2006-06-07 |
| 1114987344 | Sme Inc Usa | Durable Medical Equipment & Medical Supplies | 5949 Carolina Beach Rd, Wilmington, NC 28412 | 2006-03-23 |
| 1841823267 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1620 Wright St, Wilmington, NC 28401-8075 | 2020-02-13 |
| 1811488802 | George James Sheppard IIi | Durable Medical Equipment & Medical Supplies | 1307 Medical Center Dr, Wilmington, NC 28401-7502 | 2018-05-24 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28412 |
Please comment or provide details below to improve the information on COASTAL CAROLINA PROSTHETICS & ORTHOTICS, 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.