COASTAL PULMONARY MEDICINE PA (NPI# 1851375794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851375794 |
| Entity Type | Organization |
| Organization Name | COASTAL PULMONARY MEDICINE PA |
| Practice Address |
1090 Medical Center Dr Wilmington NC 28401-7353 |
| Practice Telephone | 9103433345 |
| Practice Fax Number | 9103431924 |
| Mailing Telephone | 9103433345 |
| Mailing Fax Number | 9103431924 |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2019-04-04 |
| Authorized Official Name | MR. TRACE GRIFFIN (PRACTICE MANAGER) |
| Authorized Official Telephone | 9106628550 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
NC | Allopathic & Osteopathic Physicians | |
| N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8901272 | 05 | |
| NC | BCBS NC GROUP NUMBER | 01272 | 01 |
| Street Address |
1090 MEDICAL CENTER DR |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28401-7353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407858699 | Marilynn A Prince-fiocco | Internal Medicine | 1090 Medical Center Dr, Wilmington, NC 28401-7353 | 2005-06-01 |
| 1063925923 | Olivia Marie Murphrey | Nurse Practitioner | 1090 Medical Center Dr, Wilmington, NC 28401-7353 | 2017-11-14 |
| 1336377639 | Nasar Ahmad Siddiqi | Internal Medicine | 1090 Medical Center Dr, Wilmington, NC 28401-7353 | 2009-06-24 |
| 1972778652 | Jennings E Nestor | Internal Medicine | 1090 Medical Center Dr, Wilmington, NC 28401 | 2008-04-24 |
| 1518902675 | Antoinette Izzo | Physician Assistant | 1090 Medical Center Dr, Wilmington, NC 28401-7353 | 2006-06-20 |
| 1508825134 | Sleepcare of Wilmington LLC | Clinic/Center | 1090 Medical Center Dr, Wilmington, NC 28401-7353 | 2006-03-22 |
| 1700884772 | William Giles Allen | Internal Medicine | 1090 Medical Center Dr, Wilmington, NC 28401-7353 | 2005-07-13 |
| 1942208194 | Brian Jan Gilmore | Internal Medicine | 1090 Medical Center Dr, Wilmington, NC 28401-7353 | 2005-07-12 |
| 1275531428 | Thaddeus Leland Dunn | Internal Medicine | 1090 Medical Center Dr, Wilmington, NC 28401-7353 | 2005-07-12 |
| 1356349435 | Carter J Childs | Internal Medicine | 1090 Medical Center Dr, Wilmington, NC 28401-7353 | 2005-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275002461 | Thrivetothrive, LLC | Physical Therapist | 1606 Physicians Drive, Inside Promina Health, Wilmington, NC 28401 | 2018-11-16 |
| 1841787454 | Kevin Christopher Panebianco | Family Medicine | 1911 S 17th St Ste 130a, Wilmington, NC 28401 | 2018-04-18 |
| 1518472588 | Michelle Bruin | Family Medicine | 415 S. 2nd Street, Wilmington, NC 28401 | 2017-12-12 |
| 1639617343 | Anna Farwell | Behavior Technician | 3904 Oleander Dr. Suite 102, Wilmington, NC 28401 | 2017-02-02 |
| 1588034144 | Dimitri Zivko Pitovski | Allergy & Immunology | 1099 Medical Center Dr Unit 100b, Wilmington, NC 28401 | 2015-09-25 |
| 1629457007 | Megan Havel | Counselor | 1512 E Lakeshore Drive, Wilmington, NC 28401 | 2015-05-19 |
| 1154709251 | Lance Hutchens | Dentist | 1611 Doctors Cir, Wilmington, NC 28401 | 2015-05-11 |
| 1609281161 | Diane Pittman Whitford | Counselor | 313 Walnut St., Wilmington, NC 28401 | 2014-06-24 |
| 1942550728 | Bryan Cole Chalk | Nurse Anesthetist, Certified Registered | 2131 S 17th Street, Wilmington, NC 28401 | 2012-09-19 |
| 1740566546 | Valerie Baars | Pharmacist | 2302 S 17th Street, Wilmington, NC 28401 | 2011-10-25 |
| Find all providers in zip 28401 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 |
|---|---|---|---|---|
| 1780936765 | Clifton H. Hunt, M.d., P.a. | Internal Medicine | 5153 W Woodmill Dr Ste 18, Wilmington, DE 19808-4067 | 2012-10-15 |
| 1336216399 | Clifton H Hunt | Internal Medicine | 5153 W Woodmill Dr, Suite 18, Wilmington, DE 19808-4067 | 2006-11-28 |
| 1396715736 | Christiana Care Health Services Inc. | Internal Medicine | 501 West 14th Street, Wilmington, DE 19899 | 2006-01-26 |
| 1013068204 | Pulmonary and Sleep Consultants, LLC | Internal Medicine | 5509 Kirkwood Hwy Ste 6, Wilmington, DE 19808-5001 | 2007-01-15 |
| 1790834422 | Ghazala T Farooqui | Internal Medicine | 5509 Kirkwood Hwy Ste 6, Wilmington, DE 19808-5001 | 2007-01-10 |
| 1134211014 | Louis H. Guernsey | Internal Medicine | A.i. Dupont Hospital for Children, 1600 Rockland Road, Wilmington, DE 19803-3607 | 2006-09-29 |
| 1043328297 | William Credle | Internal Medicine | 1202 Medical Center Dr, Wilmington, NC 28401-7307 | 2006-08-28 |
| 1750336541 | Pulmonary Associates P.a. | Internal Medicine | 7th & Clayton Sts, Med Ofc Bldg Suite 500, Wilmington, DE 19805-4418 | 2006-05-23 |
| 1821071820 | Anthony A Vasile | Internal Medicine | 700 W Lea Blvd, Suite 301, Wilmington, DE 19802-2500 | 2005-11-22 |
| 1356349435 | Carter J Childs | Internal Medicine | 1090 Medical Center Dr, Wilmington, NC 28401-7353 | 2005-07-12 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28401 |
Please comment or provide details below to improve the information on COASTAL PULMONARY MEDICINE PA.
| 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.