COASTAL NEUROSURGICAL ASSSOCIATES AND SPINE CENTER PA (NPI# 1942308895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942308895 |
| Entity Type | Organization |
| Organization Name | COASTAL NEUROSURGICAL ASSSOCIATES AND SPINE CENTER PA |
| Other Organization Name | COASTAL NEUROSURGICAL ASSOCIATES |
| Practice Address |
2800 Ashton Dr Suite 200 Wilmington NC 28412 |
| Practice Telephone | 9107992262 |
| Practice Fax Number | 9107992943 |
| Mailing Telephone | 9107992262 |
| Mailing Fax Number | 9107992943 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2013-02-25 |
| Authorized Official Name | THOMAS ERIC MELIN (PRESIDENT) |
| Authorized Official Telephone | 9107992262 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207T00000X | Neurological Surgery | 38302 | NC | Allopathic & Osteopathic Physicians |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
102276 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
104159 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 207T00000X | Neurological Surgery | 31175 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS GROUP NUMBER | 0162R | 01 | |
| BCBS ADAM BROWN MD | 18860 | 01 | |
| BCBS THOMAS MELIN MD | 58575 | 01 | |
| RR MEDICARE CHRISTOPHER S | P00221305 | 01 | |
| RR MEDICARE THOMAS MELIN | 140002508 | 01 | |
| NC | 890162R | 05 | |
| RR MEDICARE ADAM BROWN MD | 140004299 | 01 |
| Other Name | Type Code |
|---|---|
| Coastal Neurosurgical Associates | Former Legal Business Name - Organization |
| Street Address |
2800 ASHTON DR SUITE 200 |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417912007 | Jeffrey Probst | Physician Assistant | 2800 Ashton Dr, Wilmington, NC 28412-2575 | 2006-04-18 |
| 1033583653 | Shelton Prosthetics and Orthotics | Orthotist | 2800 Ashton Dr, 201, Wilmington, NC 28412-2575 | 2015-11-19 |
| 1063801793 | Eileen Lazecko | Physician Assistant | 2800 Ashton Dr, Wilmington, NC 28412-2575 | 2015-01-19 |
| 1801198726 | Paul D Theiss | Physician Assistant | 2800 Ashton Dr, 200, Wilmington, NC 28412-2575 | 2010-11-29 |
| 1770783805 | Peter Gemelli | Physical Medicine & Rehabilitation | 2800 Ashton Dr, Suite 100, Wilmington, NC 28412-2575 | 2007-07-18 |
| 1316164775 | Coastal Rehabilition Associates | Psychologist | 2800 Ashton Dr, Suite 100, Wilmington, NC 28412-2575 | 2007-04-19 |
| 1265576557 | Cameron Paige Tatone | Nurse Practitioner | 2800 Ashton Dr, Suite 200, Wilmington, NC 28412-2575 | 2007-02-19 |
| 1386787174 | Thomas Eric Melin | Neurological Surgery | 2800 Ashton Dr, Suite 200, Wilmington, NC 28412-2575 | 2007-02-14 |
| 1295746659 | Erica Lynn Christensen | Physician Assistant | 2800 Ashton Dr, Suite 100, Wilmington, NC 28412-2575 | 2006-08-11 |
| 1073524443 | Kenny Wayne Barrow Jr. | Physician Assistant | 2800 Ashton Dr, Suite 100, Wilmington, NC 28412-2486 | 2006-08-11 |
| Find all providers in the same location | ||||
| 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 | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205068186 | Jeffrey S Beecher | Neurological Surgery | 2208 S 17th St Ste 201, Wilmington, NC 28401-7594 | 2009-08-11 |
| 1780854596 | Otto Raul Medinilla Sr Md | Neurological Surgery | 110 Weldin Park Dr, Wilmington, DE 19803-4710 | 2008-03-07 |
| 1205902509 | Otto Raul Medinilla Sr. | Neurological Surgery | 410 Foulk Road, Suite 101 Lombardy Center, Wilmington, DE 19803 | 2006-11-28 |
| 1447358338 | Neurosurgery Associates, P.a. | Neurological Surgery | 1306 N Broom St, Wilmington, DE 19806-4209 | 2006-09-21 |
| 1780835769 | John Alexander Thomas | Neurological Surgery | 2208 S 17th St, Suite 201, Wilmington, NC 28401-7593 | 2008-10-08 |
| 1336283795 | Adam Pullan Brown | Neurological Surgery | 2800 Ashton Dr Ste 200, Wilmington, NC 28412-2486 | 2007-02-19 |
| 1386787174 | Thomas Eric Melin | Neurological Surgery | 2800 Ashton Dr, Suite 200, Wilmington, NC 28412-2575 | 2007-02-14 |
| 1457442725 | Jeffrey W. Campbell | Neurological Surgery | A.i. Dupont Hospital for Children, 1600 Rockland Road, Wilmington, DE 19803-3607 | 2006-09-28 |
| 1124048194 | James J. Evans | Neurological Surgery | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2006-07-20 |
| 1225055221 | Ashwini D. Sharan | Neurological Surgery | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2006-07-16 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28412 |
Please comment or provide details below to improve the information on COASTAL NEUROSURGICAL ASSSOCIATES AND SPINE CENTER 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.