Andrew S Bostaph (NPI# 1023190097, PAC ID# 1052418985) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1023190097 |
| PAC ID by PECOS | 1052418985 |
| Professional Enrollment ID | I20090708000802 |
| Full Name | Andrew S Bostaph |
| Organization Legal Name | COASTAL RADIOLOGY ASSOCIATES PLLC |
| Address |
209 W 27th St Lumberton NC 28358-3016 |
| Phone Number | 4242098004 |
| Gender | M |
| Credential | MD |
| Medical School | UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES |
| Graduation Year | 2000 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 8224002696 |
| Number of Group Practice Members | 60 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340050 | SOUTHEASTERN REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 209 W 27th St, Lumberton, NC 28358-3016 | 4242098004 | COASTAL RADIOLOGY ASSOCIATES PLLC |
| Organization Legal Name | COASTAL RADIOLOGY ASSOCIATES PLLC |
| Physicians | 24 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Enrique Rodriguez | Diagnostic Radiology | Coastal Radiology Associates Pllc | 6 Millwright Dr, Hilton Head Island, SC 29926-1234 |
| Timothy Desmond | Diagnostic Radiology | Coastal Radiology Associates Pllc | 1003 N Duncan Ave, Amite, LA 70422-5503 |
| Elena Camelia Antonescu | Diagnostic Radiology | Coastal Radiology Associates Pllc | 720 Newman Rd, New Bern, NC 28562-5238 |
| Nicholas Nathan Sweet | Diagnostic Radiology | Coastal Radiology Associates Pllc | 310 S Mccaskey Rd, Williamston, NC 27892-2150 |
| Andre Chartier | Diagnostic Radiology | Coastal Radiology Associates Pllc | 310 S Mccaskey Rd, Williamston, NC 27892-2150 |
| James C. Lorentzen | Diagnostic Radiology | Coastal Radiology Associates Pllc | 310 S Mccaskey Rd, Williamston, NC 27892-2150 |
| Howard F Snyder | Diagnostic Radiology | Coastal Radiology Associates Pllc | 2000 Neuse Blvd, New Bern, NC 28560-3449 |
| Kristin Mary Wehrung | Diagnostic Radiology | Coastal Radiology Associates Pllc | 310 S Mccaskey Rd, Williamston, NC 27892-2150 |
| Timothy C Sloan | Diagnostic Radiology | Coastal Radiology Associates Pllc | 310 S Mccaskey Rd, Williamston, NC 27892-2150 |
| Christopher W. Flye | Diagnostic Radiology | Coastal Radiology Associates Pllc | 310 S Mccaskey Rd, Williamston, NC 27892-2150 |
| Street Address |
209 W 27TH ST |
| City | LUMBERTON |
| State | NC |
| Zip | 28358-3016 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alana Mewlan Wade | Interventional Radiology | Coastal Radiology Associates Pllc | 209 W 27th St, Lumberton, NC 28358-3016 |
| Scott Stephen Dalane | Diagnostic Radiology | Coastal Radiology Associates Pllc | 209 W 27th St, Lumberton, NC 28358-3016 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David R Allen | Orthopedic Surgery | Allen Orthopedics P A | 404 Hatfield Ct, Lumberton, NC 28358-1126 |
| Bonnie W Skiadiotis | Nurse Practitioner | Allen Orthopedics P A | 404 Hatfield Ct, Lumberton, NC 28358-1126 |
| Chris Evan Estrellado | Physical Therapy | Allen Orthopedics P A | 404 Hatfield Ct, Lumberton, NC 28358-1126 |
| James W Dove | Certified Registered Nurse Anesthetist (crna) | Southeastern Regional Medical Center | 300 W 27th St, Lumberton, NC 28358-1408 |
| Mary Elizabeth Devine | Certified Registered Nurse Anesthetist (crna) | Southeastern Regional Medical Center | 300 W 27th St, Lumberton, NC 28358-1408 |
| Kenneth C Madlangbayan | Certified Registered Nurse Anesthetist | Southeastern Regional Medical Center | 300 W 27th St, Lumberton, NC 28358-1408 |
| James R Pope Jr. | Certified Registered Nurse Anesthetist | Southeastern Regional Medical Center | 300 W 27th St, Lumberton, NC 28358-1408 |
| Holly H Metzerott | Certified Registered Nurse Anesthetist | Southeastern Regional Medical Center | 300 W 27th St, Lumberton, NC 28358-1408 |
| Jianfeng Zeng | Neurology | 4850 Fayetteville Rd E, Lumberton, NC 28358-2100 | |
| Tonna M Wyatt | Nurse Practitioner | Southeastern Regional Physician Services | 5070 Fayetteville Rd, Lumberton, NC 28358-2108 |
| Find all physicians in zip 28358 | |||
| City | LUMBERTON |
| Zip Code | 28358 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | LUMBERTON + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Andrew S Bostaph.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.