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COASTAL PODIATRY INC NPI 1255356713


NPI Information

NPI: 1255356713
Provider Name: COASTAL PODIATRY, INC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
6477 COLLEGE PARK SQ
SUITES 106
VIRGINIA BEACH, VA
ZIP 23464
Phone: (757) 523-0414
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COASTAL PODIATRY, INC is a podiatrist in Virginia Beach, VA. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. COASTAL PODIATRY, INC NPI is 1255356713. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

6477 COLLEGE PARK SQ
SUITES 106
VIRGINIA BEACH, VA
ZIP 23464-611
Phone: (757) 523-0414
Fax: (757) 523-2047

The provider's authorized official is Kathleen M. Mcgee .
The authorized official title is Office Manager and has the following contact phone number (757) 523-0414.

The enumeration date for this NPI number is 7/13/2006 and was last updated on 4/27/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0103XPodiatristFoot & Ankle Surgery0103000759VIRGINIANo
2213ES0131XPodiatristFoot Surgery0103000759VIRGINIANo
3213EP1101XPodiatristPrimary Podiatric Medicine0103000759VIRGINIANo
4213ER0200XPodiatristRadiology0103000759VIRGINIANo
5213E00000XPodiatrist0103000759VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C05673MEDICARE ID-TYPE UNSPECIFIEDVIRGINIAPRACTICE ID#
24044980002MEDICARE NSCVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.