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COASTAL MEDICAL INC NPI 1609863828


NPI Information

NPI: 1609863828
Provider Name: COASTAL MEDICAL INC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
10 DAVOL SQ
SUITE 400
PROVIDENCE, RI
ZIP 02903
Phone: (401) 421-4000
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COASTAL MEDICAL INC is an internal medicine in Providence, RI. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. COASTAL MEDICAL INC NPI is 1609863828. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10 DAVOL SQ
SUITE 400
PROVIDENCE, RI
ZIP 02903-754
Phone: (401) 421-4000
Fax: (401) 453-3258

The provider's authorized official is Meryl Moss .
The authorized official title is Coo and has the following contact phone number (401) 421-4000.

The enumeration date for this NPI number is 10/3/2005 and was last updated on 4/1/2016.


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
1207RC0000XInternal MedicineCardiovascular DiseaseNo
2207RC0200XInternal MedicineCritical Care MedicineNo
3207RG0300XInternal MedicineGeriatric MedicineNo
4207RP1001XInternal MedicinePulmonary DiseaseNo
5208000000XPediatricsNo
6207ZP0105XPathologyClinical Pathology/Laboratory MedicineNo
7208M00000XHospitalistNo
8363L00000XNurse PractitionerNo
9207R00000XInternal MedicineYes
10207Q00000XFamily MedicineNo

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
1CM13413MEDICAIDRHODE ISLAND
2=========OTHERRHODE ISLANDTIN #

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: 4/28/2024

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