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COASTAL FOOT AND ANKLE LLC NPI 1427195874


NPI Information

NPI: 1427195874
Provider Name: COASTAL FOOT AND ANKLE, LLC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
33759 CLAY RD UNIT 2
LEWES, DE
ZIP 19958
Phone: (302) 644-8500
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COASTAL FOOT AND ANKLE, LLC is a podiatrist in Lewes, DE. 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 FOOT AND ANKLE, LLC NPI is 1427195874. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

33759 CLAY RD UNIT 2
LEWES, DE
ZIP 19958-294
Phone: (302) 644-8500
Fax: (302) 644-7355

The provider's authorized official is Mark M Menendez .
The authorized official title is D.p.m. and has the following contact phone number (302) 644-8500.

The enumeration date for this NPI number is 2/1/2007 and was last updated on 10/7/2011.


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
1213E00000XPodiatristE10000140DELAWAREYes

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
1U75310MEDICARE UPINDELAWARE
2G01077MEDICARE PINDELAWARE
35118690002MEDICARE NSCDELAWARE

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

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