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COASTAL SURGICAL SPECIALISTS PC NPI 1740345149


NPI Information

NPI: 1740345149
Provider Name: COASTAL SURGICAL SPECIALISTS, PC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1120 FIRST COLONIAL RD
SUITE 203
VIRGINIA BEACH, VA
ZIP 23454
Phone: (757) 481-4424
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COASTAL SURGICAL SPECIALISTS, PC is a specialist in Virginia Beach, VA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. COASTAL SURGICAL SPECIALISTS, PC NPI is 1740345149. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1120 FIRST COLONIAL RD
SUITE 203
VIRGINIA BEACH, VA
ZIP 23454-418
Phone: (757) 481-4424
Fax: (757) 481-3820

The provider's authorized official is Basil S Skenderis .
The authorized official title is Physician Administrator and has the following contact phone number (757) 481-4424.

The enumeration date for this NPI number is 12/26/2006 and was last updated on 8/11/2010.


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
1174400000XSpecialistYes

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
1300012OTHERVIRGINIAOPTIMA VENDER #
2C00291MEDICARE PINVIRGINIA
35975074OTHERVIRGINIAAETNA
4K1021MEDICARE ID-TYPE UNSPECIFIEDRAILROAD MEDICARE
589013HRMEDICAIDNORTH CAROLINA

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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