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INTRACOASTAL INTERNAL MEDICINE NPI 1770515272


NPI Information

NPI: 1770515272
Provider Name: INTRACOASTAL INTERNAL MEDICINE
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 34D1051890

Address:
2580 PICKARD RD
WILMINGTON, NC
ZIP 28403
Phone: (910) 332-0701
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INTRACOASTAL INTERNAL MEDICINE is an internal medicine in Wilmington, NC. 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. INTRACOASTAL INTERNAL MEDICINE NPI is 1770515272. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2580 PICKARD RD
WILMINGTON, NC
ZIP 28403-461
Phone: (910) 332-0701
Fax: (910) 332-0710

The provider's authorized official is Kimberly Dahlstrom .
The authorized official title is Admin Asst and has the following contact phone number (910) 332-0701.

The CLIA number assigned to this NPI record is 34D1051890 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/7/2006 and was last updated on 6/19/2019.


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
1207R00000XInternal MedicineYes

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
11447204631MEDICAIDNORTH CAROLINA
2891069VMEDICAIDNORTH CAROLINA
35903216MEDICAIDNORTH CAROLINA
41467917880MEDICAIDNORTH CAROLINA
57005481MEDICAIDNORTH CAROLINA
68911484MEDICAIDNORTH CAROLINA
77005555MEDICAIDNORTH 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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