Coastal Nephrology, P.a.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

2005-00955 Issued in NC

Legal business name

COASTAL NEPHROLOGY, P.A.

Practice address

123 Pompano PL
Ste 300
Jacksonville, NC 28546

Phone

(910) 238-2181

Fax

(910) 238-2185

NPI assigned

Aug 27, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Milagros Cailing, M.D.NPI 1770672560

Title

President

Phone

(910) 238-2181

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/jbccWDrU52Mquq865y5s4oJK8D_tdQlk/

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Milagros Palad Cailing, M.D.

  • Nephrology Physician
  • Jacksonville, NC
  • NPI 1770672560
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1346025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346025600000",
    "number": "1003164922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 POMPANO PL",
            "address_2": "STE 300",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "28546",
            "telephone_number": "910-238-2181",
            "fax_number": "910-238-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 POMPANO PL",
            "address_2": "STE 300",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "28546",
            "telephone_number": "910-238-2181",
            "fax_number": "910-238-2185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL NEPHROLOGY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-27",
        "last_updated": "2012-08-27",
        "status": "A",
        "authorized_official_last_name": "CAILING",
        "authorized_official_first_name": "MILAGROS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-238-2181",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "NC",
            "license": "2005-00955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Coastal Residential Services
• Coastal Residential Services, Inc

• Nephrology Physician in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Nephrology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.