J. Thaddeus Coin, PHD, MD, PLLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

29814 Issued in NC

Legal business name

J. THADDEUS COIN, PHD, MD, PLLC

Practice address

2515 Delaney Ave
Wilmington, NC 28403-6003

Phone

(910) 762-9131

Fax

(910) 762-1281

NPI assigned

Jan 23, 2007

Last updated

May 10, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James Thaddeus Coin, MDNPI 1124176664

Title

Owner

Phone

(910) 762-9131

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James Thaddeus Coin, M.D.

  • Neurology Physician
  • Wilmington, NC
  • NPI 1124176664
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336608000000",
    "number": "1053465104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3098",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284060098",
            "telephone_number": "910-762-9131",
            "fax_number": "910-762-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 DELANEY AVE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036003",
            "telephone_number": "910-762-9131",
            "fax_number": "910-762-1281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. THADDEUS COIN, PHD, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2012-05-10",
        "status": "A",
        "authorized_official_last_name": "COIN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "THADDEUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-762-9131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "29814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7923534",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "23534",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• J. Carter Ward DDS PA
• J.a. McNeill & Sons, Inc (The Commons at Brightmore)
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• Celeste Jennifer Jablonski, PT
• Jackson Eye Associates, OD PA
• Jackson Eye Associates, OD PA

• Neurology Physician in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Neurology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.