Coastal Prosthetics and Orthotics, LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

N/A Issued in NU

Legal business name

COASTAL PROSTHETICS AND ORTHOTICS, LLC

Practice address

11818 Rock Landing Dr
Ste#104
Newport News, VA 23606-4230

Phone

(757) 892-5300

Fax

(757) 892-5303

NPI assigned

Aug 13, 2006

Last updated

Mar 26, 2014By 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

Steve A Siverd, C.P.O.NPI 1245288208

Title

President

Phone

(757) 892-5300

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Coastal Prosthetics and Orthotics, LLC

  • Prosthetic/Orthotic Supplier
  • Chesapeake, VA
  • NPI 1164990040

  7618189622

  Same PAC ID
• Coastal Prosthetics and Orthotics, LLC

  • Prosthetic/Orthotic Supplier
  • Virginia Beach, VA
  • NPI 1386270643

  7618189622

  Same PAC ID
• Coastal Prosthetics and Orthotics, LLC

  • Prosthetic/Orthotic Supplier
  • Virginia Beach, VA
  • NPI 1437605003

  7618189622

  Same PAC ID
• Coastal Prosthetics and Orthotics, LLC

  • Prosthetic/Orthotic Supplier
  • Elizabeth City, NC
  • NPI 1275178816

  7618189622

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Coastal Prosthetics and Orthotics LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Coastal Prosthetics and Orthotics, LLC

  • Prosthetic/Orthotic Supplier
  • Chesapeake, VA
  • NPI 1164990040
  NPD tax ID
• Coastal Prosthetics and Orthotics, LLC

  • Prosthetic/Orthotic Supplier
  • Virginia Beach, VA
  • NPI 1386270643
  NPD tax ID
• Coastal Prosthetics and Orthotics, LLC

  • Prosthetic/Orthotic Supplier
  • Virginia Beach, VA
  • NPI 1437605003
  NPD tax ID
• Coastal Prosthetics and Orthotics, LLC

  • Prosthetic/Orthotic Supplier
  • Elizabeth City, NC
  • NPI 1275178816
  NPD tax ID

Locations

Practitioners 3

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.

• Steve A Siverd, CPO

  • Prosthetist
  • Chesapeake, VA
  • NPI 1245288208

  Orthotist

  NPD (past) Authorized official
• Elizabeth Bush, CPO

  • Orthotist
  • Richmond, VA
  • NPI 1366041428
  NPD (past)
• Madison Vansavage Maben

  • Orthotist
  • Chesapeake, VA
  • NPI 1639647993
  NPD (past)

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395792000000",
    "number": "1093727117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11818 ROCK LANDING DR",
            "address_2": "STE#104",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064230",
            "telephone_number": "757-892-5300",
            "fax_number": "757-892-5303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11818 ROCK LANDING DR",
            "address_2": "STE#104",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064230",
            "telephone_number": "757-892-5300",
            "fax_number": "757-892-5303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL PROSTHETICS AND ORTHOTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2014-03-26",
        "status": "A",
        "authorized_official_last_name": "SIVERD",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-892-5300",
        "authorized_official_credential": "C.P.O."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": "N/A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA",
            "identifier": "39563",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7703398",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9190414",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACM",
            "identifier": "1029129",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "194379",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Megan Elizabeth Cobb, PA
• Elizabeth Rose Cochran Ward, MBBS
• Rachel Cochrane, FNP

• Prosthetic/Orthotic Supplier in Newport News, VA
• Providers in Newport News, VA by specialty
• Prosthetic/Orthotic Supplier in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.