Coastal Virginia Spine and Pain Center LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

COASTAL VIRGINIA SPINE AND PAIN CENTER LLC

Practice address

4525 South Blvd Ste 200
Virginia Beach, VA 23452-1147

Phone

(757) 227-3820

Fax

(757) 226-9021

NPI assigned

Nov 14, 2018

Last updated

Oct 27, 2022By 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

Amanda Ward

Title

Credentialing Manager

Phone

(757) 340-3489

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 9

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.

• Kathryn G Bragg, PT

  • Physical Therapist
  • Virginia Beach, VA
  • NPI 1851329676
  Medicare reassignment Care Compare group NPD
• Scott Leroy Burch, M.S.P.T.

  • Physical Therapist
  • Norfolk, VA
  • NPI 1427083682
  Medicare reassignment Care Compare group NPD
• Kristi M Cartwright, N.P.

  • Acute Care Nurse Practitioner
  • Virginia Beach, VA
  • NPI 1922360718
  Medicare reassignment Care Compare group NPD
• Robin Shuman Levine, P.T.

  • Physical Therapist
  • Norfolk, VA
  • NPI 1992730154
  Medicare reassignment Care Compare group NPD
• Bonnie Jean Nock, DO

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Virginia Beach, VA
  • NPI 1346279833
  Medicare reassignment Care Compare group NPD
• Robert Michael Spear, DO

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Virginia Beach, VA
  • NPI 1497783153
  Medicare reassignment Care Compare group NPD
• Abby Ann Barney, PA-C

  • Physician Assistant
  • Norfolk, VA
  • NPI 1750723474
  Medicare reassignment Care Compare group
• Claire B. Denny, P.A.

  • Surgical Physician Assistant
  • Charlottesville, VA
  • NPI 1235561135
  Medicare reassignment Care Compare group
• Michael Edward Gauthier, MD

  • Anesthesiology Physician
  • Virginia Beach, VA
  • NPI 1477518207
  NPD (past)

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

{
    "created_epoch": "1542153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666828800000",
    "number": "1114496734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2546",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234502546",
            "telephone_number": "757-340-3489",
            "fax_number": "757-340-4278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 SOUTH BLVD STE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521147",
            "telephone_number": "757-227-3820",
            "fax_number": "757-226-9021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL VIRGINIA SPINE AND PAIN CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-14",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "757-340-3489"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coastal Virginia Mental Health Services PLLC
• Coastal Virginia Mental Health Services PLLC (Better Efficient Community Care Access)
• Coastal Virginia Oral and Maxillofacial Surgery, PC
• Coastal Virginia Psychological Associates
• Coastal Virginia Psychological Associates
• Coastline Medical, Inc.
• Delene Coates
• Mikel E Coates, IDC
• Emma Grace Coats
• Takeyra Coats, CTRS

• Interventional Pain Medicine Physician in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Interventional Pain Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; 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.