Coastal Physician Care LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

COASTAL PHYSICIAN CARE LLC

Practice address

9250 Corkscrew Rd
Suite 3
Estero, FL 33928-3208

Phone

(239) 498-2528

NPI assigned

Nov 5, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Jeremy L Darstek

Title

Ceo

Phone

(239) 898-3836

Specialties & licenses 6

Addresses

Locations

Practitioners 5

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

• Patrick M Reidy, M.D.

  • Otolaryngology Physician
  • Naples, FL
  • NPI 1194752840
  NPD
• Tulay Darstek, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Naples, FL
  • NPI 1811946635
  NPD (past)
• Samuel L Hill III, M.D.

  • Otolaryngology Physician
  • Naples, FL
  • NPI 1336176593
  NPD (past)
• Shanai Hill, AU.D

  • Audiologist
  • Estero, FL
  • NPI 1780725416
  NPD (past)
• Benjamin Lehmkuhl

  • Student in an Organized Health Care Education/Training Program
  • Lexington, KY
  • NPI 1053772707
  NPD (past)

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

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415145600000",
    "number": "1124424098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1865 VETERANS PARK DR STE 202",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341090447",
            "telephone_number": "239-898-3836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9250 CORKSCREW RD",
            "address_2": "SUITE 3",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339283208",
            "telephone_number": "239-498-2528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL PHYSICIAN CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-05",
        "last_updated": "2014-11-05",
        "status": "A",
        "authorized_official_last_name": "DARSTEK",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "239-898-3836",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QA0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Claman
• Kathy Yessenia Claros
• Christopher Drew Claudel, MD
• Eljess Clervil, PMHNP
• Bonnie Susan Clukey
• Rachel Esther Cohen, AU.D., CCC-A
• Cole Management of Florida LLC (Foot Solutions)
• Julie Cole, RDN, LDN, CEDRD
• Collier Boulevard Hma Physician Management LLC
• Collier Hma Physician Management LLC (Physicians Regional Medical Group)

• Family Medicine Physician in Estero, FL
• Providers in Estero, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2014; 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.