Coastal Oncology PL

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME78210 Issued in FL

Legal business name

COASTAL ONCOLOGY PL

Practice address

325 Clyde Morris Blvd
Ste 450
Ormond Beach, FL 32174-8178

Phone

(386) 673-2442

Fax

(386) 673-4884

NPI assigned

Nov 21, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Paul Dodd, MDNPI 1538165113

Title

Doctor

Phone

(386) 673-2442

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Paul Melton Dodd III, MD

  • Medical Oncology Physician
  • Ormond Beach, FL
  • NPI 1538165113
  NPD Authorized official
• Kathleen Bridget Doughney, MD

  • Medical Oncology Physician
  • Ormond Beach, FL
  • NPI 1093729287
  NPD (past)

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1154304566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 CLYDE MORRIS BLVD",
            "address_2": "STE 450",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748178",
            "telephone_number": "386-673-2442",
            "fax_number": "386-673-4884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 CLYDE MORRIS BLVD",
            "address_2": "STE 450",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748178",
            "telephone_number": "386-673-2442",
            "fax_number": "386-673-4884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL ONCOLOGY PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-21",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "DODD",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "386-673-2442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME78210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "256247200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Coastal Health Services, Inc
• Coastal Home Care Services LLC
• Coastal Imaging Solutions
• Coastal Internal Medicine Specialists LLC
• Coastal Neurology, Inc.
• Coastal Pediatrics
• Coastal Pediatrics LLC
• Coastal Skilled Care Providers LLC
• Coastal Speech and Language Center, LLC
• Shawn Michael Coates, RPH

• Specialist in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.