Coastal Women'S Clinic, LTD.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

COASTAL WOMEN'S CLINIC, LTD.

Practice address

112 Medical Dr
Elizabeth City, NC 27909-3361

Phone

(252) 338-2151

Fax

(252) 338-2505

NPI assigned

Mar 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Paul A Kizen, MDNPI 1649296401

Title

President

Phone

(252) 338-2151

Specialties & licenses 1

Addresses

Other identifiers 7

Locations

Practitioners 2

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

• Paul Andrew Kizen, MD

  • Obstetrics & Gynecology Physician
  • Elizabeth City, NC
  • NPI 1649296401
  NPD Authorized official
• Daniel Patrick Dwyer, MD

  • Obstetrics & Gynecology Physician
  • Nags Head, NC
  • NPI 1467478230
  NPD

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208131200000",
    "number": "1174582936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 MEDICAL DR",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279093361",
            "telephone_number": "252-338-2151",
            "fax_number": "252-338-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 MEDICAL DR",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279093361",
            "telephone_number": "252-338-2151",
            "fax_number": "252-338-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL WOMEN'S CLINIC, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-21",
        "last_updated": "2008-04-14",
        "status": "A",
        "authorized_official_last_name": "KIZEN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-338-2151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8901411",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891063P",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5904022",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8979785",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7949645",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8929605",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8912930",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Coastal Rehabilitation Inc
• Coastal Rehabilitation Inc
• Coastal Rehabilitation Inc
• Coastal Sleep Center, LLC
• Coastal Urology Associates, P.a.
• Jean Williams Cobb, FNP
• Amy Coker
• Anna Coker, MA, LPC, LCAS
• Huyla G Coker, PHARMD
• Juanita R Coleman, MD

• Specialist in Elizabeth City, NC
• Providers in Elizabeth City, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.