Coastal Cardiology P a

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

COASTAL CARDIOLOGY P A

Practice address

16261 Bass Rd
Suite 300
Fort Myers, FL 33908-3671

Phone

(239) 274-8866

Fax

(239) 274-8867

NPI assigned

Apr 20, 2006

Last updated

May 24, 2010By 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

Dr. James A. Conrad, M.D.NPI 1366414682

Title

Staff Physician

Phone

(239) 274-8866

Specialties & licenses 1

Addresses

Other identifiers 3

Practitioners 1

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.

• James A. Conrad, M.D.

  • Interventional Cardiology Physician
  • Fort Myers, FL
  • NPI 1366414682
  Authorized official Same address or phone

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274659200000",
    "number": "1174588255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24853",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331024853",
            "telephone_number": "239-274-8866",
            "fax_number": "239-274-8867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16261 BASS RD",
            "address_2": "SUITE 300",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339083671",
            "telephone_number": "239-274-8866",
            "fax_number": "239-274-8867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL CARDIOLOGY P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2010-05-24",
        "status": "A",
        "authorized_official_last_name": "CONRAD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "STAFF PHYSICIAN",
        "authorized_official_telephone_number": "239-274-8866",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "273264500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "74608",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DD8590",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Jeane Clyne, ATC, LAT
• Coast Chiropractic Centers, Inc.
• Coast Dental P.a. (Coast Dental-Gladiolus)
• Coast Dental P.a. (Coast Dental-South Fort Myers)
• Coast Florida P.a. (Coast Dental-Grand Bay Plaza)
• Coastal Care Health System, Inc.
• Coastal Care Labs LLC (Coastal Care Labs)
• Coastal Gardens Recovery Center LLC (Oasis Recovery Center)
• Coastal Internal Medicine Specialists, PA
• Coastal Primecare FL Group (Coaastal Primecare)

• Cardiovascular Disease Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Cardiovascular Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2010; 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.