Coastal Internal Medicine Specialists, PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

COASTAL INTERNAL MEDICINE SPECIALISTS, PA

Practice address

5172 Mason Corbin Court
Ste 1
Fort Myers, FL 33907-7533

Phone

(239) 936-7171

Fax

(239) 936-7455

NPI assigned

Dec 22, 2005

Last updated

Feb 2, 2016By 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

Mr. Brian G. Martin, D.O.NPI 1235197211

Title

President

Phone

(239) 936-7171

Specialties & licenses 1

Addresses

Locations

Practitioners 6

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.

• Brian G Martin, DO

  • Internal Medicine Physician
  • Fort Myers, FL
  • NPI 1235197211
  Authorized official Same address or phone
• Suzanna P Boka, MD

  • Internal Medicine Physician
  • Naples, FL
  • NPI 1457436677
  NPD
• Vimal Patel, MD

  • Hospitalist Physician
  • Chicago, IL
  • NPI 1639103302

  Internal Medicine

  NPD
• Lakshmi Bushan, MD

  • Internal Medicine Physician
  • Fort Myers, FL
  • NPI 1558395681
  NPD (past)
• Marilyn Kole, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Fort Myers, FL
  • NPI 1669469011
  NPD (past)
• Russell Weintraub, MD

  • Internal Medicine Physician
  • Naples, FL
  • NPI 1760440630
  NPD (past)

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454371200000",
    "number": "1215914072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5172 MASON CORBIN COURT",
            "address_2": "STE 1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339077533",
            "telephone_number": "239-936-7171",
            "fax_number": "239-936-7455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5172 MASON CORBIN COURT",
            "address_2": "STE 1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339077533",
            "telephone_number": "239-936-7171",
            "fax_number": "239-936-7455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL INTERNAL MEDICINE SPECIALISTS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-22",
        "last_updated": "2016-02-02",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-936-7171",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Johnny Cobas Hernandez, MD
• Daterria Cobb
• Coca Sabal Anesthesia LLC (Coca Sabal Anesthesia)

• Internal Medicine Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2016; 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.