Active NPI
Coastal Orthopaedic Institute PC
- Orthopaedic Surgery Physician
- Fall River, MA
National Provider Identifier
1235155789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- COASTAL ORTHOPAEDIC INSTITUTE PC
- Practice address
- 235 Hanover St
Fall River, MA 02720-5246 - Phone
- (508) 646-9525
- Fax
- (508) 679-7177
- NPI assigned
- Jul 15, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kevin Mabie, MD
- Title
- President
- Phone
- (508) 646-9525
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
235 Hanover St
Fall River, MA 02720-5246
Mailing address
235 Hanover St
Fall River, MA 02720-5246
Phone (508) 646-9525
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9779053 | Medicaid | MA |
National Provider Directory
National Provider DirectoryLocations
235 Hanover St
Ste 209
Fall River, MA 02720
672 Aquidneck Ave
Ste 7
Middletown, RI 02842
Phone (508) 646-9525
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Orthopaedic Hand Surgery Physician
- Fall River, MA
- NPI 1265531552
Orthopaedic Surgery
-
- Physician Assistant
- Brockton, MA
- NPI 1306945746
-
- Orthopaedic Surgery Physician
- Fall River, MA
- NPI 1881638914
-
- Physician Assistant
- Fall River, MA
- NPI 1144452681
-
- Orthopaedic Surgery Physician
- Woonsocket, RI
- NPI 1699790121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1415836800000",
"number": "1235155789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 HANOVER ST",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027205246",
"telephone_number": "508-646-9525",
"fax_number": "508-679-7177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 HANOVER ST",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027205246",
"telephone_number": "508-646-9525",
"fax_number": "508-679-7177"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COASTAL ORTHOPAEDIC INSTITUTE PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-15",
"last_updated": "2014-11-13",
"status": "A",
"authorized_official_last_name": "MABIE",
"authorized_official_first_name": "KEVIN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "508-646-9525",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9779053",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fall River, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.