Coastal Internal Medicine, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

COASTAL INTERNAL MEDICINE, PLLC

Practice address

1921 Sumner Avenue
Aberdeen, WA 98520-2657

Phone

(360) 538-0135

Fax

(360) 533-3475

NPI assigned

Jun 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Timothy Harrry Troeh, MD

Title

Co-Owner

Phone

(360) 538-0135

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1265636401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 87",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985200022",
            "telephone_number": "360-538-0135",
            "fax_number": "360-533-3475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 SUMNER AVENUE",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985202657",
            "telephone_number": "360-538-0135",
            "fax_number": "360-533-3475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL INTERNAL MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "TROEH",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "HARRRY",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "360-538-0135",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Elise Clarkson, MSN, ARNP, BC
• Mary Joy Clayton, ARNP
• Holly Celeste Clements, ARNP
• Coastal Community Action Program
• Coastal Hand & Physical Therapy, PLLC
• Coastal Internal Medicine, PLLC
• Coastal Physician Anesthesia, PS
• Coastal Specialty Imaging
• Coastal Transport LLC
• Poppy Jean Cogburn, RN

• Internal Medicine Physician in Aberdeen, WA
• Providers in Aberdeen, WA by specialty
• Internal Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; 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.