Coastal Plastic Surger

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

J8858 Issued in TX

Legal business name

COASTAL PLASTIC SURGER

Practice address

1015 Medical Center Blvd
Suite 1800
Webster, TX 77598-4052

Phone

(281) 282-9300

Fax

(281) 338-6885

NPI assigned

Sep 10, 2009

Last updated

Sep 10, 2009By 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. Todd Wayne Adam, M.D.NPI 1326153842

Title

Owner

Phone

(281) 286-4113

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Todd Wayne Adam, M.D.

  • Plastic Surgery Physician
  • Webster, TX
  • NPI 1326153842
  NPD (past) Authorized official

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

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252540800000",
    "number": "1265765143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 MEDICAL CENTER BLVD",
            "address_2": "SUITE 1800",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984052",
            "telephone_number": "281-282-9300",
            "fax_number": "281-338-6885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 MEDICAL CENTER BLVD",
            "address_2": "SUITE 1800",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984052",
            "telephone_number": "281-282-9300",
            "fax_number": "281-338-6885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL PLASTIC SURGER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-10",
        "last_updated": "2009-09-10",
        "status": "A",
        "authorized_official_last_name": "ADAM",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-286-4113",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "J8858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138997509",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• CLS Health PLLC (CLS Health)
• CNS - Houston, LLC (Centre for Neuro Skills)
• Coastal Audiology and Hearing AIDS LLP
• Coastal Eye Associates PLLC
• Coastal Gastroenterology Associates, PA
• Coba Toxicology LLC
• Coba Toxicology LLC
• Sarah G. Cole, CRNA
• Christopher L. Coleman, D.D.S., M.S.
• Tarrell Lee Coley, MD

• Ambulatory Surgical Clinic/Center in Webster, TX
• Providers in Webster, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2009; 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.