Coastal Mobile Ultrasound

Primary specialty

Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X

Legal business name

COASTAL MOBILE ULTRASOUND

Practice address

4 Long Lake Way
Palm Coast, FL 32137-1617

Phone

(904) 494-8560

NPI assigned

Jun 16, 2023

Organization subpart

No

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

Authorized official

Name

Vanessa FerketichNPI 1497447528

Title

Owner

Phone

(904) 494-8560

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vanessa Ferketich, OWNER

  • Sonography Radiologic Technologist
  • Palm Coast, FL
  • NPI 1497447528
  NPD Authorized official

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

{
    "created_epoch": "1686873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686873600000",
    "number": "1376228429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 LONG LAKE WAY",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321371617",
            "telephone_number": "904-494-8560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 LONG LAKE WAY",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321371617",
            "telephone_number": "904-494-8560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL MOBILE ULTRASOUND",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-16",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A",
        "authorized_official_last_name": "FERKETICH",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-494-8560"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coastal Care Medical Transport
• Coastal Family Healthcare LLC
• Coastal Healthcare Partners, LLC
• Coastal Integrative Healthcare Inc
• Coastal Medical Transit, LLC
• Coastal Rehab and Sports Medicine
• Coastal Speech and Language Center, LLC
• Coastal Spine and Sport, LLC
• Katelynn Coffman
• Jessica Alysse Santos Cogo, D.C.

• Diagnostic Ultrasound Physician in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Diagnostic Ultrasound Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; 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.