Coastal Neurology PLLC

Primary specialty

Neuromuscular Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084N0008X

License

34183 Issued in NC

Legal business name

COASTAL NEUROLOGY PLLC

Practice address

1514 Doctors Cir
Wilmington, NC 28401-7404

Phone

(910) 254-9914

Fax

(910) 254-9953

NPI assigned

Feb 21, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Sandra Susan Torres, MD

Title

Owner

Phone

(910) 254-9914

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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

• Rachel H Hensler, PA-C

  • Medical Physician Assistant
  • Wilmington, NC
  • NPI 1558532069
  NPD (past)
• Valerie A Masotti, MS, PA-C

  • Physician Assistant
  • Fayetteville, NC
  • NPI 1083732804
  NPD (past)
• Areen T Said, MD

  • Neurology Physician
  • Minot, ND
  • NPI 1447284500
  NPD (past)

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426896000000",
    "number": "1427227701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3518",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284060518",
            "telephone_number": "910-254-9914",
            "fax_number": "910-254-9953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 DOCTORS CIR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017404",
            "telephone_number": "910-254-9914",
            "fax_number": "910-254-9953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL NEUROLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-21",
        "last_updated": "2015-03-21",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-254-9914",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0008X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neuromuscular Medicine",
            "state": "NC",
            "license": "34183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5909197",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Coastal Kids Speech Therapy
• Coastal Kids Therapy PLLC
• Coastal Mobile Hearing Specialist LLC
• Coastal Mobile Hearing Specialist LLC
• Coastal Music Therapy Services
• Coastal Neuropsychological Services Inc
• Coastal Nutrition, LLC
• Coastal Occupational Therapy
• Coastal Optical of Wilmington
• Coastal Optical Services of Wilmington

• Neuromuscular Medicine (Psychiatry & Neurology) Physician in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Neuromuscular Medicine (Psychiatry & Neurology) Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2015; 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.