Organization Active NPI

Coastline Gynecology PA

  • Gynecology Physician
  • Wilmington, NC
National Provider Identifier
1457433500
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
COASTLINE GYNECOLOGY PA
Practice address
1437 Military Cutoff Rd
Suite 206
Wilmington, NC 28403-3637
Phone
(910) 509-0090
Fax
(910) 509-0082
NPI assigned
Oct 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Sara H Collins, M.D.
Title
President
Phone
(910) 509-0090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X Primary

Addresses

Primary practice location

1437 Military Cutoff Rd
Suite 206
Wilmington, NC 28403-3637

Mailing address

1437 Military Cutoff Rd
Suite 206
Wilmington, NC 28403-3637
Phone (910) 509-0090

National Provider Directory

National Provider Directory

Locations

1437 Military Cutoff Rd
Ste 206
Wilmington, NC 28403
Phone (910) 509-0090

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457433500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1437 MILITARY CUTOFF RD",
            "address_2": "SUITE 206",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284033637",
            "telephone_number": "910-509-0090",
            "fax_number": "910-509-0082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1437 MILITARY CUTOFF RD",
            "address_2": "SUITE 206",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284033637",
            "telephone_number": "910-509-0090",
            "fax_number": "910-509-0082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTLINE GYNECOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-509-0090",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.