Coastal Urology, P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

01011031873 Issued in VA

Legal business name

COASTAL UROLOGY, P.C.

Practice address

1856 Colonial Medical CT Ste B
Virginia Beach, VA 23454-3075

Phone

(757) 481-9009

Fax

(757) 481-9401

NPI assigned

Nov 19, 2007

Last updated

Nov 19, 2007By 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. B. Warren Pechan, M.D.NPI 1336231455

Title

President

Phone

(757) 481-9009

Specialties & licenses 1

Addresses

Practitioners 2

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.

• B Warren Pechan, MD

  • Urology Physician
  • Virginia Beach, VA
  • NPI 1336231455
  Authorized official Same address or phone
• Robert M Seo, MD

  • Urology Physician
  • Naperville, IL
  • NPI 1043268329
  NPD (past)

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195430400000",
    "number": "1487835435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1856 COLONIAL MEDICAL CT STE B",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543075",
            "telephone_number": "757-481-9009",
            "fax_number": "757-481-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1856 COLONIAL MEDICAL CT STE B",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543075",
            "telephone_number": "757-481-9009",
            "fax_number": "757-481-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL UROLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-19",
        "last_updated": "2007-11-19",
        "status": "A",
        "authorized_official_last_name": "PECHAN",
        "authorized_official_first_name": "B.",
        "authorized_official_middle_name": "WARREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-481-9009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "01011031873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coastal Prosthetics and Orthotics, LLC
• Coastal Smiles, PLLC
• Coastal Surgical Specialists, PC
• Coastal Therapy Group Inc
• Coastal Tranquility Behavioral Health LLC
• Coastal Virginia Endodontics PLLC
• Coastal Virginia Mental Health Services PLLC
• Coastal Virginia Mental Health Services PLLC (Better Efficient Community Care Access)
• Coastal Virginia Oral and Maxillofacial Surgery, PC
• Coastal Virginia Psychological Associates

• Specialist in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.