Coastal Vein and Vascular Specialists, Inc

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

COASTAL VEIN AND VASCULAR SPECIALISTS, INC

Practice address

3401 Pga Blvd Ste 325
Palm Beach Gardens, FL 33410-2898

Phone

(718) 974-9494

NPI assigned

Sep 10, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Christopher William BoyesNPI 1871810440

Title

President and Ceo

Phone

(561) 295-4110

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Networks

• HealthSun Health Plans Network

Practitioners 2

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

• Christopher William Boyes, M.D.

  • Vascular Surgery Physician
  • Palm Beach Gardens, FL
  • NPI 1871810440
  Medicare reassignment NPD Authorized official
• Richard Matthew Garibaldi, PA-C

  • Physician Assistant
  • Seattle, WA
  • NPI 1689763666

  FL

  Medicare reassignment

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591660800000",
    "number": "1497238091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 PGA BLVD STE 325",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334102898",
            "telephone_number": "561-295-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 PGA BLVD STE 325",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334102898",
            "telephone_number": "718-974-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL VEIN AND VASCULAR SPECIALISTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-10",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A",
        "authorized_official_last_name": "BOYES",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "561-295-4110",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clinical LTC Partners PLLC
• Roxanne Rice Clough, RNFA
• Donna H Cmar, BS, PTA
• CMG LLC
• Co Physio, LLC
• Leslie Allan Coates, LCSW
• Savannah Grace Coffelt
• Carolyn Cogar
• Cogent Healthcare of Pensacola LLC
• Julia Ann Cogle, M.S. CCC/SLP

• Vascular Surgery Physician in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Vascular Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.