Coastal Surgery, PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

COASTAL SURGERY, PC

Practice address

1668 N Pine St
Foley, AL 36535-2220

Phone

(251) 970-1948

Fax

(251) 970-1593

NPI assigned

Jan 18, 2008

Last updated

Mar 10, 2011By 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

Mrs. Pamela Darlene Charlton

Title

Administrator

Phone

(251) 970-1948

Specialties & licenses 1

Addresses

Other identifiers 9

Locations

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.

• Jeffrey L Caylor, D.O.

  • Surgery Physician
  • Foley, AL
  • NPI 1730153271
  NPD
• William Garretson, D.O.

  • Vascular Surgery Physician
  • Foley, AL
  • NPI 1306842570
  NPD (past)

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

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299715200000",
    "number": "1538345681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2065",
            "address_2": "1668 NORTH PINE STREET",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365362065",
            "telephone_number": "251-970-1948",
            "fax_number": "251-970-1593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1668 N PINE ST",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365352220",
            "telephone_number": "251-970-1948",
            "fax_number": "251-970-1593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL SURGERY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-18",
        "last_updated": "2011-03-10",
        "status": "A",
        "authorized_official_last_name": "CHARLTON",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "DARLENE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "251-970-1948",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000099973",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS AL",
            "identifier": "51002338",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS AL",
            "identifier": "51026690",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000026690",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1306842570",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS AL",
            "identifier": "51099973",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529925730",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1730153271",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1275506917",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Coastal Family Medicine LLC
• Coastal Hand Therapy
• Coastal Occupational Medicine and Pain Management, P.C. (Coastal Health Institute)
• Coastal Physical Medicine Inc
• Coastal Spine and Pain
• Coastal Therapeutics, Inc (Coastal Therapeutics)
• Cobb and Terrezza OD PC
• Jonathan P Cobb, O.D.
• Anna Grace Cole
• Kaleb Jordon Coleman, PA

• Surgery Physician in Foley, AL
• Providers in Foley, AL by specialty
• Surgery Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; 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.