Coastal Arthritis and Rheumatism Associates PA

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

31985 Issued in NC

Legal business name

COASTAL ARTHRITIS AND RHEUMATISM ASSOCIATES PA

Practice address

1126B Kellum Loop Rd
Jacksonville, NC 28546-3304

Phone

(910) 577-0177

Fax

(910) 577-0183

NPI assigned

Jun 10, 2006

Organization subpart

No

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

Authorized official

Name

Dr. David Donald Fraser, MDNPI 1992794614

Title

President

Phone

(910) 577-0177

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

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

• David Donald Fraser, MD

  • Rheumatology Physician
  • Jacksonville, NC
  • NPI 1992794614
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295481600000",
    "number": "1609818384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1126B KELLUM LOOP RD",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285463304",
            "telephone_number": "910-577-0177",
            "fax_number": "910-577-0183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126B KELLUM LOOP RD",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285463304",
            "telephone_number": "910-577-0177",
            "fax_number": "910-577-0183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL ARTHRITIS AND RHEUMATISM ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2011-01-20",
        "status": "A",
        "authorized_official_last_name": "FRASER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-577-0177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NC",
            "license": "31985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8933694",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• CNC Access Inc
• CNC Access Inc
• CNC Access, Inc.
• CNC/Access, Inc.
• Coastal Ambulance Co.,Inc
• Coastal Carolina Internal Medicine, PA
• Coastal Carolina Neuropsychiatric Center, PA
• Coastal Carolina Neuropsychiatric Center, PA
• Coastal Carolina Orthopaedic Surgeons PA
• Coastal Childrens Services PLLC

• Rheumatology Physician in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Rheumatology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; 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.