Coastal Regenex LTD

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

COASTAL REGENEX LTD

Practice address

1013 Eden Way N Ste B
Chesapeake, VA 23320-2792

Phone

(757) 297-6750

Fax

(757) 609-3473

NPI assigned

Mar 13, 2020

Organization subpart

No

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

Authorized official

Name

Trey Williams, DO

Title

Owner

Phone

(757) 297-6750

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Oronde Anthony Smith, MD

  • Emergency Medicine Physician
  • Fort Belvoir, VA
  • NPI 1962427211
  NPD

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

{
    "created_epoch": "1584057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584057600000",
    "number": "1639705387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 ODD RD",
            "city": "POQUOSON",
            "state": "VA",
            "postal_code": "236622035",
            "telephone_number": "757-297-6750",
            "fax_number": "757-609-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 EDEN WAY N STE B",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202792",
            "telephone_number": "757-297-6750",
            "fax_number": "757-609-3473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL REGENEX LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-13",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "TREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-297-6750",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clinical Healing and Mindfulness Practices LLC
• Cloyd Home Care, LLC
• Co-Op Managed Health Care
• Coastal Counseling Center Inc
• Coastal Prosthetics and Orthotics, LLC
• Coastal Surgical Assistance, Inc.
• Coastal Virginia Sleep Solutions PLLC
• Ashley Elizabeth Cobb, BCBA, MS
• Howard Perry Cobb III, DDS
• Mary In-Ping Huang Cobb, MD

• Multi-Specialty Clinic/Center in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Multi-Specialty Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.