Organization Active NPI

Coastal Surgical Specialists P a

  • Specialist
  • New Bern, NC
National Provider Identifier
1659337046
Registry record updated Dec 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
38894 Issued in NC
Legal business name
COASTAL SURGICAL SPECIALISTS P A
Practice address
2203 Neuse Blvd
New Bern, NC 28560-4311
Phone
(252) 638-8118
Fax
(252) 638-5192
NPI assigned
Apr 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2009

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

Authorized official

Name
Dr. Mark A Sinning, M DNPI 1245200567
Title
President
Phone
(252) 638-8118

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 38894 NC Primary

Addresses

Primary practice location

2203 Neuse Blvd
New Bern, NC 28560-4311

Mailing address

2203 Neuse Blvd
New Bern, NC 28560-4311
Phone (252) 638-8118

Other identifiers 2

IdentifierTypeStateIssuer
01358OtherNCBCBS
8930158MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060705000246 NC Part B Supplier - Clinic/Group Practice 6800791666 Receives reassigned benefits from 8 practitioners
Practice locations: New Bern, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D1083285Coastal Surgical Specialists2203 Neuse Blvd, New Bern, NC 28560Certificate of waiverApr 29, 2028

National Provider Directory

National Provider Directory

Locations

2203 Neuse Blvd
New Bern, NC 28560
Phone (252) 638-8118

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260230400000",
    "number": "1659337046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2203 NEUSE BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285604311",
            "telephone_number": "252-638-8118",
            "fax_number": "252-638-5192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2203 NEUSE BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285604311",
            "telephone_number": "252-638-8118",
            "fax_number": "252-638-5192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL SURGICAL SPECIALISTS P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-25",
        "last_updated": "2009-12-08",
        "status": "A",
        "authorized_official_last_name": "SINNING",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-638-8118",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": "38894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01358",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8930158",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.