Coastal Medical Group, PS

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

COASTAL MEDICAL GROUP, PS

Practice address

840 N 5TH Ave
Suite 1500
Sequim, WA 98382-3045

Phone

(360) 582-2840

Fax

(360) 582-2841

NPI assigned

Sep 10, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Rebecca S Corley, MDNPI 1588663736

Title

President

Phone

(360) 582-2840

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Rebecca S Corley, MD

  • Specialist
  • Sequim, WA
  • NPI 1588663736
  NPD (past) Authorized official

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189382400000",
    "number": "1679768063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 N 5TH AVE",
            "address_2": "SUITE 1500",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983823045",
            "telephone_number": "360-582-2840",
            "fax_number": "360-582-2841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 N 5TH AVE",
            "address_2": "SUITE 1500",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983823045",
            "telephone_number": "360-582-2840",
            "fax_number": "360-582-2841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL MEDICAL GROUP, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2007-09-10",
        "status": "A",
        "authorized_official_last_name": "CORLEY",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-582-2840",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7111487",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Anne Clark, PTA
• Crystal Raylene Clark
• Darcie Clawson
• Peter Clifford, OTR/L
• Coastal Chiropractic Center
• Coho Foot & Ankle, PS
• Anna Kathleen Cole, PHARM D
• Janelle Lenore Cole, RN, CDE
• Karley Comer, COTA
• Alan Lee Copeland, O.D.

• Specialist in Sequim, WA
• Providers in Sequim, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; 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.